Abstract
Objectives: To understand the pattern of hysterosalpingographic (HSG) findings and annual trends among Ghanaian women with infertility over a five-year period. Methods: We retrospectively evaluated the hospital medical records of women with infertility who underwent HSG at a major tertiary center in Ghana between January 2018 and December 2022. The data was statistically analyzed. Results: The subjects comprised of 2324 Ghanaian women diagnosed with clinical infertility. HSG identified 1685 (72.5%) with primary infertility and they were also younger women with a mean age of 32.2±4.5 years. The remaining 639 (27.5%) women had secondary infertility and were older (34.2±5.3 years; p < 0.001). Primary infertility rate decreased with increasing age (p < 0.001). Bilateral tubal blockage was seen in 701 (41.6%) women with primary infertility and 365 (57.1%) women with secondary infertility. Hydrosalpinx was present in 236 (10.2%) women, fimbrial adhesions in 444 (19.1%), Asherman’s syndrome in four (0.2%), and bilateral beaded tubes/tubercular salpingitis in five (0.2%). HSG was unable to detect infertility-related abnormalities in 513 (22.1%) women despite their clinical infertility. The majority of patients (1502; 64.6%) had tubal blockage: bilateral in 1066 (45.9%) and unilateral in 436 (18.8%). Conclusions: Infertility rates among Ghanaian women increased at an accelerating rate over the years. Primary infertility was significantly more prevalent among younger women. Tubal and cervical abnormalities were the most prevalent HSG findings.
Keywords
Publication details
- DOI
- 10.5001/omj.2024.57
- Journal
- Oman Medical Journal
- Publisher
- Oman Medical Specialty Board
- Open access
- Gold open access
Cite this article
APA 7
Edzie, E. K. M., Dzefi-Tettey, K., Gorleku, P. N., Brakohiapa, E. K. K., Amedi, M. K., Quarshie, F., Asemah, A. R., Nimo, O., Abdulai, A. B., Akorli, E., Edzie, R. A., Anthony, R., Boadi, E., Kpobi, J. M., Amankwa, N. A., Amartey, A., Turkson, V., Mensah, S., Dziwornu, P., Edzie, A., Afful, R., Coffie, B. A., & Kusodzi, H. (2024). Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis. Oman Medical Journal. https://doi.org/10.5001/omj.2024.57
MLA 9
Edzie, Emmanuel Kobina Mesi, et al. "Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis." Oman Medical Journal, 2024. https://doi.org/10.5001/omj.2024.57.
Chicago (author–date)
Edzie, Emmanuel Kobina Mesi, Klenam Dzefi-Tettey, Philip Narteh Gorleku, Edmund Kwadwo Kwakye Brakohiapa, Michael Kofi Amedi, Frank Quarshie, Abdul Raman Asemah, Obed Nimo, Abubakari Bawah Abdulai, Emmanuel Akorli, Richard Ato Edzie, Richard Anthony, Evans Boadi, Joshua Mensah Kpobi, Nana Ama Amankwa, Aaron Amartey, Veronica Turkson, Stella Mensah, Prosper Dziwornu, Alfred Edzie, Roger Afful, Bright Appiah Coffie, and Henry Kusodzi. 2024. "Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis." Oman Medical Journal. https://doi.org/10.5001/omj.2024.57.
Harvard
Edzie, E. K. M., Dzefi-Tettey, K., Gorleku, P. N., Brakohiapa, E. K. K., Amedi, M. K., Quarshie, F., Asemah, A. R., Nimo, O., Abdulai, A. B., Akorli, E., Edzie, R. A., Anthony, R., Boadi, E., Kpobi, J. M., Amankwa, N. A., Amartey, A., Turkson, V., Mensah, S., Dziwornu, P., Edzie, A., Afful, R., Coffie, B. A. and Kusodzi, H. (2024) 'Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis', Oman Medical Journal. doi:10.5001/omj.2024.57.
Vancouver
Edzie EKM, Dzefi-Tettey K, Gorleku PN, Brakohiapa EKK, Amedi MK, Quarshie F, et al. Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis. Oman Medical Journal. 2024. doi:10.5001/omj.2024.57
IEEE
E. K. M. Edzie, K. Dzefi-Tettey, P. N. Gorleku, E. K. K. Brakohiapa, M. K. Amedi, F. Quarshie, A. R. Asemah, O. Nimo, A. B. Abdulai, E. Akorli, R. A. Edzie, R. Anthony, E. Boadi, J. M. Kpobi, N. A. Amankwa, A. Amartey, V. Turkson, S. Mensah, P. Dziwornu, A. Edzie, R. Afful, B. A. Coffie, and H. Kusodzi, "Hysterosalpingographic Findings Among Ghanaian Women with Infertility: A Five-year Trend Analysis," Oman Medical Journal, 2024, doi: 10.5001/omj.2024.57.