Hysterosalpingographic Pattern of Infertile Women as Seen in SomePrivate Radiology Centres within Lagos Metropolis

Abstract

Background: Infertility is a global health issue that transcends every religious, cultural, and socio-political class.
Hysterosalpingography (HSG) is a first-line modality for assessing infertility. However, HSG findings on infertility
vary from place to place. There is a dearth of studies on HSG findings in many Nigerian private radiological centers.
Objectives: This study is aimed at evaluating the HSG findings in patients with infertility in some private radiology
centers within Lagos State and comparing these findings with studies from some tertiary centers within and outside
Nigeria. Materials and Methods: This is a retrospective review of 229 consecutive patients carried out among
infertile women who presented for HSG in 20 private diagnostic centers in Lagos within one year (February 2019 to
January 2020). The collected data was analyzed using Statistical Product and Service Solutions (SPSS). Results: A
total of 229 reports were reviewed, with an age range of 26–50 years. More than 65% were between the ages of 31
and 40 years. The most frequent uterine abnormality was a filling defect, while one case of a bicornuate uterus was
seen. Normal tubal patency was seen in 50.65% of patients, while 49.35% had various forms of tubal abnormalities.
Of these 113 patients, 73 (64.6%) had bilateral tubal blockages. More than 80% of the blockages were cornual, and
loculated peritoneal contrast spillage was 45%. Conclusion: Adherence to strict procedural techniques by private
diagnostic centers is essential to reducing false negative results. Also, fluoroscopy machines should be made
available in our health facilities for adequate assessment of women with infertility.