In the cosy ambience at Nisa Fertility and Genetics centre , we offer this ultrasound procedure to patients as a pre-fertility test to evaluate the uterus ,endometrium and fallopian tubes. It is almost painless and takes 30minutes.
What is a Hycosy Scan?
HyCosy is the short form for Hystero- Salpingo-Contrast-Sonography. It is a simple well-tolerated outpatient ultrasound procedure. It is also sometimes called the Tubal patency test. It is a perfect alternative for the HSG test as it is almost painless. It is a short procedure and takes approximately half an hour.
Why is a Hycosy scan performed?
The HyCoSy is done to detect whether the fallopian tubes are damaged or blocked, as well as to detect abnormalities of the uterus and the endometrium. It is used to investigate infertility by looking at the cavity of the uterus and the fallopian tubes. The best time for a HyCoSy scan is between day 8 and day 17 of a regular 28-day menstrual cycle. We prefer to do it here by day 8-12 of your cycle as it is less likely for you to be pregnant at that time. If there is a possibility that you might be pregnant, the procedure will be rescheduled.
How is it performed?
Although the level of pain
felt during a HyCoSy scan is minimal but because each person has a different threshold of pain, some discomfort and abdominal cramps might be experienced. Due to this, an analgesic is administered 30minutes before the commencement of the procedure.
’Four in ten couples are infertile due to dysfunctional female reproductive organs’’
You are made to lie down on the examination couch to allow your doctor visualize and take measurements of your uterus (womb), endometrium and your ovaries. An ultrasound-guided insertion of HyCoSy catheter (thin tube) is then passed into the uterus through the neck of the womb (cervix). This is done under ultrasound guidance.
A small volume of normal saline is injected into the womb to distend the endometrial cavity and the contour and shape of the uterine cavity are assessed, any abnormalities such as polyps and/or fibroids are observed. A contrast agent is injected into the uterus and the fallopian tubes to access them. If the tubes are open, the gel will be seen passing through the tubes and the fluid can also be seen around the ovaries on the ultrasound screen. The passage of the contrast agent is monitored through a transvaginal scan.
This procedure determines whether there are any blockages present in the fallopian tubes which could prevent an egg passing safely through them when you ovulate.
Dos & Don’ts
- Do not have unprotected sex from the first day of your period until the day of the examination; the procedure could disturb the implantation of an embryo.
- It is advisable not to wear perfume or any strong deodorant on the day of the procedure.
- You should not be menstruating as at the time of the scan
- Your doctor will suggest you do a vaginal swab and chlamydia screening to exclude and eliminate infections prior to the test.
When should you not have this test
You should not have this procedure if you are pregnant or may be pregnant
When the procedure is done, your result determines your next course of action.