The evaluation of hysterosalpingography results of patients with risk factors and without risk factors in term of tubal infertility

Infertility is the inability of a couple to become pregnant after 1 year of unprotected sexual intercourse. Infertility affects 10-15% of couples in reproductive age. In our study we examined 174 patients whom apply to Department of Obstetrics and Gynecology, Dicle University between May 2011-November 2011 with the complaint of inability to become pregnant and we planned HSG for only evaluation of tubal patency. We seperated the cases in two groups; group with risk factors, group without risk factors. Group 1 (n:47) was group with risk factors. Group 2 (n:127) was group without risk factors. There was no difference in terms of average age, average duration of marriage, average duration of infertility between two groups. The most important HSG result is bilateral tubal obstruction for starting the treatment of patient. Bilateral tubal obstruction ratio was significantly higher in group with risk factors. Tubal patency in HSG was %92,9 in group without risk factors. This result did not change our treatment type. We should evaluate infertile patients by using infertility history, gynecological examination, vaginal ultrasound and if they have risk factors HSG will be useful for these cases. The patients without risk factors will be protected from HSG that cause pain and spread radiation