Volume 8

Number 2 July 2024

Evaluation of Pattern of Hysterosalpingography in Infertility Patients

DOI: https://doi.org/10.70357/jdamc.2024.v0802.02

Afruz M 11 , Choudhury SF2 , Yeasmin L3 , Bilkis US4 , Ahmed MM5 , Nurunnabi M6

Abstract

Background: Hysterosalpingography (HSG) is an X-ray procedure frequently used to examine the female reproductivetract, including the uterus and fallopian tubes, primarily for evaluating infertility.

Objectives: To assess the pattern ofhysterosalpingography of women with infertility. 

Methods: An observational cross-sectional study was conductedon 119 infertile patients who underwent hysterosalpingography with ionic water-soluble contrast media at PopularMedical Centre Limited, Sylhet. Clinical records and radiological findings were analyzed to assess demographic data,uterine condition, and tubal and pelvic pathology. 

Results: The mean age of the patients was 34.4±4.1 years, and theaverage duration of marriage was 7.6±3.2 years. Among the patients, 38.7% were diagnosed with primary infertility,while 61.3% had secondary infertility. The mean duration of infertility was 4.1±1.8 years. Abnormal HSG resultswere found in 64.7% of the patients. Of those with abnormal results, more than half (53.2%) had tubal abnormalities,28.6% had uterine abnormalities, and 18.1% had both types of findings. Regarding tubal abnormalities, 17.1% had aright tubal blockage, 22.0% had a left tubal blockage, 24.4% had bilateral tubal blockages, and 36.6% had both tubespatent. In terms of uterine abnormalities, an arcuate uterus was found in 45.5% of cases, a unicornuate uterus in 31.8%,a bicornuate uterus in 13.6%, and Asherman syndrome in 9.1% of the women. 

Conclusion: It has been identified thata significant reason to infertility is tubal conditions. With its low risk and few risks, this study has demonstrated thathysterosalpingography ought to be the initial method used to diagnose infertility.

Keywords: Hysterosalpingography, infertility, married women, Bangladesh.


  1. Assistant Professor, Department of Obstetrics & Gynecology

    Sylhet Women’s Medical College Hospital, Sylhet

  2. Professor and Head, Department of Obstetrics & Gynecology

    Sylhet Women’s Medical College Hospital, Sylhet

  3. Associate Professor, Department of Obstetrics & Gynecology

    Sylhet Women’s Medical College Hospital, Sylhet

  4. Assistant Professor, Department of Obstetrics & Gynecology

    North East Medical College Hospital, Sylhet

  5. Consultant

    Kajolhaor Diabetic Center, Sylhet

  6. Assistant Professor, Department of Community Medicine and Public Health

    Sylhet Women’s Medical College, Sylhet

Download PDF File Cite

Volume 8, Number 2 July 2024
Page: 4-7