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Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience

BACKGROUND AND OBJECTIVE: Hysterosalpingography (HSG) is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG. PA...

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Autores principales: Al-Turki, Haifa A., Gullenpet, Abid H., Syed, Anjum, Al-Saif, Hind S., Aldhafery, Bander F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298322/
https://www.ncbi.nlm.nih.gov/pubmed/30787704
http://dx.doi.org/10.4103/1658-631X.178293
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author Al-Turki, Haifa A.
Gullenpet, Abid H.
Syed, Anjum
Al-Saif, Hind S.
Aldhafery, Bander F.
author_facet Al-Turki, Haifa A.
Gullenpet, Abid H.
Syed, Anjum
Al-Saif, Hind S.
Aldhafery, Bander F.
author_sort Al-Turki, Haifa A.
collection PubMed
description BACKGROUND AND OBJECTIVE: Hysterosalpingography (HSG) is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG. PATIENTS AND METHODS: A retrospective analysis was conducted of subfertile and infertile patients who had undergone HSG between June 2007 and May 2012. Patients’ demographic data were collected from the medical records of the King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The data included age, years of marriage, menstrual history either regular or irregular, primary/secondary infertility, hormonal profile, previous infection or pelvic surgery, and diagnostic laparoscopy. Radiographic reports of HSG were collected from the IPAC system and analyzed for fimbrial findings, tubal patency, and cervical and uterine cavitary pathology. The data were entered in the database and analyzed using a t-test to compare means between the age, type of infertility, different pathologies and for all the parameters assessed. All tests were performed using Statistical Package for the Social Sciences, version 14.0, Chicago, Illinois, USA. A P < 0.05 was considered statistically significant with a confidence interval of 95%. RESULTS: Data from the medical records of 117 patients with an average age of 32.59 ± 5.48 years were analyzed. Of this total, 48 (41%) had been diagnosed as having primary infertility. In 95 (81.2%) patients, there was an abnormality in the fallopian tubes and in 27 (23%) patients, there was an abnormality in the uterus. Patients with primary infertility were significantly younger (29.7 ± 5.6 vs. 34.58 ± 4.75; P < 0.001), and tubal and uterine pathology was more common (P < 0.08 and 0.01). CONCLUSIONS: Our review indicates that the most common pathology found through HSG in women presenting with infertility is tubal blockage.
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spelling pubmed-62983222019-02-20 Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience Al-Turki, Haifa A. Gullenpet, Abid H. Syed, Anjum Al-Saif, Hind S. Aldhafery, Bander F. Saudi J Med Med Sci Original Article BACKGROUND AND OBJECTIVE: Hysterosalpingography (HSG) is commonly used in the evaluation of the subfertile and infertile women. This study was undertaken to assimilate the findings observed during HSG in Saudi Arabian infertile patients and to find the most common pathology identified by the HSG. PATIENTS AND METHODS: A retrospective analysis was conducted of subfertile and infertile patients who had undergone HSG between June 2007 and May 2012. Patients’ demographic data were collected from the medical records of the King Fahd Hospital of the University, Al Khobar, Saudi Arabia. The data included age, years of marriage, menstrual history either regular or irregular, primary/secondary infertility, hormonal profile, previous infection or pelvic surgery, and diagnostic laparoscopy. Radiographic reports of HSG were collected from the IPAC system and analyzed for fimbrial findings, tubal patency, and cervical and uterine cavitary pathology. The data were entered in the database and analyzed using a t-test to compare means between the age, type of infertility, different pathologies and for all the parameters assessed. All tests were performed using Statistical Package for the Social Sciences, version 14.0, Chicago, Illinois, USA. A P < 0.05 was considered statistically significant with a confidence interval of 95%. RESULTS: Data from the medical records of 117 patients with an average age of 32.59 ± 5.48 years were analyzed. Of this total, 48 (41%) had been diagnosed as having primary infertility. In 95 (81.2%) patients, there was an abnormality in the fallopian tubes and in 27 (23%) patients, there was an abnormality in the uterus. Patients with primary infertility were significantly younger (29.7 ± 5.6 vs. 34.58 ± 4.75; P < 0.001), and tubal and uterine pathology was more common (P < 0.08 and 0.01). CONCLUSIONS: Our review indicates that the most common pathology found through HSG in women presenting with infertility is tubal blockage. Medknow Publications & Media Pvt Ltd 2016 2016-03-09 /pmc/articles/PMC6298322/ /pubmed/30787704 http://dx.doi.org/10.4103/1658-631X.178293 Text en Copyright: © 2016 Saudi Journal of Medicine & Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Al-Turki, Haifa A.
Gullenpet, Abid H.
Syed, Anjum
Al-Saif, Hind S.
Aldhafery, Bander F.
Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title_full Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title_fullStr Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title_full_unstemmed Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title_short Uterine and Tubal Abnormalities in Infertile Saudi Arabian Women: A Teaching Hospital Experience
title_sort uterine and tubal abnormalities in infertile saudi arabian women: a teaching hospital experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298322/
https://www.ncbi.nlm.nih.gov/pubmed/30787704
http://dx.doi.org/10.4103/1658-631X.178293
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