Assessment of tubal factor contribution to female infertility in a low resource setting (southwest Nigeria) : hysterosalpingography vs laparoscopy
Okunlola, M.A.; Adebayo, O.J.; Odukogbe, A.A.; Morhason-Bello, I.O.; Owonikoko, K.M.
Journal of Obstetrics and Gynaecology the Journal of the Institute of Obstetrics and Gynaecology 25(8): 803-804
2005
ISSN/ISBN: 0144-3615 PMID: 16368589 DOI: 10.1080/01443610500328348Document Number: 265664
The cost-effectiveness of laparoscopy vs. hysterosalpingography in the management of infertile couples in a low-resource setting (in Nigeria) was studied. Three hundred eighty-seven patients who had complete records for diagnostic laparoscopy and dye test were included in the study. The mean age of the subjects was 30.0+or-5.2 years; secondary infertility accounted for 68.6% of the population studied. The mean duration of infertility was 7.9+or-3.6 years. All patients had a successful diagnostic laparoscopy, dye test and endometrial biopsy. The findings revealed that 30.7% of the patients had bilateral patent tubes, 21.0% had unilateral tubal occlusion, 48.3% had bilateral tubal occlusion and 10.1% had pelvic adhesion. The other abnormalities diagnosed included ovarian cyst (15.0%) and endometriosis (3.1%). The results indicated that hysterosalpingography may be reliably sufficient in evaluating tubal pathology as a cause of infertility, especially when laparoscopy is not readily available, or when the couple can only afford one test.