An Evaluation of Hysterosalpingography Results in Infertile Females

Aim: To evaluate the diagnostic findings of hysterosalpingography (HSG) examinations of infertile females. Material and Method: A retrospective examination was made of all the records of HSG procedure applied in a university infertility clinic between January and December 2015. The diagnostic findings were analysed in those evaluated as abnormal HSG. Results: The records were examined of 610 HSG procedures applied during the study period. The mean age of patients was determined as 26.7 +/- 5.9 years. In 145 (23.8%) of the total HSG applications, at least 1 abnormality was determined. The most common abnormality was tubal occlusion, which was determined in a total of 77 (12.6%) patients; 56 unilateral (9.1%) and 21 bilateral (3.5%). In three (0.5%) cases, filling defect was determined in the uterine cavity, and in three (0.5%) cases in the cervical canal. Mullerian anomaly was determined in 51 (8.4%) patients, of which uterus didelfis was determined in three (0.5%) patients, unicornuate uterus in seven (1.2%), bicornuate uterus/septated uterus in 34 (5.6%) and arcuate uterus in seven (1.2%). Hydrosalpinx was determined in 17 (2.8%) patients and lack of peritoneal spill in five (0.8%) patients. Discussion: In the current study, HSG procedures were evaluated as abnormal at the rate of 23.8%. As HSG is inexpensive and easy to apply, it is one of the basic procedures in an infertility work-up. HSG indications should be defined more selectively to avoid the unecessary application of HSG and thereby increase the detection rate.