Results of hysterosalpingography in the exploration of female infertility in Niamey

Inoussa DAOUDA BAKO, Yasmina OUSMANE DJIGA, Hissene MAHAMAT TIDJANI, Mahamane Taher SIDIBE, Nana Bassira ADO ISSA, Nana Mariama AMADOU ROUFAI, Maman Rabilou SALEY MANI
2024 · doi:10.5281/zenodo.14194011 · W6949623378
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This retrospective and prospective study evaluated the diagnostic utility of hysterosalpingography in 223 women undergoing infertility assessment at a hospital in Niamey, Niger. The results indicated that while over half of the procedures were normal, nearly half revealed pathological findings, with tubal obstruction being the most common issue and uterine fibroids and polyps also frequently identified. Although one case of tubal endometriosis was detected among the pathologies, the paper primarily focuses on general structural causes of infertility rather than specific disease mechanisms. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Aims: Evaluate the contribution of hysterosalpingography in the exploration of female infertility in order to improve its management. Materials and methods: This was a retrospective study from 07/24/2017 to 11/30/2020, and prospective from 12/15/2020 to 03/10/2021 at the Radiology department of the General Reference Hospital of Niamey collecting 223 patients referred for hysterosalpingography as part of the infertility assessment. Results: the average age was estimated at 28.9 ± 7 years with extremes of 15 and 47 years. The age group of 20 to 30 was the most represented with 53.8%. Patients were referred for primary and secondary infertility in 44.8% and 48% respectively. HSG was normal in 53.8% and pathological in 46.2%. Tubal pathologies were found in 44.7% represented by tubal obstruction in 100% of cases; a hydrosalpinx in 21.4%; and one case of tubal endometriosis (1.4%). Uterine pathologies were revealed in 32% of cases, dominated by fibromyomas and uterine polyps in 47.4% and 26.3% respectively. Conclusion: In Africa, a childless couple is often subject to various pressures from the family as well as society. The birth of a child in a home is a source of joy, and contributes more or less to maintaining a certain stability and harmony in the household. On the other hand, infertility in a home is often a source of divorce and/or family disintegration. The exploration of infertility almost always involves HSG in our country and must however be accessible in order to better care for infertile women.
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Results

of hysterosalpingography in the exploration of female infertility in Niamey Authors/Creators - 1. Faculty of Health Sciences, Abdou Moumouni Dioffo University of Niamey, Niamey, Niger. - 2. Department of Radiology and Medical Imaging, General Reference Hospital, Niamey, Niger. - 3. Department of Radiology and Medical Imaging, National Cancer Center, Niamey, Niger. Description Aims: Evaluate the contribution of hysterosalpingography in the exploration of female infertility in order to improve its management.

Materials and methods

This was a retrospective study from 07/24/2017 to 11/30/2020, and prospective from 12/15/2020 to 03/10/2021 at the Radiology department of the General Reference Hospital of Niamey collecting 223 patients referred for hysterosalpingography as part of the infertility assessment.

Results

the average age was estimated at 28.9 ± 7 years with extremes of 15 and 47 years. The age group of 20 to 30 was the most represented with 53.8%. Patients were referred for primary and secondary infertility in 44.8% and 48% respectively. HSG was normal in 53.8% and pathological in 46.2%. Tubal pathologies were found in 44.7% represented by tubal obstruction in 100% of cases; a hydrosalpinx in 21.4%; and one case of tubal endometriosis (1.4%). Uterine pathologies were revealed in 32% of cases, dominated by fibromyomas and uterine polyps in 47.4% and 26.3% respectively.

Conclusion

In Africa, a childless couple is often subject to various pressures from the family as well as society. The birth of a child in a home is a source of joy, and contributes more or less to maintaining a certain stability and harmony in the household. On the other hand, infertility in a home is often a source of divorce and/or family disintegration. The exploration of infertility almost always involves HSG in our country and must however be accessible in order to better care for infertile women. Files WJARR-2024-0858.pdf Files (811.0 kB) | Name | Size | Download all | |---|---|---| | md5:e3668bbf31ffcb68d43178dd26cd65e5 | 811.0 kB | Preview Download |

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