Pattern Of Hysterosalpingographic Findings In Infertility In Port Harcourt

The study was carried out to determine the pattern of radiological findings in 500 consecutive patients who presented with primary and secondary infertility in Port Harcourt, the cosmopolitan capital city of Rivers State of Nigeria. Five Hundred adult female patients, aged between 17-40 years being investigated for infertility had HGS done on them in a private Radiological centre run by a Radiologist between January 1996 and December 1998. Hydrosalping was found to top the list of pathologies, 76 patients 91.52%). Out of this 51 patients (10.2%) had unilateral hydrosalpinx while 25 patients (5%) had bilateral hydrosalpinges. 70 patients (14%) had uterine myoma. 33 patients (6.6%) had tubal occlusion, of this 20 patients (4%) had bilateral tubal occlusion while 13 patients (2.6%) had unilateral occlusion. 64 patients (12.8%) had synechiae. Only one patient (0.2%) had congenital uterine malformation-unicornuate uterus. The pattern of Radiological changes from this study shows hydrosalpinges as the highest cause of abnormality and suggests that congenital malformation is very rare.