Correlation Between Number of Hysterosalpingography Abnormalities and Age among Women with Infertility in a Tertiary Hospital in Port Harcourt

Abstract

Background: The number of abnormalities detected on Hysterosalpingography (HSG) varies with age and the type of infertility. The more the numbers of abnormalities, the slimmer the chance of conception naturally and fecundity decreases with increasing age. HSG is still useful in evaluating the reproductive systems in developing countries. Aim: The aim of this study is to determine the number of hysterosalpingography abnormalities and to determine if there is any relationship with age and type of infertility among women who had HSG in a tertiary hospital in Port Harcourt. Methods: A retrospective study involving a total of 226 patient`s data, carried out in a tertiary hospital in Port Harcourt. A P-value below 0.05 was considered statistically significant. Results: Two-hundred and twenty-six women were studied. The mean age of the study population was 35.07±5.45years and ranges from 22-48years. Most women were 30-39 years and have the highest number of abnormalities. Normal HSG findings were seen in 64, 28.3% and abnormal HSG (162, 71.7%). There was significant association with age and number of abnormalities on HSG, with P-value of 0.037(scatter plot). Significant association was also seen between number of HSG abnormalities and type of infertility with a P-value of 0.028 (multiple linear regression).    Conclusion: Hysterosalpingography (HSG) is a valuable tool in investigating women with infertility and most frequently encountered type in this study was secondary infertility. More than 71% of women had abnormal HSG. There was significant association between number of abnormalities in HSG with age and type of infertility.