Determining The Frequency of Tubal Blockage in Infertility Patients Undergoing X-Rays Hysterosalpingography
DOI:
https://doi.org/10.61919/jhrr.v4i2.959Keywords:
Fertility, Hysterosalpingography, Infertility, Tubal Blockage, Tubal Patency, Hydrosalpinx, Retrospective StudyAbstract
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.
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References
Toufig, H., Benameur, T., Twfieg, E., Omer, H., & El-Musharaf, T. (2020). Evaluation of hysterosalpingographic findings among patients presenting with infertility. Saudi Journal of Biological Sciences, 27(11), 2876-2882. https://doi.org/10.1016/j.sjbs.2020.08.041
Chen L.-S. Hysterosalpingo-contrast-sonography vs. magnetic resonance-hysterosalpingography for diagnosing fallopian tubal patency: A systematic review and meta-analysis. Eur. J. Radiol. 2020;125
Elhussein O.G. Epidemiology of infertility and characteristics of infertile couples requesting assisted reproduction in a low-resource setting in Africa, Sudan. Fertil. Res. Pract. 2019;5:7
Aghajanova L., Hoffman J., Mok-Lin E., Herndon C.N. Obstetrics and gynecology residency and fertility needs. Reprod. Sci. 2017;24(3):428–434
Omidiji O.A. Hysterosalpingographic findings in infertility – what has changed over the years? African Health Sci. 2019;19(2)
Tros R. The capacity of transvaginal hydrolaparoscopy versus hysterosalpingography to diagnose tubal pathology in the work-up of subfertile women, a randomised clinical trial. Eur. J. Obstet. Gynecol. Reprod. Biol. 2019;236:127–132
Zegers-Hochschild F. The international glossary on infertility and fertility care, 2017. Hum. Reprod. 2017;32(9):1786–1801
Nischala, S. (2020). A Cross-Sectional Clinical Study of Hysterosalpingography to Evaluate Women with Infertility (Doctoral dissertation, Rajiv Gandhi University of Health Sciences (India)).
Mubashar, B. A., Zulfiqar, T., Ali, A., & Rashid, A. (2022). Frequency Of Hysterosalpingography Findings In Females Presenting With Infertility In Gujrat. Medical Science Journal for Advance Research, 3(3), 123-128.
Bobmanuel, E. F., Horsfall, A. U., Victor, P. D., Ajie, P. C., Okpara, P. E., Reuben, E., &Amadi-ikpa, H. A. (2023). Uterine and Tubal Findings of Infertile Women in the Reproductive Age Group. Sch Int J ObstetGynec, 6(3), 110-115.
Kasprzyk, L., Chmaj-Wierzchowska, K., &Jurczyk, M. U. (2020). Physical parameters affecting the distribution of X-ray dose during hysterosalpingography. Clinical and Experimental Obstetrics &Gynecology, 47(5), 729-735.
Jiang, S., Gao, S., Tan, Y., Yang, Q., Zhou, T., Zheng, S., ... & Liu, X. (2024). Severe Pain and Postoperative Effects during Hysterosalpingography: A Meta-Analysis. Iranian Journal of Public Health, 53(2), 268-279.
Schramm, D., Kaltwasser, P., Seliger, G., Knörgen, M., Wohlgemuth, W. A., Wagner, S., &Böttcher, S. I. (2022). Diagnostic value of hysterosalpingography: A retrospective data analysis.
Schramm, D., Wohlgemuth, W. A., Wagner, S., Knoergen, M., Svatko, Z., &Seliger, G. (2022). Diagnostic value of hysterosalpingography. J Clin Med Res, 4(5), 1-8.
Rahman, S. (2023). Use of Trans-Vaginal Ultrasound to Diagnose and Treat Infertility and Its Performance. Open Journal of Radiology, 13(3), 167-183.
Serdar, Ö. Z. E. R., Alev, Ö. Z. E. R., & KIRAN, H. Evaluation and Interpretation of Female Infertility. Duzce Medical Journal, 24(Special Issue), 49-55.
Isiaq, A. J., Ohagwu, C. C., & Daniel, J. A. (2021). Hysterosalpingographic interrogation of infertility at Lagos State University Teaching Hospital, Lagos, Nigeria. World, 1(01), 041-045.
ChodankaR, S. S., VIShakh, R., SELVAN, G. T., SHETTY, S. K., VIDYAN, S. K., LAAD, A. P., & KUMARI, N. S. (2024). Evaluation of Cytogenetic Damage Induced during Hysterosalpingography Procedure: A Cross-sectional Study. Journal of Clinical & Diagnostic Research, 18(1).
Tros, R. (2022). Transvaginal hydrolaparoscopy in the diagnosis of tubal pathology.
van Rijswijk, J. (2020). Patients and fluids in motion: Diagnostics and therapeutic interventions in unexplained subfertility.
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Copyright (c) 2024 Muhammad Taha Khalil, Muhammad Imran Farid, Amanullah Khan, Syed Naseer Ahmed, Abdus Samad Khan, Gulnaz, Ayman
This work is licensed under a Creative Commons Attribution 4.0 International License.
