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  • Title: Hysterosalpingographic tubal abnormalities and HIV infection among black women with tubal infertility in sub-Saharan Africa.
    Author: Adesiyun AG, Ameh CA, Eka A.
    Journal: Gynecol Obstet Invest; 2008; 66(2):119-22. PubMed ID: 18446041.
    Abstract:
    BACKGROUND: Tubal factor remains a common cause of infertility. The association of HIV infection and tubal infertility is a cause for concern. OBJECTIVE: To determine hysterosalpingographic tubal abnormalities and HIV infection among patients with tubal infertility. RESULTS: Over a 4-year period, 207 patients were analyzed. Of these, 174 (84.1%) presented with secondary infertility and 33 (15.9%) with primary infertility. The patients' age range was 21-48 years and mean age was 36.2 years. One hundred and two (49.3%) patients had a history of induced abortion. Concordant bilateral tubal occlusion was found in 139 (67.2%) patients while 68 (32.8%) had discordant bilateral tubal occlusion. Of the 414 fallopian tubes studied, proximal tubal occlusion was found in 66 (15.9%) cases and distal tubal occlusive pathology occurred in 348 (84.1%). An HIV positivity rate of 13.5% was recorded. Distal tubal occlusion with hydrosalpinx was more associated with HIV infection in this series. CONCLUSION: A high HIV positivity rate was recorded among the patients with tubal infertility compared to the general population. There is prepondence of distal tubal occlusion in infertile women with tubal factor.
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