Diagnostic Accuracy of Hysterosalpingography in the Identification of Intrauterine Adhesions in Infertile Women in a Referral Centre, Southern Nigeria

Background: Examination of the endometrial cavity is crucial in management infertile women. This evaluation done by Hysterosalpingography (HSG) University Port Harcourt Teaching Hospital. The diagnostic value and accuracy hysterosalpingography varies various centres has not been assessed Hospital (UPTH), hence this study. Methodology: A prospective cross sectional study among 101 women at gynaecology clinic UPTH from December 2018 to July 2019. Socio-demographic data who met eligibility criteria were collected. Their hysterosalpingographic outpatient hysteroscopic findings statistically analyzed using IBM SPSS for windows version 20.0. validity reliability statistics identification adhesions determined significance was reported p-value Result: respondents all married, 66.3% them nulliparous, while 54.5% above 35 years age. Most, 93.1% studied group had least secondary education duration infertility more than 2 years. There a moderate strength agreement HSG with hysteroscopy diagnosis intrauterine adhesions; showing sensitivity specificity 59.6% 90.9% respectively. 73.3%. Hysteroscopy as gold standard therefore moderately significant (k = 0.482). Conclusion: an overall fair office adhesions. It specific but sensitive predictor adhesion.