In 40% of female infertility cases, blocked Fallopian Tubes are the primary cause. Your doctor might recommend HyCoSy (Hystero-salpingo contrast sonography) to identify this blockage. HyCoSy/HyFoSy is an advanced technology compared to the older HSG procedure.
Under HyCoSy/HyFoSy, the doctor uses an ultrasound to identify whether there is some obstruction in the Fallopian Tubes. This is one of the primary tests doctors perform on patients to identify the cause of infertility.
During the procedure, small fluid bubbles, made from saline and air mixture or a specially designed gel, are in the patient's uterine cavity. Once in place, an ultrasound is performed to determine any abnormalities or issues with the uterine cavity.
How HyCoSy/HyFoSy is different from HSG?
The procedure of HyCoSy/HyFoSy is almost similar to that of traditional HSG. The only difference here is during HyCoSy/HyFoSy, no ionizing contrast or radiation is used, unlike HSG. This ensures there are no adverse effects on the body of the patient. Observations suggest that the results obtained in both tests are equally precise and accurate.
Who qualifies for HyCoSy/HyFoSy?
HyCoSy/HyFoSy is performed to determine any blockage or abnormality of obstruction in the fallopian tube and uterine cavity. Any woman unable to conceive a child after trying for more than a year can be a candidate for HyCoSy/HyFoSy.
Your doctor might recommend this test if he/she feels some issue with your Fallopian Tubes. Also, the possible candidates include:
- Patients who have health conditions like pelvic infection, appendicitis, or Endometriosis.
- Women who want to confirm there is no issue with their fallopian tubes.
- Women dealing with Endometriosis.
- Women who are planning to undergo IUI (Inter-uterine Insemination) procedure for pregnancy.
HyCoSy/HyFoSy is a simple and effective process, and yet it's important to discuss all its aspects with your doctor.
If you are facing any issues with your pregnancy and need some assistance, we are here to help. You can book your consultation with our doctors at Apollo Fertility, JP Nagar.
What to expect?
During the procedure, your doctor will insert a small speculum and the catheter into your vagina. This catheter has a small balloon to keep it in the proper position. Later, the doctor will insert water into your uterus via a catheter to observe your uterine lining.
Then a contrast fluid or foam (in the case of HyFoSy) is passed through the catheter. This contrast fluid shows your Fallopian tubes and any obstruction (if they are present). Once the process is complete, the fluid is automatically absorbed into your body without any side effects.
The process, from the initial examination to the ultrasound, takes around 45-60 minutes. Generally, the results are available on the same day. But your doctor might discuss the results with you after analyzing them for a day or two.
The process is not painful except for mild cramps or discomfort. This is absolutely normal. Your doctor might recommend anti-inflammatory medications to ensure you do not feel pain or discomfort.
What to expect from the results?
The normal results show no blockage in your fallopian tubes and no issues with your uterine lining. So the doctor might move ahead with other tests.
If the results are abnormal, it shows some blockage in your Fallopian Tube or some problem in your uterine cavity. Your doctor will discuss the results and possible treatment options to fix these issues.
Risks related to the procedure?
HyCoSy/HyFoSy is primarily a safe procedure. Still, some patients might experience the following issues in rare cases:
- Scarring or injury inside your uterine cavity
- Excessive bleeding
- Infection due to the procedure.
Dealing with infertility can be challenging. But with our doctors at Apollo Fertility JP Nagar, there is always hope.
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If a contrast medium is used during the procedure, it's called HyCoSy, and if a foam-like medium is used for ultrasound, the procedure is called HyFoSy. In both methods, the results are equally precise.
During HyCoSy/HyFoSy, non-iodized fluid is used for the ultrasound, unlike HSG. So HyCoSy/HyFoSy are safer than HSG for a patient's body.
No, your doctor will recommend taking some pain-management medications to ensure no discomfort or pain. In some cases, the patient experience feels mild cramps, which is normal.
In some cases, it has been noticed that the spontaneous pregnancy rates are higher after the test is conducted. But still, much research is needed in the field.
No, your doctor will not perform HyCoSy/HyFoSy test if you are pregnant.