Prospective study of tubal defect in subfertile women of Nepal

Abstract

This prospective study has been done to assess the prevalence of tubal defect in subfertile women. Thirty-three women who came for consultation in Sidhartha Apollo Hospital, Kathmandu from March 1997 to October 1998, for sub-fertility were included in the study. Their age, type of infertility, previous obstetrical, medical and surgical history were reviewed. Hysterosalpingogram (HSG) was done to assess their tubal status. The results of 33 cases of HSG were analysed. Incidence of tubal patency were noted. If the tubes were blocked, the site and side and associated uterine abnormalities were also noted. Co-relation of tubal block with previous history was
tried to be established. In this study the incidence of primary and secondary sub-fertility was found to be the same. Out of 33 cases, 10 were found to have tubal defect. In both the sub-fertility group, prevalence of tubal defect was the same (5 in each group). History of surgery and uterine manipulation was found in 80% of cases (8 out of 10). Normal labour and caesarean section were not found to be associated with tubal defect.