Uterine and Tubal Findings of Infertile Women in the Reproductive Age Group

Abstract

Infertility affects approximately 10% of the world’s population and has been termed the 5th highest serious global disability by the World Health Organization WHO, (2018). It is defined as the inability of a couple to achieve pregnancy after 1 year of regular sexual intercourse of at least thrice a week or after an achieved pregnancy. Fertility declines with age in both men and women, but the effects of age are greatly pronounced in women due to multifactorial causes in women. Hysterosalpingography (HSG) is the radiographic examination of the uterus and fallopian tubes and is regarded as the gold standard for assessing the fallopian tubes, providing accurate information on their patency and shape. Limitations to hysterosalpingography are seen in identifying uterine factors affecting fertility in most findings. Other radiographic examinations such as the ultrasound scans should be used alongside in evaluating findings of infertility as it gives precise description of the outline of the uterus and can capture intramural myoma which isn't easily seen on hysterosalpingogram scans hence the importance of combining these radiographic evaluations. The result showed that the commonest pathological tubal finding on infertility using Hysterosalpingography evaluations is Bilateral Tubal Occlusion (27.8%) while the commonest pathological uterine findings seen using ultrasound evaluation is Uterine Myoma (24.1%). Predominant age group was 32-37 years. This also showed that there is positive correlation between Age and Infertility type.