HyCoSy

Hysterosalpingocontrastography (usually referred to as HyCoSy) is an ultrasound test to assess fertility by examining the fallopian tubes and other organs in the pelvic cavity. The examination is safe and low risk.

The picture of the uterine cavity and of the fallopian tubes is obtained by introducing a contrast medium through a woman’s reproductive tract.

The examination allows for the assessment of the shape of the uterine cavity, of any abnormalities of its mucous membrane (endometrium) as well as an assessment of the patency and shape of the fallopian tubes and lesions of the uterine appendages. The examination is performed in order to diagnose or determine precisely the existing disorder.

This is used for:

• Infertility diagnostics, regarding fallopian tubes patency control and exclusion of uterine cavity abnormalities

• The assessment of the effectiveness of fallopian tubes patency treatment

• Suspicion of cervical incompetence in case of impossibility to carry the baby to full term

HyCoSy is preceded by the following examinations: gynaecological ultrasound examination of the reproductive organ, vaginal pH (or vaginal biocenosis), examination for Chlamydia Trachomatis and CRP (so-called acute-phase protein).

When do we do the examination?

The examination should be carried out immediately after menstruation, in the first phase of the cycle, usually on the 10th to 12th day of the menstrual cycle (counting from the first day of bleeding). The test is not done during menstrual bleeding (even slight).

The test is performed after administration of diastolic painkillers, which makes the examination more comfortable.

Remember to tell the examiner about the date of your last menstrual period, any sudden discomfort such as pain, shortness of breath or nausea.

How does HyCoSy work?

The examiner inserts a speculum into the vagina and then, placing a flexible catheter in the uterine cavity, injects a contrast medium into the uterine cavity. After the speculum is removed, a vaginal ultrasound transducer is placed in the vaginal cavity. Observation of the contrast medium allows the determination of patency or obstruction of the fallopian tubes.

The examination usually takes about 5 minutes. After the examination, the patient should remain under medical or nursing observation for 20 minutes. The result of the test will be given to you in the form of a description. It will also appear on the Patient Portal.

Does the HyCoSy examination hurt?

The examination is not painful, but you may feel some discomfort or menstrual pain. If you have an obstructed fallopian tube, you may feel pain when the contrast medium is introduced.