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Hysteroscopy

Hysterosalpingo-contrast-sonography (HyCoSy) is a procedure used to assess the patency of the fallopian tubes.

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What is a Hysteroscopy

Hysterosalpingo-contrast-sonography (usually called HyCoSy) is a straightforward procedure which is used to assess the patency of the fallopian tubes using advanced ultrasound to test for common symptoms such as blocked fallopian tubes.

HyCoSy can also be used to check for abnormalities of the uterus and ovaries, it’s a much safer alternative to older methods as it does not use X-rays or any kind of radiation. Instead, a contrast agent is passed into the uterus via a fine catheter, and the doctor tracks this agent using ultrasound.

Who is it for?

  • Women who would like to test the patency of the fallopian tubes
  • Those who wish to undergo inter-uterine insemination (IUI) are also advised to undergo a HyCosy
  • Patients with endometriosis, pelvic infection or appendicitis
  • Patients with endometriosis

What does the Hysteroscopy test involve?

The HyCoSy procedure takes approximately half an hour. You will have an internal scan first; the doctor will take measurements of the uterus (womb), endometrium (lining of womb) and ovaries.

Under ultrasound guidance a thin tube will be passed into the womb through the neck of the womb and a small amount (5-10 mls) of fluid (normal saline) is injected into the womb to observe the presence of any abnormalities (polyp, fibroids etc) in the lining of the womb. A water and gel based medium called ExEm Foam is then passed into the womb and the fallopian tubes to assess the tubes.

Is a Hysteroscopy test painful?

The levels of pain for the HyCosy test varies from woman to woman but it is likely that you will feel some discomfort during the procedure similar to that of period pain.

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