Tubal abnormalities on hysterosalpingography in primary and secondary infertility

West Afr J Med. 2006 Apr-Jun;25(2):130-3. doi: 10.4314/wajm.v25i2.28263.

Abstract

Background: Hysterosalpingography (HSG) is an imaging modality used in assessing the fallopian tubes of patients with infertility. There have been reports suggesting that tubal pathologies may be responsible for most cases of secondary infertility.

Objective: To evaluate the fallopian tube of women with infertility and to observe if there are significant differences in the tubal findings in primary and secondary infertility.

Methodology: One hundred and twenty (120) patients attending the outpatient fertility clinics in University of Ilorin Teaching Hospital, (UITH) Nigeria were studied; Twenty-four (20%) presented with primary infertility and Ninety-six (80%) with secondary infertility. All the patients had HSG.

Results: A total of 48(40%) patients out of the 120 studied had a tubal pathology, out of which 43 (44.8%) had secondary infertility and 5(20.8%) had primary infertility. Tubal pathology was found to be significantly associated with secondary infertility than primary infertility (P< 0.05, Odds ratio = 3, CI = 95%).

MeSH terms

  • Adult
  • Contrast Media
  • Diatrizoate Meglumine
  • Fallopian Tube Diseases / complications*
  • Fallopian Tube Diseases / diagnostic imaging*
  • Female
  • Humans
  • Hysterosalpingography*
  • Infertility, Female / etiology*
  • Nigeria

Substances

  • Contrast Media
  • Diatrizoate Meglumine