Analysis of 122 Cases of Hysterosalpingography on Women Infertile in Libreville (Gabon)

Objectives: To describe and analyse the lesions observed during hysterosalpingography in infertile married women. Patients and methods: We conducted a cohort descriptive and analytical study with retrospective recruitment from 1st January to 31st December 2010 at Josephine Bongo maternity hospital. Married female patients who consulted for infertility were included in this study. Results: We included 122 patients. Infertility accounted for 0.48% of consultations. The average age was 32.07 ± 7 years with dominant secondary infertility (82.8%); no visible means of support 64.28 ± 3% and average duration of infertility was 6.28 ± 3 years. The report of infection screening detected 78.65% of positive chlamydial serology. Tubal affections (81.45%) were the main lesions observed during hysterosalpingography. Among them, 61.71% concerned both ends of fallopian tubes (43.20% distal and 18.51% proximal). Conclusion: Tubal affections are the main causes of infertility in women in Gabon. Genital infections are the major risk factors. Health care teams should be aware of the emergency treatment of female genital infections and a centre for medically assisted reproduction should be set up.