Hysterosalpingography in the evaluation of tubal factor

ABSTRACT

A total of 848 infertile women had an hysterosalpmgogram [HSG] done over a period of 4 years. The HSG finding have been tabulated and correlated with the date of age, duration and type of infertility and according to the past significant medical and surgical history. HSG films were interpreted normal in 41.6 percent cases and abnormal in 58.4 percent cases. 15.3 percent had unilateral tubal blockade and 24.3 percent had bilateral tubal block. Uterine abnormalities were detected in 12.4 percent and pelvic adhesions in 19.1 percent cases. The incidence of tubal factor increases with the age of the patients and duration of infertility. Out of 42 cases who gave past history of tuberculosis, 38 [90.5 percent] had an abnormal HSG and of the 28 cases who had an abdominal or pelvic surgery in the past, 24 [85.7 percent] had abnormal hysterosalpingography findings: