FEMALE INFERTILITY: A SYSTEMATIC APPROACH TO RADIOLOGIC IMAGING AND DIAGNOSIS

Abstract

Abstract:

Female infertility, a complex medical condition, often necessitates a comprehensive diagnostic approach to identify underlying causes. Radiologic imaging plays a crucial role in this process, providing detailed visualization of the female reproductive anatomy and enabling the detection of structural abnormalities that may contribute to infertility. This article outlines a systematic approach to radiologic imaging and diagnosis in female infertility, aiming to guide clinicians in the effective use of various imaging modalities for accurate assessment and management.

Object:

To identify the multiple systemic approaches to radiologic imaging and diagnosis in female infertility.

Methodology:

This study employed a systematic review methodology to synthesize current literature on the radiologic imaging and diagnosis of female infertility. A comprehensive search of relevant databases (e.g., PubMed, EMBASE) was conducted using predefined search terms related to imaging modalities (HSG, ultrasound, MRI), infertility causes (tubal factors, uterine abnormalities, etc.), and diagnostic accuracy. Articles were screened based on inclusion and exclusion criteria, and data was extracted using a standardized form. Quality assessment of included studies was performed to evaluate potential bias. The findings were synthesized narratively and, where possible, through meta-analysis to provide an evidence-based overview of the role of radiologic imaging in the diagnostic workup of female infertility.

Conclusion:

Imaging is pivotal in diagnosing the pelvic origins of female infertility, which encompass tubal, peritoneal, uterine, endometrial, cervical, and ovarian abnormalities. A multi-pronged imaging strategy aids in pinpointing the cause and directing treatment. Typically, hysterosalpingography initiates the assessment by evaluating tubal patency, followed by pelvic ultrasound or MRI to further investigate findings like intrauterine defects or uterine irregularities. Difficulty cannulating the cervix during hysterosalpingography suggests a cervical issue, while a normal result may indicate an ovarian cause of infertility.

Key words: Infertility, Imaging modalities of infertility, Hysterosalpingography (HSG), Cervical Abnormalities