Results of hysterosalpingography in the exploration of female infertility in Niamey

Inoussa DAOUDA BAKO 1, 2, *, Yasmina OUSMANE DJIGA 2, Hissene MAHAMAT TIDJANI 2, Mahamane Taher SIDIBE 3, Nana Bassira ADO ISSA 2, Nana Mariama AMADOU ROUFAI 2 and Maman Rabilou SALEY MANI 2

1 Faculty of Health Sciences, Abdou Moumouni Dioffo University of Niamey, Niamey, Niger.
2 Department of Radiology and Medical Imaging, General Reference Hospital, Niamey, Niger.
3 Department of Radiology and Medical Imaging, National Cancer Center, Niamey, Niger.
 
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(01), 163–169
Article DOI: 10.30574/wjarr.2024.22.1.0858
 
Publication history: 
Received on 14 February 2024; revised on 25 March 2024; accepted on 27 March 2024
 
Abstract: 
Aims: Evaluate the contribution of hysterosalpingography in the exploration of female infertility in order to improve its management.
Materials and methods: This was a retrospective study from 07/24/2017 to 11/30/2020, and prospective from 12/15/2020 to 03/10/2021 at the Radiology department of the General Reference Hospital of Niamey collecting 223 patients referred for hysterosalpingography as part of the infertility assessment.
Results: the average age was estimated at 28.9 ± 7 years with extremes of 15 and 47 years. The age group of 20 to 30 was the most represented with 53.8%. Patients were referred for primary and secondary infertility in 44.8% and 48% respectively. HSG was normal in 53.8% and pathological in 46.2%. Tubal pathologies were found in 44.7% represented by tubal obstruction in 100% of cases; a hydrosalpinx in 21.4%; and one case of tubal endometriosis (1.4%). Uterine pathologies were revealed in 32% of cases, dominated by fibromyomas and uterine polyps in 47.4% and 26.3% respectively.
Conclusion: In Africa, a childless couple is often subject to various pressures from the family as well as society. The birth of a child in a home is a source of joy, and contributes more or less to maintaining a certain stability and harmony in the household. On the other hand, infertility in a home is often a source of divorce and/or family disintegration. The exploration of infertility almost always involves HSG in our country and must however be accessible in order to better care for infertile women.
 
Keywords: 
Hysterosalpingography; Female infertility; Uterine and tubal pathology; Niger
 
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