A comparison of hysterosalpingographic results in individuals experiencing primary and secondary infertility: a prospective approach | [Journal of Islamabad Medical & Dental College • 2023]

Author(s):

1. Naushaba Malik: PESSI Hospital, Islamabad, Pakistan & Islamabad Diagnostic Centre, Islamabad, Pakistan

2. Hinna Hanif Mughal: Benazir Bhutto Hospital, Rawalpindi, Pakistan

3. Hassan Mumtaz: BPP University, London, UK

4. Shahbakht Aftab: Pakistan Institute of Medical Science, Islamabad, Pakistan

5. Minaal Ahmed Khan: Pakistan Institute of Medical Science, Islamabad, Pakistan

6. Saima Bibi: Dept of Obs & Gynae, Holy Family Hospital, Rawalpindi, Pakistan

7. Rida Noor: Pakistan Institute of Medical Science, Islamabad, Pakistan

Abstract:

Objective: This study aims to compare the HSG results in a study population having primary and secondary infertility. Methodology: We conducted a one-year prospective study at Islamabad Diagnostic Center in Islamabad, Pakistan after getting institutional review board approval. Sample size was calculated using online software “Raosoft” which estimated it to 242. All the patients who gave informed consent and having primary and secondary infertility were enrolled. Demographics of the patients including age, duration of infertility, and the presence of tubal and uterine abnormalities, were collected by reviewing clinical notes and X-ray findings. Results: Among 242 enrolled patients with infertility, the ratio of primary infertility was 70.27% (n=170) and that of secondary infertility was 29.75% (n=72). In both the groups, fallopian tube blockage was observed as a major abnormality that affected 20.00% (n=34/170) of patients with primary infertility and 30.55% (n=22/72) of patients with secondary infertility. Unilateral tube blockage was observed in 26.47% (n=9/34) whereas, bilateral blockage was observed in 29.41% (n=10/34) patients with primary infertility. 23.52% (n=8/34) of patients got affected with Bilateral hydrosalpinx, whereas unilateral loculated spill was perceived in 8.82% (n=3/34) patients. Conclusion: In this study, fallopian tube abnormalities were most predominant among barren women. So, taking deterrent actions and efficiently management of pelvic infections are indispensable in plummeting the manifestation of infertility resultant of the tubal issues.

Page(s): 310-316

DOI: 10.35787/jimdc.v12i4.1053

Published: Journal: Journal of Islamabad Medical & Dental College, Volume: 12, Issue: 4, Year: 2023

Keywords:

Infertility , Subfertility , Hysterosalpingography , Tubal blockage

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