Background and objective: Hysterosalpingography (HSG) is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG.
Patients and methods: A retrospective analysis was conducted of subfertile and infertile patients who had undergone HSG between June 2007 and May 2012. Patients' demographic data were collected from the medical records of the King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The data included age, years of marriage, menstrual history either regular or irregular, primary/secondary infertility, hormonal profile, previous infection or pelvic surgery, and diagnostic laparoscopy. Radiographic reports of HSG were collected from the IPAC system and analyzed for fimbrial findings, tubal patency, and cervical and uterine cavitary pathology. The data were entered in the database and analyzed using a t-test to compare means between the age, type of infertility, different pathologies and for all the parameters assessed. All tests were performed using Statistical Package for the Social Sciences, version 14.0, Chicago, Illinois, USA. A P < 0.05 was considered statistically significant with a confidence interval of 95%.
Results: Data from the medical records of 117 patients with an average age of 32.59 ± 5.48 years were analyzed. Of this total, 48 (41%) had been diagnosed as having primary infertility. In 95 (81.2%) patients, there was an abnormality in the fallopian tubes and in 27 (23%) patients, there was an abnormality in the uterus. Patients with primary infertility were significantly younger (29.7 ± 5.6 vs. 34.58 ± 4.75; P < 0.001), and tubal and uterine pathology was more common (P < 0.08 and 0.01).
Conclusions: Our review indicates that the most common pathology found through HSG in women presenting with infertility is tubal blockage.
ملخص البحث : تستخدم أشعة الصبغة الرحمية لتقييم السيدات اللواتي يعانين من تأخر الحمل. أجريت هذه الدراسة لمقارنة النتائج الملحوظة في أشعة الصبغة الرحمية لدى السيدات السعوديات اللاتي يعانين من تأخر الحمل. هذه دراسة إسترجاعية لهؤلاء السيدات اللاتي اخضعن لهذا الفحص وذلك في الفترة مابين يونيو 7002 ومايو 2102. وتم الحصول على المعلومات من الملفات الطبية والتي شملت العمر وعدد سنوات الزواج وتاريخ الدورة الشهرية وتأخر الحمل وتحليل الهرمونات وعن وجود التهابات سابقة بالحوض. تضمنت الدراسة 117 سيدة بمتوسط عمري 23 سنة. تم تشخيص تغيرات مرضيه في قناة فالوب لدى %18 من المريضات، بينما %32 منهن كن يعانين من عيوب رحمية. وكانت السيدات اللاتي يعانين من تأخر الحمل الأولي اصغر عمراً. خلصت هذه الدراسة إلى أن معظم حالات تأخر الحمل كانت بسبب انسداد في قناة فالوب.
Keywords: Fallopian tubes; Saudi Arabia; infertility; uterus.