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Background:  Infertility is a gynecological illness which has clinical, financial and psychological consequences that affects 1.3% to 25.7% of couples throughout the world. Hysterosalpingography is a typical imaging technique used in gynecological practice to diagnose infertility in women.

Aim And Objective: The objective of our study was to evaluate the frequency of Hysterosalpingography findings in females presenting with infertility in Gujrat.

Methodology: The prospective cross sectional study was carried out at X-Ray unit in Azeem Ultrasound & Digital X-Rays center, Gujrat, Pakistan. A total of 90 females patients with infertility were enrolled in present study. The duration of this research work was from February 2022 to May 2022. The data was gathered using a predesigned questionnaire form.. Statistical Package of Social Sciences was used to analyze the data. Frequency of different findings was found out. These were then graphically portrayed in the form of tables and graphs.

Results : We observed 90 female patients out of which 72 (80%) patients found to be normal. In 18 (20%) patients fallopian tube blockage was diagnosed. Out of 18 patients, 8 (8.9%) were having right sided fallopian tube blockage, 8(8.9%) were having bilateral tubal blockage while only 2 (2.2%) showed left sided tube block. Hydrosalpinx was found in 4(4.4%) patients and uterine anomaly in 2(2.2%) patients.

Conclusion: Fallopian tube blockage and hydrosalpinx were common factors of infertility in our study. Hysterosalpingography provides an easy and affordable source for evaluation of infertility factors.


Hysterosalpingography, Infertility, Fallopian tubes, Blockage, Hydrosalpinx.

Article Details

How to Cite
Ahmad Mubashar, B. ., Zulfiqar, T. ., Ali, A. ., & Rashid , A. . (2022). Frequency Of Hysterosalpingography Findings In Females Presenting With Infertility In Gujrat . Medical Science Journal for Advance Research, 3(3), 123–128.


