Patterns Of Hysterosalpingographic Findings In Infertile Patients Presenting In A Tertiary Care Hospital Of Quetta

Abstract

Objective: To study the different patterns of Hysterosalpingographic findings in women evaluated for infertility in a tertiary care hospital of Quetta. Setting and design: A crossectional study conducted at the Radiology Department of Bolan medical complex hospital, Quetta Methodology: A two year secondary data based study of hysterosalpingographic films were assessed, data of 338 infertile women investigated for infertility from July’ 2016 till June’ 2018. Hysterosalpingography examination was done in the preovulatory phase of the menstrual cycle. Results: Infertility was the main indication for all the hysterosalpingographic examinations with primary infertility the predominant infertility accounting for 186(55%) of all cases while secondary infertility constituted 152(45%) cases. Majority of the patients n=146(43%) were in the age group of 28-33 years as this is the peak age of reproduction. Out of the total 338 patients reviewed, normal hysterosalpingography finding with free peritoneal spill of contrast were seen in n=212(62%) cases. The most common abnormality revealed was tubal blockage among n=81 (24.2%) patients followed by hydrosalpinx n=23(6.5) %. Other abnormalities included loculated contrast spill, fibroids, Asherman syndrome and adenomyosis. Congenital anomalies were also seen of which arcuate uterus was seen commonly followed by bicornuate uterus. Conclusion: It was concluded that most of the HSG findings were normal, followed by tubal abnormalities in the age range from 28 to 33 years. Tubal occlusion and hydrosalpinx were the most common abnormal findings in this study