Author(s)

Mamadou Dembele^1,2*, Alassane Kouma¹, Ilias Guindo¹, Zoumana Cheick Berete³, Souleymane Sanogo¹, Mamadou N'diaye¹, Brahima Doumbia¹, Oncoumba Diarra¹, Ousmane Traore¹, Issa Cisse¹, Aboubacar Sidiki N’ Diaye¹, Badiougou Doucoure², Youssouf Yalcouye², Adama Diaman Keita¹, Siaka Sidibe¹

¹Radiology Department, Faculty of Medicine and Odonto-Stomatology of Bamako (FMOS), Bamako, Mali.
²Radiology Unit, Fertilia Medical Clinic, Bamako, Mali.
³Department of Education and Research in Public Health (DERSP), FMOS, Bamako, Mali.

Aims: Infertility is a major problem in our current societies and the Fertilia medical clinic in Bamako is a center for medical assistance in procreation (MAP) where there is an increasingly growing demand for ultrasound. The objective of our study was to investigate the ultrasound causes likely to prevent the occurrence of pregnancy in a group of infertile and subfertile women. Subjects and Methods: This was a 5-year cross-sectional and prospective study, between January 2017 and January 2022, which involved 250 women wishing to become pregnant (infertile or subfertile), who came for pelvic ultrasound or follicular monitoring and who agreed to participate in our study. The parameters used were ultrasound reports including uterine, ovarian and tubal pathologies. It should be noted that in some cases no ultrasound cause of infertility was found. Data were entered and analyzed in SPSS. Results: 250 women were recruited into our. The average age was 32 years with extremes ranging from 17 to 51 years. 179 patients or 71.6% were between 17 and 35 years old. 139 patients or 55.6% had secondary infertility against 44.4% primary infertility. 202 patients or 80.8% had at least one ultrasound lesion and 48 patients or 19.2% had no significant ultrasound abnormality. The most represented ultrasound lesions were of uterine origin with 72.20%, 23.7% ovarian lesions and 04% tubal lesions. Uterine lesions were dominated by myomas, adenomyosis, endometrial polyps, uterine malformations and synechiae. As for ovarian lesions we noted cysts, polycystic ovary syndrome (PCOS), ovarian endometriosis, non-follicular ovaries and tubal ultrasound lesions showed unilateral or bilateral hydrosalpinx. Conclusion: In our study, ultrasound was an invaluable contribution to the diagnosis of the causes likely to explain subfertility and infertility in our respondents. She highlighted uterine, ovarian and tubal lesions, some of which could be corrected and pregnancies ensued.

Ultrasound, Female Infertility, Myomas, Polycystic Ovaries, Hydrosalpinx

Dembele, M. , Kouma, A. , Guindo, I. , Berete, Z. , Sanogo, S. , N'diaye, M. , Doumbia, B. , Diarra, O. , Traore, O. , Cisse, I. , N’ Diaye, A. , Doucoure, B. , Yalcouye, Y. , Keita, A. and Sidibe, S. (2023) Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako. Open Journal of Medical Imaging, 13, 107-113. doi: 10.4236/ojmi.2023.133011.