Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal

Authors

  • Umesh Khanal Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Shailendra Katwal Dadeldhura Subregional Hospital, Dadeldhura, Nepal
  • Sunita Shrestha Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu, Nepal
  • Ram Swarth Shah Tribhuvan University Teaching Hospital, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/njr.v13i2.59968

Keywords:

Female Subfertility, Hysterosalpingography, Tubal Occlusion, Uterine Fibroids

Abstract

Introduction: Hysterosalpingography (HSG) is a commonly used diagnostic procedure to investigate the causes of female subfertility. This study aimed to evaluate the range of findings observed in HSG examinations conducted for this purpose.

Methods: A prospective cross-sectional study was conducted at the Department of Radiology and Imaging, Tribhuvan University Teaching Hospital, from December 2022 to April 2023. The study included 196 female participants who underwent HSG and met the inclusion criteria.

Results: Out of the 196 participants, 127 (64.8%) were categorized as having primary subfertility, while 69 (35.2%) had secondary subfertility. The mean age of the participants was 30.61±5.623 years, with an age range of 20 to 45 years. Among the participants, 142 (72.4%) exhibited a normal uterus, 23 (11.7%) displayed left tubal occlusion, 17 (8.7%) showed right tubal occlusion, 13 (6.6%) had other findings, and 1 (0.5%) was diagnosed with uterine fibroids.

Conclusions: This study demonstrated that approximately one out of every five HSG examinations performed to evaluate subfertility revealed tubal occlusion. Consequently, the high detection rate of uterine and tubal pathologies using HSG underscores its critical role as a diagnostic tool for assessing women with subfertility.

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Author Biographies

Umesh Khanal, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Associate Professor, Department of Radiodiagnosis and Imaging

Shailendra Katwal, Dadeldhura Subregional Hospital, Dadeldhura, Nepal

Radiologist, Department of Radiodiagnosis and Imaging

Sunita Shrestha, Manmohan Cardiothoracic Vascular and Transplant Center, Kathmandu, Nepal

BSc MIT, Department of Radiodiagnosis and Imaging

Ram Swarth Shah, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

MSc MIT, Department of Radiodiagnosis and Imaging

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Published

2023-11-24

How to Cite

Khanal, U., Katwal, S., Shrestha, S., & Shah, R. S. (2023). Spectrum of Radiological Findings in Hysterosalpingography for Female Subfertility: A Retrospective Cross-Sectional Study in a Tertiary Care Center of Nepal. Nepalese Journal of Radiology, 13(2), 26–30. https://doi.org/10.3126/njr.v13i2.59968

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Original Articles