Publication:

A retrospective study on hysterosalpingography in tertiary care hospital in Puducherry

Background Infertility is a health issue worldwide and hysterosalpingography (HSG) is a valuable tool in infertility workup. HSG is used as a modality in investigating both primary and secondary infertility.

Methods This is a retrospective descriptive study. This study includes 168 women who attended obstetrics and gynecology outpatient department (OPD) of Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, with infertility in 2022-2023. The hysterosalpingogram reports of the patients were collected and analysed.

Results A total of 154 cases were analysed, out of which 126 cases (81.8%) had normal findings and 28 cases (18.2%) had pathological findings, which include 14 cases (50%) had unilateral cornual block, 7 cases (25%) had unilateral fimbrial block, 2 cases (7.1%) had unilateral fimbrial block and hydrosalpinx, 2 cases (7.1%) had bicornuate uterus, 1 case (3.6%) had synechia, 1 case (3.6%) had unicornuate uterus and 1 case (3.6%) had arcuate morphology.

Conclusions HSG is an effective first-line radiological screening modality for investigating primary and secondary infertility. However, HSG does not match other imaging modalities like hysterosalpingosonography, laparoscopy, and higher imaging modality like magnetic resonance imaging (MRI). HSG still holds importance in the screening for primary and secondary infertility in tertiary care hospitals in developing countries.