Female infertility

Dr Henry Knipe et al.

Female infertility is common, and can be due to a number of factors. Radiology often plays a key part of the work-up. 

Pathology

Aetiology

Often more than one factor (including male infertility) is the cause of infertility, some of the common causes are listed below 1-3:

Radiographic features 

Multiple imaging modalities are available to investigate the causes of infertility. Initial investigation with hysterosalpingography is helpful in either identifying a specific cause, or demonstrating features that can direct the appropriate use of other imaging modalities.

Fallopian tube pathology accounts for the majority of cases of infertility. It follows that hysterosalpingography is an appropriate initial imaging investigation because it is particularly good in demonstrating tubal patency, occlusion, irregularity and peritubal disease.

Further imaging modalities that can be employed:

  • pelvic ultrasound: evaluating uterine contour abnormality, or as a second step when hysterosalpingography is normal
  • hysterographic ultrasound: evaluating intrauterine filling defects on hysterosalpingography, where causes can include endometrial polyps, submucosal fibroid and intrauterine adhesions
  • pelvic MRI: evaluating peritubal and uterine contour abnormalities
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Article information

rID: 43334
System: Gynaecology
Section: Gamuts
Synonyms or Alternate Spellings:

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Cases and figures

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    Case 1: hydrosalpinx from tube obstruction
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    Case 2: salpingitis isthmica nodosa
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    Case 3: uterus didelphys
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    The last acquisti...
    Case 4: Asherman syndrome
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    Case 5: septate uterus and tubo-ovarian abscess
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