بررسی شیوع پاتولوژی لوله‌های رحمی در بیماران مبتلا به نازایی اولیه و ثانویه، بر اساس یافته‌های هیستروسالپنگوگرافی Evaluation of the Prevalence of Fallopian Tube Abnormality in Primary and Secondary Infertility Based on Hysterosalpingography Findings

Abstract Background & Aim: Infertility is a relatively common problem, the prevalence of which is reported to be one in six couples. Among female factors, ovarian and tubal factors which are treatable are the most important ones. Laparascopy is the golden test for evaluation of fallopian tubes but because of its expensiveness, the necessity of general anesthesia and other problems, hysterosalpingography has been suggested as the screening test. The aim of the study was to assess the prevalence of fallopian tube abnormality in patients with primary and secondary infertility using hysterosalpingography. Patients & Method: In this case-control study 50 subjects were randomly selected from groups of primary and secondary infertility patients who were referred to the radiology department of Ghods Hospital for hysterosalpingography. After excluding pregnancy and genital infection, the patients underwent hysterosalpingography between the sixth and eleventh days of the menstrual cycle and the results were registered in proper forms. Results: Uterin abnormality was found in 10 patients(20%) with primary infertility, 7 of whom(14%) were related to fallopian tubes. 22 patients(44%) with secondary infertility were seen to have fallopian tube pathology. Acquired results were analysed. Using SPSS software(version 10) and t-test, a statistically significant difference in the prevalence of fallopian tube pathology was observed between the two groups(P<0.001). Conclusion: Fallopian tube abnormalities are more common in patients with secondary infertility. Considering the fact that pelvic inflammatory disease is the most common predisposing factor, on time diagnosis of genital infections, health care improvement and increasing the knowledge of society seem to be necessary.