HYSTEROSALPINGOGRAM IN EVALUATION OF PRIMARY INFERTILITY- A RETROSPECTIVE STUDY

Abstract

Pradeep Ganiga, Soumyarani, Vivek Subash

BACKGROUND Infertility is one of the commonest problems encountered in gynaecology. Improved familiarity with and access to infertility services among the affluent and better educated patients probably accounts for their greater use of the medical resources. Hysterosalpingography is one of the most important diagnostic procedures used for evaluation of infertility. Around 15% of Indian population, both male and female is becoming infertile with no chance of becoming parents in the future. Objective- To evaluate uterine and tubal disease detected on hysterosalpingography in female partner, in couples who have come for evaluation of primary infertility. MATERIALS AND METHODS 84 patients of primary infertility who have undergone hysterosalpingography as a primary evaluation tool has been studied. The patients in the study group were evaluated in relation to the method of entry into the uterine cavity, by Paediatric Foley’s catheter, uterine cavity diseases and tubal diseases. The results are tabulated and correlated with the primary infertility and other related factors. RESULTS Total 84 cases of hysterosalpingography examinations were included in the study. In all cases procedure was done through the paediatric Foley’s catheter. Two patients were diagnosed to have uterine cavity problems and three patients had bilateral tubal block and nine patients had unilateral tubal block. In the study 41% of patients were belonging to age group of 26-30 years. CONCLUSION HSG is still a relevant gynaecological imaging modality irrespective of available resources.in infertility evaluation. Tubal diseases was the most common abnormality detected by this study.

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