Abstract

Infertility is a common public health problem especially in sub-Saharan Africa. Hysterosalpingography (HSG) has for many years been employed in the evaluation of infertility for assessment of tubal patency and tubal or intrauterine lesions. The objective of this paper is to evaluate the structural abnormality of the fallopian tubes in infertile women with hysterosalpingography in Tikur Anbessa Hospital (TAH). Retrospective analysis of clinical records of 331 women with infertility problem who underwent HSG in TAH from March 1, 2003 to March 31, 2006 was done. Infertility unit in the Obstetrics and Gynecology Department in collaboration with Radiology Department compiled the data. Primary infertility is more common (60%) than secondary infertility (40%). Tubal pathologies accounted for 261 (78.9%) of the total sample. The age group of 23 to 27 years and 33 to 37 years accounted for the majority of cases of primary and secondary infertility respectively. Tubal pathology accounted for 78.9% of infertility in this study. HSG should continue serving as a valuable means of investigation (imaging modality) in infertile women of reproductive age group related to tubal pathology.

Key words: Infertility, hysterosalpingography, tubal pathologies