Hysterosalpingiographic Findings Among Infertile Women In Uyo, South-Eastern Nigeria
Main Article Content
Abstract
Infertility is the most· common reason for gynaecological consultation in Nigeria and tubo-peritoneal factors are its leading cause.
Hysterosalpingography has been advocated as the primary procedure for assessing tubal patency in infertile patients. This study
evaluates hysterosalpingiographic findings among infertile women in Uyo, South Eastern Nigeria. Five hundred and eighty infertile patients aged between 18 and 42 years had hysterosalpingiography performed on them in the Radiology department of the University of Uyo Teaching Hospital, and a private radiological cent=r both in Uyo, A a Ibom State Nigeria between 1st January 200 and 31st December 2005. Tubal occlusion was the most common pathology revealed in 45.5% of the patients followed by peritoneal adhesions (30.7%). One hundred and fifty patients (26.6%) had uterine fibroids, 22.8% had intrauterine synaechiae, 14.1% had hydrosalpinges and
1.0% of the patients had cervical incompetence. Only two patients had congenital anomalies ofthe uterus. Tubal occlusion and peritoneal adhesions were the most common pathological findings on hysterosalpingography. In our environment hysterosalpingography still remains an invaluable tool for assessing tubal patency in infertile patients.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
How to Cite
References
1. Abdalla HI. Active·management of infertility. Brit J Hosp Med. 1992; 8 (1):28-32.
2. Esimai OA, Orgi EO, Lasisi AR. Male contribution to infertility in Ile-Ife, Nigeria. NigJ Med..2002; 11 (2): 70-72.
3. Adetoro OO, Komolafe F. Hysterosalpingiography and laparoscopy in infertility management. Trop J Obstet Gynaecol. 1990; 8: 26-29.
West flftican Journal of CRgdiofogy VoC 14JVo. lflpri[ 2007
4. Okonofua F. Infertility and women's reproductive health in Africa. Afr J ReprodHealth.1999;3(l):7-9.
5. Okonofua FE. Infertility in Sub-Saharan Africa. In Okonofua FE, Odunsi K (eds). Contemporary Obstetrics/Gynaecology for developing countries. Women's HARC.Benin City. 2003: 128-156.
6. Komolafe JO, Akinolase IS, Awumi AI,Akindele RA,Bakare A. Pattern of infertility presentation in a Nigerian tertiary health institution. Nig Clin
Review.2005; 9 (4): 18-22.
7.Okonofua F. The case against new reproductive technologies in developing countries. Brit J Obstet Gynaecol. 1996; 103: 957-962.
8. Idrisa A, Oriyi E. Pattern of infertility in North- Eastern Nigeria. Trop J Obstet Gynaecol. 2000; 17 (1): 27-29.
9. Audu BM, Massa AA, Bukar M. Clinical presentation of infertility in Gombe, North-Eastern Nigeria. Trop. J. Obstet Gynaecol. 2003; 20(2): 93-
96.
10.Sagay AS, Udoeyop EU, Pam IC et al. Laparoscopic evaluation of 1000 consecutive infertile women in Jos Nigeria. Trop J Obstet Gynaecol.
1998; 15 (1):30-35.
11. John ME, Udoma EJ. Assessment of self reported psychosocial dysfunction associated with infertility in South-Eastern Nigeria. West AfrJ Nursing. 1999; 10 (2):82-85.
12. Koster-Oyekan W. Infertility among Yoruba women:' perceptions on causes, treatments and consequences. Afr J Reprod Health. 1999; 3 (1):13-26.
13. Hollos M. Profile of infertility in Southern Nigeria: women's views from Amakiri. r J Reprod Health. 2005; 9 (2): 14-',5.
14. Barden-O' Fallon J. Unmet fertility expectations and the perception of fertility problems in a Malawian village. AfrJ Reprod Health. 2005; 9
(2): 14-25.
15. Idrisa A, Ojiyi E, Hamidu AU. Hysterosalpingiography versus laparoscopy in the evaluation of female infertility in Maiduguri,
Nigeria. Trop J Obstet Gynaecol. 2003; 20 (1):20-23.
16. Adinma JIB. The tubal factor in infertility. Nig Med J. 1993; 25: 58-61.
17. Onah HE, Mgbor SO, Umeh UA. Outcome of tubal surgeries at the University of Nigeria Teaching Hospital, Enugu, Nigeria. NigJ Clin-
Practice. 2006; 9 (1):44-47. 22.
18. Anate M, Akeredolu O. Surgical management of female infertility; The Ilorin experience, Nigeria. Nig MedPract. 1996; 32:39-42. 23.
19. Watson AJS, Maguiness SD. Diagnostic and therapeutic aspects of tubal patency testing. Progress in Obstetrics/Gynaecology. 1998; 13:
297-310. 24.
20. Nwankwo NC, Akani Cl. Pattern of hysterosalpingographic findings in infertility in Port-Harcourt. West Afr JRadiology. 2005; 12 (1): 15-19.
21. Speroff L, Glass RT, Kase NG. Female infertility. Clinical Gynaecological Endocrinology and infertility. 5th Ed. Williams and Wilkins. Baltimore; 1994: 809-840.
22. Onifade A, Adelusi B, Kolawole TM: Tubal patency in infertility in Ibadan, Nigeria. Trop J Obstet Gynaecol. 1987; 7: 1921-1922.
23. Stacey CM, Barton SE, Singer A. Pelvic inflammatory disease. Progressin Obstetrics/Gynaecology. 1991; 9: 259-272.
24. Westrom I. Incidence, prevalence and trends of acute pelvic inflammatory disease and consequences in industrialized countries. Am J Obstet Gynaecol. 1980; 138: 880.