HYCOSY vs HSG
Hysterosalpingo Contrast Sonography (HYCOSY):
HYCOSY vs HSG is a minimally invasive diagnostic procedure used to assess the patency of the fallopian tubes and detect any abnormalities in the uterine cavity. HYCOSY vs HSG involves the injection of a contrast agent, typically a saline solution mixed with a small amount of foam or air, into the uterus. In our Create fertility clinic, the contrast agent is monitored using ultrasound imaging, allowing our doctor to visualize the flow of the solution through the fallopian tubes. This procedure helps identify blockages or abnormalities that may affect fertility.
Advantages of HyCoSy:
- Non-invasive: HyCoSy is performed externally using transvaginal ultrasound, without the need for surgical incisions.
- No radiation exposure: Since it relies on ultrasound imaging, there is no exposure to ionizing radiation.
- Short procedure time: HyCoSy is usually completed within 15 to 30 minutes.
- Minimal discomfort: Some women may experience mild cramping or discomfort during the procedure, but it is generally well-tolerated.
Disadvantages of HyCoSy:
- Limited view: HyCoSy provides a functional evaluation of the fallopian tubes but may not offer detailed information on structural abnormalities or other conditions affecting fertility.
- Operator-dependent: The accuracy and interpretation of the procedure may vary based on the skills and experience of the clinician performing it.
- False positives: In rare cases, HyCoSy may indicate a blockage or abnormality that is not present, leading to unnecessary concern or further testing.
HYCOSY vs HSG
Hysterosalpingography (HSG):
HYCOSY vs HSG is another diagnostic procedure used to evaluate the fallopian tubes and uterine cavity. HYCOSY vs HSG involves the injection of a contrast agent, typically an iodine-based dye, into the uterus through the cervix. X-ray imaging is then used to visualize the flow of the dye through the fallopian tubes and identify any abnormalities.
Advantages of HSG:
- Comprehensive evaluation: HSG can provide information on both the structural and functional aspects of the fallopian tubes and uterine cavity.
- Potential therapeutic benefit: In some cases, the flushing action of the dye during HSG may clear minor blockages in the fallopian tubes, potentially improving fertility.
- Widely available: HSG is a commonly performed procedure and is available in most radiology departments.
Disadvantages of HSG:
- Invasive: HSG requires the insertion of a catheter through the cervix, which can cause discomfort or pain for some women.
- Exposure to radiation: X-ray imaging involves exposure to ionizing radiation, albeit at a relatively low dose. This may be a concern, particularly for women who are pregnant or at risk of pregnancy.
- Longer procedure time: HSG may take longer to complete compared to HyCoSy, typically around 30 to 45 minutes.
HYCOSY Procedure
Preparation:
HYCOSY vs HSG is recommended to schedule the procedure when you are not menstruating to obtain clearer images.
Positioning:
HYCOSY vs HSG, You will be asked to lie down on an examination table, similar to a pelvic exam.
Speculum insertion:
A speculum, a device used to gently separate the walls of the vagina, will be inserted to provide access to the cervix.
Cleaning the cervix:
The cervix and vaginal area will be cleaned with an antiseptic solution to reduce the risk of infection.
Local anesthesia:
HYCOSY vs HSG, a local anesthetic may be applied to the cervix to minimize discomfort.
Ultrasound probe insertion:
A transvaginal ultrasound probe, covered with a sterile sheath and gel, will be inserted into the vagina. This probe emits high-frequency sound waves to create images of the pelvic organs.
Injection of contrast agent:
A small catheter or cannula is inserted into the cervix, and a contrast agent, usually a saline solution mixed with a small amount of foam or air, is gently injected into the uterus. The contrast agent helps visualize the flow through the fallopian tubes.
Ultrasound imaging:
The ultrasound probe is used externally on the abdomen to monitor the flow of the contrast agent. The healthcare provider will observe the movement of the fluid through the uterus and fallopian tubes using real-time ultrasound imaging.
Assessment:
The doctor will assess the images and look for any blockages, abnormalities, or irregularities in the fallopian tubes or uterine cavity.
Completion:
Once the procedure is complete, the catheter and ultrasound probe will be removed. You may be given a sanitary pad to wear afterward, as there may be some leakage of the contrast agent.
