Hysterosalpingography findings in infertile Sudanese women: a cross-sectional study on tube blockage.

Pan Afr Med J

Faculty of Radiological Sciences and Medical Imaging, Alzaiem Alazhari University, Khartoum, Sudan.

Published: October 2024

AI Article Synopsis

  • Infertility is a major health issue in Africa, and this study focused on the findings from Hysterosalpingography (HSG) tests conducted on 100 Sudanese women experiencing infertility.
  • The results showed that both primary (46%) and secondary (54%) infertility were prevalent, with significant abnormalities detected in fallopian tubes and a correlation between age and medical history to the type of infertility.
  • The study concluded that fallopian tube issues are a leading cause of infertility in these women, and previous pelvic surgery was identified as a key risk factor, highlighting the need for timely diagnostic procedures.

Article Abstract

Introduction: infertility is a significant public health concern in Africa and Hysterosalpingography (HSG) is an affordable option for initial treatment. This study aimed to provide information about the incidence of abnormal pathology and tubal findings in HSG of Sudanese women who experienced infertility.

Methods: this prospective cross-sectional study included 100 infertile patients who were requested for HSG, including age, duration of infertility, body mass index (BMI), medical history, and HSG findings collected after performing the radiographic test, which was diagnosed by an experienced radiologist.

Results: one hundred infertile women (46% and 54%) experienced primary and secondary infertility, respectively. Mean age was (31.1 ± 5.2, 27.5 ± 6.0) years, and BMI was (25.1 ± 3.3, 25.7 ± 2.9) Kg/cm for primary and secondary infertility respectively. Abnormal findings prevalence was (29/46, 63%) and (30/54, 56%). The incidence of fallopian tube abnormality was (52/100, 52% (25/46, 54.3%), and (27/56, 50%) for primary and secondary infertility, respectively. Forty-one percent of participants had normal hysterosalpingograms. Pelvic surgery was the highest risk factor in 24% of the participants. Age and medical history were significantly associated with the infertility type (P < 0.05).

Conclusion: infertile patients who underwent hysterosalpingography (HSG) were predominantly older, with secondary infertility being slightly more common, underscoring the importance of early diagnostic evaluation and care. Fallopian tube abnormalities were the most common cause of infertility, with tube blockage affecting nearly half of the participants. Additionally, this study revealed that prior pelvic surgery significantly increased the risk of infertility.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444070PMC
http://dx.doi.org/10.11604/pamj.2024.48.62.39517DOI Listing

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