High rates of abnormalities in hysterosalpingography in couples with male factor infertility

G. Liberty, J. Hyman, S. Friedler, E. Y. Anteby, E. J. Margalioth

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


The rate of anatomical abnormalities m infertile couples with obvious male factor is unknown. For this purpose the authors retrospectively analyzed 376 hysterosalpingographies (HSG) of couples with severe male factor. Patients were subdivided into four groups according to the woman's age, and primary or secondary infertility: A - less than 35-years-old, primary infertility, B - less than 35-years-old, secondary infertility, C - 35-years-old or more, primary infertility, and D - 35-years-old or more, secondary infertility. Overall, abnormalities in HSG were demonstrated in 25.5% of the patients, and in 18, 21, 52, and 40 percent of patients in groups A, B, C and D, respectively. Age was found to be a significant independent risk factor (p < 0.05) while primary or secondary infertility was not. The adjusted odds ratio for woman who were 35-years-old or more to have any abnormalities in HSG were 3.7-fold greater (95% CI 2.2-6.23), than women who were less than 35-years-old. In conclusion, relatively high rates of female mechanical abnormalities may be found even in infertile couples with obvious male factor and are significantly more prevalent in older women.

Original languageEnglish
Pages (from-to)415-418
Number of pages4
JournalClinical and Experimental Obstetrics and Gynecology
Issue number4
StatePublished - 1 Jan 2014
Externally publishedYes


  • Age
  • Anatomical abnormalities
  • Hysterosalpingography
  • Infertility
  • Male factor
  • Mechanical factor

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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