Evaluation of Hysterosalpingography in Infertile Women Referred to a Private Radiology Clinic (Sari; 1999-2007)

Hysterosalpingography (HSG) is an important diagnostic and screening tool in the evaluation of uterine cavity and fallopian tubes in infertile women. This study was performed to evaluate the prevalence and distribution of anatomical abnormalities in infertile women. In this descriptive study, 1492 infertile women were enrolled in this study from 1999-2007 to evaluate the probable anatomical abnormalities as the etiology of their infertility. The patients were referred by the gynecologist and the procedure was done on the 6th to 12th day of their menstrual cycles. Obtained results were recorded and evaluated. There were 1492 patients who eligible for evaluation, including 865 (58%) primary infertile and 627 (42%) secondary infertile women. The results of HSG were totally normal in 895 (60%) and the others had one or more positive reporting findings including 367 (61.5%) in the uterus, 191 (32%) in the right tube, 179 (29%) in the left tube, 108 (18%) in the peritoneal or peritubal region and 96 (16%) in the cervix. Organic pathologies which could be directly influences fertility were showed in 413 (27.7%) of the studying population including 265 (17.8%) involvement of uterine tubes, 119 (8%) peritoneal or peritubal adhesions and 40(2.7%) uterine cavity adhesions. According to the results of this study the anatomic factors are not significant as the reason of infertility in our patients and nonorganic factors are probably more common. Besides just a few peritoneal and peritubal adhesions can be diagnosed by HSG which need to be confirmed by laparoscopy.