The relationship between hysterosalpingography findings and female infertility in a Nigerian population
| Autor: | Oluwatunmise A Fawole, Joseph A. Adedigba, Sarah P. Hermans, Bukunmi Michael Idowu, Bolanle O Ibitoye |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Infertility
sub-Saharan Africa Original Paper medicine.medical_specialty hydrosalpinx medicine.diagnostic_test business.industry Obstetrics 05 social sciences Female infertility 050801 communication & media studies Retrospective cohort study Nigerian population hysterosalpingography medicine.disease Logistic regression Secondary infertility 0508 media and communications medicine Hysterosalpingography business infertility Hydrosalpinx |
| Zdroj: | Polish Journal of Radiology |
| Popis: | Purpose This study aims to explore the relationships between abnormal hysterosalpingography (HSG) findings and all types of infertility. Material and methods This retrospective study was carried out at a private radiodiagnostic centre in Lagos, Nigeria. The radiologist reports of all consecutive patients who had HSG evaluation from 2016 to 2018 were analysed. Biodemographic information and indications for HSG evaluation were also documented. Logistic regression was used to test correlations between the explanatory and outcome variables. P ≤ 0.05 represented a statistically significant result. Results A total of 450 patients were involved in this study, with ages ranging from 21 to 51 years and a mean age of 34.6 ± 5.56 years. The age group 31-35 years had the highest frequency of infertility. There were 299 patients referred for infertility. Secondary infertility was seen in 211 patients (46.9%), primary infertility was seen in 79 patients (17.6%), and subfertility was seen in nine patients (2%). There were 49 patients (10.9%) with cornual tubal blockage, while 57 patients (12.7%) had perifimbrial adhesion and/or blockage. There were 56 patients (12.4%) with hydrosalpinx and nine patients (2.0%) with tubal occlusion. Multivariate logistic regression analysis showed women with hydrosalpinx were 2.11 times more likely to be infertile than those without hydrosalpinx (95% CI: 1.02-4.36, p = 0.042). Conclusions The presence of hydrosalpinx was a significant risk factor in developing all types of infertility. Understanding the HSG patterns and their correlations with infertility will help physicians across the world when evaluating infertility in patients of similar background to our patient population. |
| Databáze: | OpenAIRE |
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