Tubal abnormalities in patients with intrauterine adhesion: evaluation using hysterosalpingography

Abstract

Background: Intrauterine adhesion (IUA) represents scar tissue inside the uterine cavity. Many patients may experience recurrent miscarriages, menstrual dysfunction, and may also be unable to achieve pregnancy. Tubal abnormalities are a significant cause of infertility in women. Hysterosalpingography (HSG) is a useful screening test for the evaluation of the uterine cavity and provides information relating to the assessment of tubal morphology and patency.

Materials and methods: The HSG radiographs of 92 patients with intrauterine adhesions, between November 2008 and October 2011, in the Lagos State University Teaching Hospital, were assessed and analyzed for tubal abnormality.

Results: Out of the 92 patients studied, 12 (13.04%) were diagnosed with primary infertility, while the rest of the 80 (86.96%) were referred for secondary infertility. The age range of the patients was between 27 and 42 years, with a mean age of 34.58 ± SD years. The mean infertile period of all the study subjects was 5.78 ± SD years. The prevalence of tubal abnormalities demonstrated in the study was 67.39%. Sixty-six (71.73%) patients presented with minor adhesions, while 26 (28.27%) patients presented with moderate adhesions. Conclusion : The prevalence of tubal abnormalities demonstrated in patients with intrauterine adhesion was 67.39%.