Correlation between the wide range of tubal pathology discovered by routine hysterosalpingography in a university hospital in Romania and the successful pregnancy rate. A cohort study.

RATIONALE: Hysterosalpingography is still the main method to begin with when studying the causes of female impossibility to conceive a baby.

OBJECTIVE: The aim of this study is to correlate and evaluate the wide range of tubal pathology discovered by routine hysterosalpingography in a university hospital in Romania with the successful pregnancy rate.

METHODS AND RESULTS: A total of 95 consecutive patients explored by routine hysterosalpingography in a university hospital during 2015 and 2016 were included. Out of 173 fallopian tubes studied, 28.9% were occluded, 13.29% were almost occluded, and only 57.8% were patent. Of these patients, 11 successful pregnancies occurred in 95 women (11.57%) until September 2017. A number of 7 patients delivered a normal baby in our hospital (7.36%). One patient was admitted at 36 weeks of gestation, and another one at 26 weeks of gestation, for risk of premature delivery. None of these two patients delivered in our hospital. Two patients were admitted for miscarriage at 8 weeks and 5 weeks of pregnancy. In all the 7 patients who delivered a normal baby, the fallopian tubes were entirely visible (100%), whether they were patent or not.

DISCUSSION: To our knowledge, this is the largest study about hysterosalpingography and the successful pregnancy rate in Romania so far.

ABBREVIATIONS: ART= Assisted reproductive technologies.