Patterns Of Hysterosalpingographic Findings In Infertile Patients Presenting In A Tertiary Care Hospital Of Quetta

Pari Gul, Shama Jogezai, Fahmida Naheed, Palwasha Gul
In: Journal of Bahria University Medical and Dental College · 2019 · vol. 09(04) , pp. 299–302 · doi:10.51985/jbumdc2018087 · W3161396684
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This study analyzed hysterosalpingography findings in 338 infertile women, revealing normal results in 62% and tubal blockage or hydrosalpinx as the most common abnormalities.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text ⓘ

This paper analyzed a two-year secondary dataset of hysterosalpingography (HSG) films from 338 infertile women assessed at a tertiary radiology department in Quetta, with HSG performed in the preovulatory phase. Most patients had primary infertility, and most HSG studies were normal, showing free peritoneal contrast spill in 212 (62%) cases. Among abnormal findings, tubal blockage (81; 24.2%) and hydrosalpinx (23; 6.5%) were most common, with other reported abnormalities including loculated spill, fibroids, Asherman syndrome, and adenomyosis. The paper is limited by its retrospective, single-center secondary-data design using HSG patterns without additional diagnostic correlation. Relevance to endometriosis: adenomyosis is explicitly listed among other HSG abnormalities, and adenomyosis is closely related to endometriosis-spectrum disorders, though the study’s main focus is overall infertility-related HSG pattern frequencies.

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Abstract

Objective: To study the different patterns of Hysterosalpingographic findings in women evaluated for infertility in a tertiary care hospital of Quetta. Setting and design: A crossectional study conducted at the Radiology Department of Bolan medical complex hospital, Quetta Methodology: A two year secondary data based study of hysterosalpingographic films were assessed, data of 338 infertile women investigated for infertility from July’ 2016 till June’ 2018. Hysterosalpingography examination was done in the preovulatory phase of the menstrual cycle. Results: Infertility was the main indication for all the hysterosalpingographic examinations with primary infertility the predominant infertility accounting for 186(55%) of all cases while secondary infertility constituted 152(45%) cases. Majority of the patients n=146(43%) were in the age group of 28-33 years as this is the peak age of reproduction. Out of the total 338 patients reviewed, normal hysterosalpingography finding with free peritoneal spill of contrast were seen in n=212(62%) cases. The most common abnormality revealed was tubal blockage among n=81 (24.2%) patients followed by hydrosalpinx n=23(6.5) %. Other abnormalities included loculated contrast spill, fibroids, Asherman syndrome and adenomyosis. Congenital anomalies were also seen of which arcuate uterus was seen commonly followed by bicornuate uterus. Conclusion: It was concluded that most of the HSG findings were normal, followed by tubal abnormalities in the age range from 28 to 33 years. Tubal occlusion and hydrosalpinx were the most common abnormal findings in this study.
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Keywords

Abstract:

Objective

To study the different patterns of Hysterosalpingographic findings in women evaluated for infertility in a tertiary care hospital of Quetta. Setting and design: A crossectional study conducted at the Radiology Department of Bolan medical complex hospital, Quetta Methodology: A two year secondary data based study of hysterosalpingographic films were assessed, data of 338 infertile women investigated for infertility from July’ 2016 till June’ 2018. Hysterosalpingography examination was done in the preovulatory phase of the menstrual cycle.

Results

Infertility was the main indication for all the hysterosalpingographic examinations with primary infertility the predominant infertility accounting for 186(55%) of all cases while secondary infertility constituted 152(45%) cases. Majority of the patients n=146(43%) were in the age group of 28-33 years as this is the peak age of reproduction. Out of the total 338 patients reviewed, normal hysterosalpingography finding with free peritoneal spill of contrast were seen in n=212(62%) cases. The most common abnormality revealed was tubal blockage among n=81 (24.2%) patients followed by hydrosalpinx n=23(6.5) %. Other abnormalities included loculated contrast spill, fibroids, Asherman syndrome and adenomyosis. Congenital anomalies were also seen of which arcuate uterus was seen commonly followed by bicornuate uterus.

Conclusion

It was concluded that most of the HSG findings were normal, followed by tubal abnormalities in the age range from 28 to 33 years. Tubal occlusion and hydrosalpinx were the most common abnormal findings in this study.

Objective

To study the different patterns of Hysterosalpingographic findings in women evaluated for infertility in a tertiary care hospital of Quetta. Setting and design: A crossectional study conducted at the Radiology Department of Bolan medical complex hospital, Quetta Methodology: A two year secondary data based study of hysterosalpingographic films were assessed, data of 338 infertile women investigated for infertility from July’ 2016 till June’ 2018. Hysterosalpingography examination was done in the preovulatory phase of the menstrual cycle.

Results

Infertility was the main indication for all the hysterosalpingographic examinations with primary infertility the predominant infertility accounting for 186(55%) of all cases while secondary infertility constituted 152(45%) cases. Majority of the patients n=146(43%) were in the age group of 28-33 years as this is the peak age of reproduction. Out of the total 338 patients reviewed, normal hysterosalpingography finding with free peritoneal spill of contrast were seen in n=212(62%) cases. The most common abnormality revealed was tubal blockage among n=81 (24.2%) patients followed by hydrosalpinx n=23(6.5) %. Other abnormalities included loculated contrast spill, fibroids, Asherman syndrome and adenomyosis. Congenital anomalies were also seen of which arcuate uterus was seen commonly followed by bicornuate uterus.

Conclusion

It was concluded that most of the HSG findings were normal, followed by tubal abnormalities in the age range from 28 to 33 years. Tubal occlusion and hydrosalpinx were the most common abnormal findings in this study. Published: 2019-12-31 Last Modified: 2022-02-18 04:02:05

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