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PATTERN AND CORRELATES OF ABNORMAL TUBAL FINDINGS IN HSG STUDY OF WOMEN WITH INFERTILITY IN ENUGU, NIGERIA
*Dr. Samuel I. Udobi, Dr. Augustine C. Onuh, Professor Emmanuel N. Obikili, Dr. Ifeanyichukwu U. Ezebialu, Professor Nelson C. Nwankwo and Professor Samuel O. Mgbor
Introduction/Background: The fallopian tubes play a vital role in female fertility. Hysterosalpingography (HSG) is a foremost investigation in assessing tubal causes of infertility. The tubal findings may have significant relationships with some clinical features of the subjects. In the available literature, there was a paucity of studies showing such relationships. Objective: To ascertain the pattern of tubal lesions seen with HSG study of women with infertility and test for correlations between these findings and some clinical features of the subjects. Methodology: A prospective descriptive study with 200 subjects and analyzed with SPSS version 21. ? ? 0.05 was considered statistically significant. Results: The tubes were abnormal in 51% of the subjects; with tubal occlusion being the commonest and occurring in 31.5% (bilateral in 16.5%, left unilateral in 6.5%, and right unilateral in 8.5%) and peritubal adhesions occurring in 17% (bilateral in 6.5%, left unilateral in 6.5% and right unilateral in 4.0%), while hydrosalpinges were demonstrated in 2.5% and beaded appearances were seen in 1%. The pairs of age and tubal occlusion, secondary infertility and tubal occlusion, secondary infertility and peritubal adhesions, and history of D&C and peritubal adhesions showed significant correlations (with P values of 0.003, <0.001, <0.001 and 0.023 respectively); while the pairs of age and peritubal adhesions, parity and peritubal adhesions, parity and tubal occlusion, and D&C and tubal occlusion showed no significant correlations. Conclusion: HSG demonstrated tubal causes of female infertility and these correlated well with some clinical presentations of the subjects.[Full Text Article]