Spectrum of saline-Sono-Hysterosalpingographic findings in women with infertility in a tertiary hospital in Nigeria
Article Sidebar
Views | PDF/EPUB Downloads:
10
/ 6
/ 4
Main Article Content
Abstract
Background: This study investigated the effectiveness of saline-sono- hysterosalphingography (S-SHSG) in diagnosing infertility causes among women in a tertiary hospital in Abuja, Nigeria.
Aims and Objectives: To describes the various findings in the endometrial cavity and the fallopian tubes in women of reproductive age with infertility.
Materials and Methods: Researchers enrolled 200 infertile women undergoing S-SHSG at a local hospital. Data on demographics, infertility history, and S-SHG findings were collected.
Results: Nearly half the participants fell within the 30–39-year age range. Secondary infertility was more frequent than primary infertility. The average duration of infertility was 8.7 years. Over half the women (52.5%) exhibited abnormal S-SHSG results. Submucous myomas (19.5%), polyps (11.0%), and adhesions (13.5%) were the most frequently detected endometrial cavity abnormalities. Fallopian tubal patency assessment revealed, bilateral patency in 61.5% of the women, unilateral patency in 21.5%, and bilateral blockage in 16.0%.
Conclusion: Overall, this research reinforces the use of S-SHSG as a safe and effective diagnostic method for investigating female infertility. The high prevalence of abnormalities underscores the importance of S-SHSG in infertility evaluations. The study acknowledges limitations such as occasional inability to fully assess the uterine cavity and a restricted evaluation of the cervix.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
1. WHO | Infertility Definitions and Terminology. WHO; 2016.
2. Simpson WL Jr., Rausch DR. Imaging of male infertility: Pictorial review. AJR Am J Roentgenol 2009;192:S98‑11.
3. Steinkeler JA, Woodfield CA, Lazarus E, Hillstrom MM. Female infertility: A systematic approach to radiologic imaging and diagnosis. Radiographics 2009;29:1353‑70.
4. Lindheim SR, Sprague C, Winter TC 3rd. Hysterosalpingography and sonohysterography: Lessons in technique. AJR Am J Roentgenol 2006;186:24‑9.
5. Pujar Y, Sheriga B, Patted S, Desai BR, Dhumale H. Comparative evaluation of saline infusion sonohysterography and hysterolaparoscopy for diagnosis of uterine cavity abnormalities and tubal patency in infertility: A one year cross‑sectional study. J South Asian Fed Obstet Gynecol 2010;2:133‑5.
6. Aremu AA, Adetiloye VA, Ibitoye BO, Adekanle DA, Bello TO. Transabdominal saline contrast sonohysterography: Can it replace Hysterosalpingography in low resource countries? J Clin Diagn Res 2012;6:239‑42.
7. Panchal S, Nagori C. Imaging techniques for assessment of tubal status. J Hum Reprod Sci 2014;7:2‑12.
8. Mert B, Daniel B, Phyllis G, Joseph W, John P, et al. Practice Manual for the performance of Sonohysterography. AIUM 2015;34:1-4.
9. Nachtigall RD. International disparities in access to infertility services. Fertil Steril 2006;85:871‑5.
10. Practice Committee of the American Society for Reproductive Medicine. Aging and infertility in women. Fertil Steril 2006;86:S248‑52.
11. Onah HE, Ezike HA, Mgbor SO. Saline sonohysterosalpingographic findings in infertile Nigerian women. J Obstet Gynaecol 2006;26:788‑90.
12. Obajimi G, Ogunkinle B. Routine saline infusion sonohysterography prior to assisted conception: A review of our initial experience. Ann Ib Postgrad Med 2016;14:99‑102.
13. Araoye MO. Epidemiology of infertility: Social problems of the infertile couples. West Afr J Med 2003;22:190‑6.
14. Hooker AB, Lemmers M, Thurkow AL, Heymans MW, Opmeer BC, Brölmann HA, et al. Systematic review and meta‑analysis of intrauterine adhesions after miscarriage: Prevalence, risk factors and long‑term reproductive outcome. Hum Reprod Update 2014;20:262‑78.
15. Roupa Z, Polikandrioti M, Sotiropoulou P, Faros E, Koulouri A, Wozniak G, et al. Causes of infertility in women at reproductive age. Health Sci J 2009;3:80‑7.
16. Philippov OS, Radionchenko AA, Bolotova VP, Voronovskaya NI, Potemkina TV. Estimation of the prevalence and causes of infertility in Western Siberia. Bull World Health Organ 1998;76:183‑7.
17. Omigbodun AO, Fatukasi JI, Abudu T. Ultrasonography as an adjunct to hydrotubation in the management of female infertility. Cent Afr J Med 1992;38:345‑50.
18. Singhal DA, Agrawal DK, Rakesh KD. Comparison of transvaginal sonosalpingography to chromolaparoscopy for evaluation of tubal patency in infertile patients. JDMS 2016;15:47‑9.
19. Szkodziak P, Woźniak S, Czuczwar P, Paszkowski T, Milart P, Wozniakowska E, et al. Usefulness of three dimensional transvaginal ultrasonography and hysterosalpingography in diagnosing uterine anomalies. Ginekol Pol 2014;85:354‑9.
20. Tur-Kaspa I, Gal M, Hartman M, Hartman J, Hartman A. A prospective evaluation of uterine abnormalities by saline infusion sonohysterography in 1,009 women with infertility or abnormal uterine bleeding. Fertil Steril 2006;86:1731-5.