Anatomical Defects at Hysterosalpingography in Patients with Infertility at the University of Nigeria Teaching Hospital Enugu, Nigeria

Abstract

Hysterosalpingography (HSG) is a fluoroscopically guided contrast examination of the female genital tract using about 10-20ml of contrast media usually urografin in our environment. It queries the integrity of the female genital tract in clinically suspected cases of infertility. This research study has been designed to find out the various structural changes at HSG in patients with infertility in our environment. It gives a retrospective review of 100 patients who underwent HSG in UNTH Enugu using water-soluble ionic contrast media (urografin 10 20m). Clinical notes and radiographic findings were retrieved and thoroughly analyzed. The commonest age group seen was 31-36 years. Most were of low parity. Secondary infertility was seen to be much commoner than primary infertility. Abdominal findings at HSG were found in 75% of patients. The commonest findings were tubal blockage. The commonest pathology found on HSG on women presenting with infertility in UNTH, Enugu is tubal blockage possibly secondary to chronic (PID). Studies to establish associated factors are recommended.