[Role of hysterosalpingography in the evaluation of infertility in Black Africa].
Infertility affects a great number of women in Black Africa and tubal obstruction seems to be common. Because of this high incidence, an accurate test for tubal patency is needed and several examinations have been proposed. Recent reports indicate that the method of choice is hysterosalpingography since it is simple, quick, and reliable. Concordance with laparoscopy, the gold standard, is 85% for assessment of tubal patency and 75% for detection of tubal abnormalities. Due to the lack of radiological facilities in most hospitals in Black Africa, a simplified examination is proposed and seems to be useful as an initial screening test. This simplified test consists of obtaining a delayed anteroposterior image after a brief walk. The most severe complication of hysterosalpingography is pelvic infection which occurs in 2 to 4% of cases and requires prophylactic antibiotic therapy. Interestingly an increase in pregnancy rate has been observed in the months after hysterosalpingography. Recent reports concerning infertility workups in developing countries confirm that the method of choice for assessment of tubal function is hysterosalpingography provided that the risk of infection can be controlled.
De Muylder
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Service de Gynécologie-Obstétrique, Gweru Provincial Hospital, Zimbabwe.
D000349:Africa; D005260:Female; D006801:Humans; D007047:Hysterosalpingography / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D015994:Incidence; D007247:Infertility, Female / Q000000981:diagnostic imaging* / Q000209:etiology; D010535:Laparoscopy; D008403:Mass Screening; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D015203:Reproducibility of Results
Place de l'hystérosalpingographie dans l'évaluation d'une infertilité en Afrique noire.