HyCoSy (Hysterosalpingo-contrast-sonography)

HyCoSy, or in other words ultrasound hysterosalpingography, is a safe and reliable ultrasound procedure used to visualize the uterine cavity and the Fallopian tubes. The examination proves useful in the investigation of infertility causes since it allows the assessment of tubal patency and identification of potential adhesions or myomas in the uterine cavity.
1How to prepare for HyCoSy?
Before the procedure, the patient has to do a cervical screening test (valid 12 months) and endocervical culture (valid 3 months). We perform HyCoSy examinations during the first phase of the menstrual cycle – before ovulation – in patients with no symptoms of either general or local infection (vaginal infection included).

Patients with a low pain tolerance can take 2 tablets of No spa (period pain reliever) before the test. Intramuscular injection of Ketonal is another option offered by the Clinic. The patients who choose this form of pain control are expected to inform the Registration staff of their decision in advance and arrive at the Clinic 1 hour before the scheduled appointment time.
1What does HyCoSy involve?
The doctor who carries out the examination inserts a thin, single-use catheter through the vagina to introduce contrast into the uterus and the Fallopian tubes. Using a transvaginal ultrasound probe, the doctor can monitor the entire process on the screen while looking for potential abnormalities in the uterine cavity ( polyps, myomas, septum, adhesions ) and studying the flow of the contrast medium through the Fallopian tubes at the same time. The patient may experience moderate period-type cramping.

The entire procedure lasts approximately 15 minutes.

Spotting, leakage of contrast material out of the vagina and discomfort in the abdominal area may occur after the examination.
The descriptive test results should be discussed with the referring doctor.

HyCoSy is performed by:

Agnieszka Łojek, MD

gynecologist-obstetrician


Katarzyna Matuszny-Lech, MD

gynecologist-obstetrician


Jacek Szulc, MD

gynecologist-obstetrician


Ewa Ślizień-Kuczapska, MD

gynecologist-obstetrician


Ewa Żmuda, MD

gynecologist-obstetrician