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[Hysterosalpingography in sterility].

H Orlic, M Srketić, I Borovecki

    Jugoslavenska Ginekologija I Opstetricija
    |January 1, 1979
    PubMed
    Summary

    Hysterosalpingography effectively diagnosed sterility causes in 851 women, revealing uterine anomalies and tubal blockages. Notably, 66 women conceived within six months post-procedure without further treatment.

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    Area of Science:

    • Reproductive Medicine
    • Diagnostic Imaging
    • Gynecology

    Background:

    • Sterility affects a significant number of women, necessitating accurate diagnostic methods.
    • Hysterosalpingography (HSG) is a key imaging technique for evaluating female infertility.
    • Understanding the prevalence of uterine and tubal abnormalities is crucial for effective treatment.

    Purpose of the Study:

    • To evaluate the diagnostic utility of hysterosalpingography in a large cohort of women presenting with sterility.
    • To determine the incidence of uterine anomalies and tubal pathologies in primary and secondary sterility.
    • To assess the safety and potential therapeutic effect of hysterosalpingography.

    Main Methods:

    • A retrospective analysis of 500 hysterosalpingographies performed between 1967 and 1975.
    • Inclusion of 851 women examined for sterility (primary and secondary).
    • Use of water-soluble contrast medium (Joduron U-S) under diascopic control with electronic amplification and tele-monitor.

    Main Results:

    • Hysterosalpingography identified 209 uterine anomalies (114 hypoplastic uteri) and tubal pathologies in 851 women.
    • Tubal occlusion was observed in 21.67% of primary sterility cases and 31.30% of secondary sterility cases.
    • A spontaneous conception rate of 14.67% (66 women) was observed within 1-6 months post-procedure, with no adverse effects reported.

    Conclusions:

    • Hysterosalpingography is a safe and effective diagnostic tool for identifying causes of female sterility.
    • The procedure revealed a high prevalence of uterine and tubal abnormalities.
    • Hysterosalpingography may have a therapeutic effect, leading to spontaneous pregnancies in a notable percentage of cases.

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