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Incidence of intrauterine abnormalities in Pakistani women with unexplained infertility diagnosed via saline infusion sonography


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Fig. 1.

Cervix visualized and 5 French foley catheter inserted
Cervix visualized and 5 French foley catheter inserted

Fig. 2.

Saline infused into uterine cavity through a 5 French catheter
Saline infused into uterine cavity through a 5 French catheter

Fig. 3.

A polyp delineated against saline background
A polyp delineated against saline background

Characteristics of the study population

Characteristics (n = 769)   n(%)
Age range (years) less than 24 86(11.2%)
25–29 217(28.2%)
30–34 310(40.3%)
35–39 102(13.3%)
Greater than 40 54(7.0%)
BMI Less than 18.5 63(8.2%)
18.5–24.9 323(42.2%)
25–29.9 337(44.0%)
greater than 30 43(5.6%)
Abnormalities none 567(73.7%)
yes 202(26.3%)
Type of abnormality endometrial polyp 118(58.4%)
intrauterine adhesions 20(9.9%)
submucous fibroid 54(26.7%)
septae 10(5.0%)
Type of infertility primary 481(62.5%)
secondary 288(37.5%)
Duration of infertility in years (median, range) 3 (2–9)

Comparison of women with abnormalities and those without abnormalities

Characteristics Abnormalities p value
no(n = 567) yes(n = 202)
Type of infertility primary 336(59.3%) 145(71.8%) 0.002
secondary 231(40.7%) 57(28.2%)
Age range (years) Less than 24 62(10.9%) 24(11.9%) 0.705
25–29 158(27.9%) 59(29.2%)
30–34 230(40.6%) 80(39.6%)
35–39 73(12.9%) 29(14.4%)
Greater than 40 44(7.8%) 10(5.0%)
BMI ranges Less than 18.5 52(9.2%) 11(5.4%) 0.169
18.5–24.9 242(42.9%) 81(40.1%)
25–29.9 242(42.9%) 95(47.0%)
Greater than 30 28(5.0%) 15(7.4%)

Types of abnormalities as distributed across different age groups and BMI ranges

Characteristics Type of abnormality
Endometrial polyp (n = 118) Intrauterine adhesions (n = 20) Submucous fibroid (n = 54) Septae (n = 10) p value
Age (years) range Less than 24 19(16.1%) 3(15.0%) 2(3.7%) 0(0%) 0.009
25–29 41(34.7%) 4(20.0%) 10(18.5%) 4(40.0%)
30–34 39(33.1%) 12(60.0%) 24(44.4%) 5(50.0%)
35–39 14(11.9%) 1(5.0%) 13(24.1%) 1(10.0%)
Greater than 40 5(4.2%) 0(0%) 5(9.3%) 0(0%)
BMI Less than 18.5 8(6.8%) 1(5.0%) 2(3.7%) 0(0%) 0.029
18.5–24.9 53(44.9%) 10(50.0%) 11(20.4%) 7(70.0%)
25–29.9 49(41.5%) 8(40.0%) 36(66.7%) 2(20.0%)
Greater than 30 8(6.8%) 1(5.0%) 5(9.3%) 1(10.0%)
eISSN:
2451-070X
Idioma:
Inglés
Calendario de la edición:
4 veces al año
Temas de la revista:
Medicine, Basic Medical Science, other