https://doi.org/10.4081/acbr.2022.200
Intrauterine adhesions, peritubal adhesions and tubal occlusion on hysterosalpingography
Any significant correlations with clinical history of previous pelvic inflammatory disease, dilatation and curettage and other pelvic surgeries among patients with secondary infertility?
Submitted: 31 March 2022
Accepted: 20 June 2022
Published: 9 August 2022
Accepted: 20 June 2022
Abstract Views: 883
PDF: 188
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Pelvic Inflammatory Disease (PID), Dilatation and Curettage (D&C) and other abdominopelvic surgeries are often presumed to cause female infertility. This can occur through adhesions formation that can result in Intrauterine Adhesions (IUA), Peritubal Adhesions (PTA) and Tubal Occlusion (TO). Hysterosalpingography (HSG) can be used to diagnose IUA, PTA, and TO; and the correlations of these findings with the histories of PID, D&C and other abdominopelvic surgeries statistically tested. The available literature shows very few of such correlation tests. The objective of this study was to document HSG diagnosis of IUA, PTA and TO, and test their correlation with histories of previous PID, D&C and abdominopelvic surgeries among women with secondary infertility. This is a prospective descriptive study of 158 subjects, analyzed with SPSS version 21. For correlation test, p≤0.05 is considered significant. There was history of previous PID in 53 subjects (33.5%), D&C in 114 (72.2%), and abdominopelvic surgery in 80 (50.6%). The important findings included: IUA in 20 subjects (12.7%), TO in 53 (33.5%) and PTA in 30 (19.0%). Significant correlation was found between D&C and PTA, but not between PID and IUA, PID and TO, PID and PTA, D&C and IUA, D&C and TO, abdominopelvic surgery and IUA, abdominopelvic surgery and TO, or abdominopelvic surgery and PTA. Tubal occlusion, followed by PTA and by IUA were detected in that order as the possible causes of infertility in our subjects; and these did not correlate well with the history of PID, D&C and other abdominopelvic surgeries.
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How to Cite
Onuh, A. C., Udobi , S. I., & Aronu , M. E. (2022). Intrauterine adhesions, peritubal adhesions and tubal occlusion on hysterosalpingography: Any significant correlations with clinical history of previous pelvic inflammatory disease, dilatation and curettage and other pelvic surgeries among patients with secondary infertility?. Annals of Clinical and Biomedical Research, 3(2). https://doi.org/10.4081/acbr.2022.200
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