HyCoSy Test: What You Need to Know

The test does not need any anaesthesia, it hurts not a lot more than a cervical smear.

First a thin catheter is inserted through the cervix into the uterus. If the uterine cavity needs to be checked for polyps etc we first do an “aqua scan”. Plain saline is injected and the ultra-sound scan checks the lining of the womb and any polyps or fibroids which get outlined by the saline.

A sono-contrast agent (“Sonovue” or it’s alternative) is then injected, and a transvaginal ultrasound is used to track its flow through the fallopian tubes. The entire procedure typically takes around 20 minutes.

• The test is typically done in the week following your periods (before your expected ovulation), so that we don’t disturb a chance early pregnancy. This precaution ofcourse does not apply if you are not with a male partner.
• You may need to take a mild pain reliever an hour beforehand. A pregnancy test is sometimes required to ensure you’re not pregnant. We prescribe you “prophylactic” antibiotics to prevent infection.