Open Journal of Medical Imaging, 2023, 13, 107-113 https://www.scirp.org/journal/ojmi ISSN Online: 2164-2796 ISSN Print: 2164-2788 DOI: 10.4236/ojmi.2023.133011 Aug. 30, 2023 107 Open Journal of Medical Imaging Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako Mamadou Dembele 1,2* , Alassane Kouma 1 , Ilias Guindo 1 , Zoumana Cheick Berete 3 , Souleymane Sanogo 1 , Mamadou N'diaye 1 , Brahima Doumbia 1 , Oncoumba Diarra 1 , Ousmane Traore 1 , Issa Cisse 1 , Aboubacar Sidiki N’ Diaye 1 , Badiougou Doucoure 2 , Youssouf Yalcouye 2 , Adama Diaman Keita 1 , Siaka Sidibe 1 1 Radiology Department, Faculty of Medicine and Odonto-Stomatology of Bamako (FMOS), Bamako, Mali 2 Radiology Unit, Fertilia Medical Clinic, Bamako, Mali 3 Department of Education and Research in Public Health (DERSP), FMOS, Bamako, Mali Abstract 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 pre- vent the occurrence of pregnancy in a group of infertile and subfertile wom- en. 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 ul- trasound 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% pri- mary 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 syn- echiae. 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 How to cite this paper: Dembele, M., Kouma, A., Guindo, I., Berete, Z.C., Sano- go, S., N’diaye, M., Doumbia, B., Diarra, O., Traore, O., Cisse, I., N’Diaye, A.S., Dou- coure, B., Yalcouye, Y., Keita, A.D. and Sidibe, S. (2023) Ultrasound Causes of Female Infertility at the Fertilia Medical Clinic in Bamako. Open Journal of Medical Imaging, 13, 107-113. https://doi.org/10.4236/ojmi.2023.133011 Received: August 7, 2023 Accepted: August 27, 2023 Published: August 30, 2023 Copyright © 2023 by author(s) and Scientific Research Publishing Inc. This work is licensed under the Creative Commons Attribution International License (CC BY 4.0). http://creativecommons.org/licenses/by/4.0/ Open Access