A Five-Year Review of Hysterosalpingographic Findings at Lagos State University Teaching Hospital, Nigeria.

BACKGROUND

Infertility leads to stigmatization, marital instability, and enormous psychological stress. In recent times in Nigeria, there appears to be an upsurge in the number of couples investigated for infertility using hysterosalpingography (HSG).

OBJECTIVE

To observe the trend of HSG findings at a foremost tertiary hospital in Nigeria.

METHODS

The study was a retrospective assessment of HSG reports by radiologists. Using an inclusion criteria of patients who had an initial ultrasound scan prior to HSG as noted from radiologists reports, a sample size of 623 radiographs concluded between April 2014 to April 2019 was consecutively enlisted from a population of 2,624 cases. Patients' demographic information was extracted from their request cards and radiologists' reports.

RESULTS

Patients were aged 22 - 54 (mean: 36.30 ± 6.00) years. Findings from hysterosalpingography showed that secondary infertility was more prevalent (n = 469, 75.3 %) and with fibroid (n = 176, 28.25%) as the most prevalent abnormality.

CONCLUSIONS

There were more cases of secondary infertility presenting for HSG at the facility, and the major finding was fibroid. Although the ages of patients presenting for HSG investigations at the centre had increased, secondary infertility remained the more prevalent type, but with minimal drop in percentage.