Determining The Frequency of Tubal Blockage in Infertility Patients Undergoing X-Rays Hysterosalpingography

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Muhammad Taha Khalil
Muhammad Imran Farid
Amanullah Khan
Syed Naseer Ahmed
Abdus Samad Khan


Background: Infertility is a complex global health issue, affecting millions of couples and necessitating detailed diagnostic evaluations. Among the various diagnostic procedures, X-ray hysterosalpingography (HSG) is pivotal for assessing tubal patency and identifying underlying causes of infertility.

Objective: To determine the frequency of tubal blockages, particularly hydrosalpinx, in patients undergoing HSG at a tertiary care facility.

Methods: This retrospective study was conducted at Allama Iqbal Teaching Hospital DG Khan from July 2022 to February 2024. A total of 210 female patients with consecutive infertility were included, excluding those with prior tubal surgeries. Data were extracted from medical records, focusing on demographics, clinical history, and HSG results.

Results: The mean age of the participants was 32.35 ± 3.56 years, and the mean duration of infertility was 3.5 ± 2.1 years. Among the patients, 65% were nulliparous, and 35% were parous. Prior fertility treatments were reported in 75% of cases. Tubal blockage was identified in 45 patients (21.4%), with 25 (11.9%) exhibiting unilateral blockage and 20 (9.5%) bilateral blockage. Hydrosalpinx was the most common abnormality, occurring in 30 patients (66.7%).

Conclusion: Tubal blockage, particularly hydrosalpinx, is a significant contributor to infertility, found in 21.4% of the study population. These findings emphasize the need for thorough tubal evaluations in infertility assessments.

Article Details

How to Cite
Muhammad Taha Khalil, Muhammad Imran Farid, Amanullah Khan, Syed Naseer Ahmed, Abdus Samad Khan, Gulnaz, & Ayman. (2024). Determining The Frequency of Tubal Blockage in Infertility Patients Undergoing X-Rays Hysterosalpingography. Journal of Health and Rehabilitation Research, 4(2), 810–814.
Author Biographies

Muhammad Taha Khalil, Allama Iqbal Teaching Hospital DG Khan

Senior Registrar Radiology Department, Allama Iqbal Teaching Hospital DG Khan

Muhammad Imran Farid, Air University Islamabad

Assistant Professor, Department of Electrical and Computer Engineering, Air University Islamabad

Amanullah Khan, Cleveland Clinic - Abu Dhabi - UAE

Specialist Radiologist, Imaging Department, Cleveland Clinic Abu Dhabi, UAE

Syed Naseer Ahmed, Sheikh Khalifa Bin Zayed Hospital - Quetta - Pakistan

Assistant Professor, Radiology Department, Sheikh Khalifa Bin Zayyed Hospital, Quetta

Abdus Samad Khan, CMH - Peshawar - Pakistan

Resident Department of Radiology, CMH Peshawar

Gulnaz, Farooq Hospital Westwood Colony - Lahore - Pakistan

Postgraduation Trainee, Gynae and Obstetric Department, Farooq Hospital Westwood Colony, Lahore

Ayman, Mardan Medical Complex - Mardan - Pakistan

Obstetrics and Gynaecology Department, Mardan Medical Complex Mardan


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