9. Detection of Tubal Cause of Subfertility by Hysterosalpingography
Qamarunissa1, Shazia Rani2 and Pushpa Malhi1
ABSTRACT
Objective: To determine the frequency of various tubal causes of subfertility by Hysterosalpingography in women at Isra University Hospital, Hyderabad.
Study Design: Observational / cross sectional study.
Place and Duration of Study: This study was conducted at the Obstetric and Gynecology Department, Isra University Hospital Hyderabad from 13th October 2013 to 13 October 2014.
Materials and Methods: Total 292 women were enrolled; youngest one being 15 years and maximum age was 35 years. In 55.8% cases had duration of marriage < 5 years while 38.7% women were married for 5 to 10 years and 5.5% were married for more than 10 years.
Results: The frequency of primary and secondary sub fertility was 57.5% and 42.5% respectively observed in this study. Majority of women 85.6% were nulliparous while, 13.7% were primi and 1.02% women were multipara. The tubal factor subfertility was most common in 30-35 years of age and second most common group was 25-29 years. 26.4% women had bilateral tubal pathology, 20.9 had one side tubal occlusion while uterine cavity anomaly was determined in 2.7% and peritoneal spillage was present in 49.7% cases. Majority of the subfertile women 65.1% were seen age group between 30 to 35 years, 58.9% were primary and 73.4% were secondary subfertility.
Conclusion: Hysterosalpingography remains an integral part of subfertility workup. It can be used as a first line screening investigation of tubal patency irrespective of duration of subfertility. HSG allows documentation of tubal patency, enables detection of several tubal lesions and permits assessments of fine intratubal architecture details especially when as aqueous contrast medium is used. Other than being diagnostic, it can prove to be therapeutic. Tubal factor was the most common cause of subfertility demonstrated in this study. Key Words: Sub-Fertility, Hysterosalpingography, Tubal Cause, Uterine Causes.
Citation of article: Qamarunissa, Rani S, Malhi P. Detection of Tubal Cause of Subfertility by Hysterosalpin Gography. Med Forum 2017;28(11):37-40.