Saline Contrast Sonohysterography Findings in Nigerian Patients with Infertility

A recent advance in clinical radiology is the use of Sonohysterography for the assessment of the female reproductive system, especially in infertility. However, to the best of our knowledge, there is no published article yet on its findings and acceptability in the Nigerian environment. Thus, we decided to determine the findings of Saline Contrast Sonohysterography (SCSH) in patients with infertility; assess its acceptance by patients among consecutive patients referred to radiology department of Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun State, Nigeria between 1st of January and December 2003. One hundred patients were studied with their ages ranging between 22-44 years and a mean of 30.94 + or -4.87. Saline contrast Sonohysterography was well accepted by a greater proportion of the patients. The majority of the subjects 60 (60%). Found Hysterosalpingography (HSG) more painful compared with only 15 (15%) reported SCSH as being more painful. The abnormalities detected ranged from leiomyoma in 25 (25%); synechiae (7%); Hydrosalpinges 17%; tubal blockade 2 (2%) to normal findings in 49 (49%) of patients. It is concluded that SCSH, is a cheap and safe mode of investigating infertile female patients and it is well accepted in our environment.