  1. Omietimi JE, Orisabinone IB, Makinde OI, et al. The use of NAAT-PCR to determine asymptomatic chlamydia and gonorrhoea infections in infertile patients undergoing hysterosalpingogram at the federal medical centre, Yenagoa, South-South Nigeria. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020;9(4):1508.
  2. Oguntoyinbo AE, Adesina KT, Olarinoye AO, AboyejiAP,Olanrewaju WI, Oniyangi M. PreHSG microbial isolates from endocervical swabs in infertile women in Ilorin, Nigeria. West Afr J Radiol. 2014;21(2):59–63.
  3. Mascarenhas MN, Flaxman SR, Boerma T. National, regional, and global trends in infertility prevalence since 1990: asystematic analysis of 277 health surveys. PLoS Med. 2012;9(12):e1001356.
  4. Jimah BB, Gorleku P, Baffour Appiah A. Hysterosalpingography findings and jimah ratio of the uterine cavity in women with infertility in central region, Ghana. Radiology Research and Practice. 2020;2020.
  5. National Institute for Health and Clinical Excellence (NICE), Fertility Problems : Assessment and Treatment, National Institute for Health and Clinical Excellence (NICE), London, UK, 2018.
  6. M. N. Mascarenhas, S. R. Flaxman, T. Boerma, S. Vanderpoel, and G. A. Stevens, “National, regional, and global trends in infertility prevalence since 1990 : a systematic analysis of 277 health surveys,” PLoS Medicine.2012;9(12):1-12.
  7. Larsen U . Primary and secondary infertility in Tanzania. Journal of Health and Population in developing countries, 2003;9(3):1095-8940)
  8. Adebiyi GA, Ameh CA, Eka A. Hysterosalpingography tubal abnormalities and HIV infection among black women with infertility in Subsaharan Africa. Gynecol Obstet Invest 2008:66:119-122
  9. Bello T. Tubal abnormalities on hysterosalpingography in primary and secondary fertility. West African journal of medicine. 2006;25(2):130-311)
  10. Gokhan G, Gamze Y, Oznur G, Isin K, Lale W, Birol D . Hysterosalpingography, laparascopy or both in the diagnosis of tubal disease in infertility. World Journal of Laparascopic Surgery,May-August,2008:1(2):23-26
  11. Mesbazri S, Pourissa M, Refahi S, Tabarraei Y, Dehgha MH. Hysterosalpingographic abnormalities in infertile women. Research Journal of Biological Sciences.2009; 4(4):430-432.
  12. Jain V, Jain D. A study on hysterosalpingography findings in patients with infertility. Int J Clin Obstetrics Gynaecol. 2019;2(4):35-8.
  13. Royal College of Obstetricians and Gynaecologists, Fertility : Assessment and Treatment for People with Fertility Problems Fertility : Assessment and Treatment for People with Fertility Problems, Royal College of Obstetricians and Gynaecologists, London, UK, 2nd edition, 2013.
  14. Sultana B, Ashraf A, Noon S, Faiz HAM, Yousaf I. Hysterosalpingography (HSG) for Evaluation of Primary Infertility in Females. Pakistan Journal of Medical and Health Sciences. 2018;12:1077-8.
  15. Ahmed HM, Khan M, Yasmin F, Jawaid H, Khalid H, Shigri A, et al. Awareness regarding causes ofinfertility among out-patients at a tertiary care hospital in Karachi, Pakistan. Cureus. 2020;12(4)
  16. Eo, C. Nd, P. Sd et al., “Risk factors for abnormal tubal hysterosalpingographic findings in women presenting with infertility in Jos,” Jos Journal of Medicine. 2015;9(1):47-52.
  17. C. U. Eze, C. C. Ohagwu, L. Abonyi, and J. Njoku, “A spectrum of hysterosalpingographic findings in infertile women in Benin, Nigeria,” Journal of Reproduction & Infertility. 2014;4(2):13-18.
  18. M. Niknejadi, A. Pooyan, M. Javam, and F. Niknejad, “Hysterosalpingography findings among a large sample of infertile women: a cross sectional study,” European Society of Radiology. 2015;1(7);851.
  19. D. Al-Jaroudi, A. A. Aldughayyim, W. S. Alshamry, A. S. Alrashidi, and A. A. Bahnassy, “Hysterosalpingogram findings among subfertile women undergoing assisted reproductive technology,” International Journal of Women’s Health. 2018;10; 431–436.
  20. B. Ubeda, M. Paraira, E. Alert, and R. A. Abuin, “Hyster- ´ osalpingography,” American Journal of RoentgenologY. 2010; 17(1):131–135.
  21. G. Chunyan, P. Bin, Y. Ping et al., “Assessment of the influence on spontaneous pregnancy of hysterosalpingo-contrast sonography,” BioMed Research International. 2018, 4(2):8.
  22. Olarinoye AO, Oguntoyinbo WE. Is Hysterosalpingography Still Relevant in Workup of Infertility? A Review Article. J Women’s Health Care. 2014.
  23. Danfulani M, Mohammed MS, Ahmed SS, Haruna YG. Hysterosalphingographic findings in women with infertility in Sokoto North Western Nigeria. African Journal of Medical and Health Sciences. 2015.
  24. Jimah BB, Gorleku P, Baffour Appiah A. Hysterosalpingography findings and jimah ratio of the uterine cavity in women with infertility in central region, Ghana. Radiology Research and Practice. 2020;2020.
  25. PC O, Kiridi E, Allagoa D, Omietimi J, Orisabinone I, Makinde O. Pattern of tubal pathology in infertile women undergoing hysterosalpingography at the federal medical centre, yenagoa, bayelsa state, nigeria. Yenagoa medical journal.11
  26. Swart P, Mol BW, Van der Veen F, van Beurden M, Redekup WK, Bossuvt PM. The accuracy of hysterosalpingography in the diagnosis of tubal pathology: a meta-analysis . Fertil Steril .2015;64(3):486-491.
  27. Rajah R, McHuggo JM, Obhrai M. The role of hysterosalpiongography in modern gynaecological practice .The British Journal of Radiology. 2012;65:849-851.
  28. Kabala RB. Imaging findings in infertile females patients who underwent hysterosaplingography investigation at Muhimbii National: Muhimbii University of Health and Allied Sciences: 2011.

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