HyCoSy/HyFoSy

What is HyCoSy?

HyCoSy is an ultrasound treatment that stands for Hystero Contrast Sonography/ hysterosalpingo-foam sonography is used to identify anatomical flaws in the female reproductive system, such as fallopian tube blockages. An initial transvaginal ultrasound is performed, and then a catheter is inserted to drive aqueous fluid up the fallopian tube, acting as a contrast medium for the ultrasound. The fetus may travel downhill into the uterus, where it will implant in the endometrium, and sperm may swim toward the ovum.

Why would you take an HyCoSy Exam?

Infertility is assessed with the HyCoSy test. The two biggest benefits of this exam are the absence of ionizing radiation and the comprehensive assessment of all pelvic organs in one location.

What Happens During the HyCoSy Exam?

The test consists of many steps :

  • Dynamic motions and 3D rendering during a pelvic ultrasound is a unique method called 3D ultrasonography that enables for examination of the uterus's form.
  • Using dynamic movements, the ultrasound transducer is gently pressed to check for pelvic adhesions or scarring.
  • In Hysterosonogram with saline infusion, the ultrasound imaging of the uterus after saltwater has been injected into the uterine cavity. This makes it possible to evaluate the uterine lining.
  • Contrast hysterosalpingography involves filling the fallopian tubes and uterus with contrast material before using ultrasound to image those organs. This enables the evaluation of tubal blockage.

The procedure typically takes 10 to 15 minutes to complete. 

What to do after a HyCoSY test?

  • You can get back to your regular routine if you're heading home.
  • For a day following the surgery, you might feel pelvic discomfort and vaginal spotting (bleeding).
  • After the procedure, you can take Tylenol/ibuprofen (or any pain reliever you've previously accepted for menstrual cramps) as directed for pain relief.
  • After the surgery, you could occasionally be given an antibiotic prescription.
  • After the exam, call your doctor right away if you have more discomfort, a fever, or a lot of bleeding.

How exactly does HyFoSy work?

Since a full bladder is not required for the treatment, the bladder is emptied immediately before it begins. To evaluate the pelvic anatomy, a transvaginal scan is performed initially. A speculum is inserted into the vagina, and an antiseptic solution cleans the cervix. After that, a 2mm fine, sterile plastic catheter is inserted through the cervix. This catheter's little balloon at the tip is inflated once the tip is within the uterine cavity to hold the catheter there. Once more, a vaginal probe is used after removing the speculum. A scan is conducted as the ExEm foam gel is administered through the catheter. ExEm foam gel's vivid echoes make it easier to observe the visualization of the whole tube and the spilling surrounding the ovaries. The fallopian tubes are regarded as patent when spillage can be plainly observed from both sides. However, it cannot be assumed that they are closed when spillage is absent since the uterus's occasional spasms might momentarily shut the fallopian tubes' openings. If such a circumstance occurs, your referring physician will arrange for further tubal patency tests.

What benefits does HyFoSy offer?

  • In HyFoSy, neither radiation nor iodinated contrast medium is used.
  • Since the fluid used in HyFoSy injections causes less irritability than the dye used in HSG, it is less painful than HSG.
  • By doing HyFoSy, laparoscopy's accompanying anaesthesia and hospitalization can be avoided.
  • Using ultrasound technology, various pelvic structures may be evaluated.

When should I visit a doctor?

If you face any difficulties conceiving, you should get it done. There might be several reasons, but blockage or any abnormality in the fallopian tube is one of them. You should immediately visit a doctor or can simply request an appointment at Apollo Fertility, Brookefield, by calling this number 1860-500-4424.

1. Before a HyCoSy test, may I eat?

You can consume food and beverages normally on the day of your HyCoSy exam.

2. Does a HyCoSy test hurt?

While some people have minor discomfort, others experience severe period cramps. Any discomfort is often rather mild, and pre-and post-procedure use of an over-the-counter pain reliever might lessen any discomfort. You can always ask the radiologist to stop the examination if you need to.

3. Do I require painkillers?

Variable levels of discomfort might be felt during the HyCoSy. You can feel a little uncomfortable and have cramps similar to period pain throughout the examination. Before your Hycosy operation, it is advisable to consume two paracetamol. For this treatment, no anaesthetic is necessary.

4. Are HyCoSy and HyFoSy the same?

The purpose of the test is more or less the same. However, exEm foam medium (HyFoSy) may be more effective and produce a higher diagnostic yield for hysterosalpingography than saline medium (HyCoSy).

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