Table of Contents
What is better HSG or HyCoSy?
Studies have shown that the HyCoSy procedure is as reliable as the more traditional HSG in assessing tubal patency. Advantages of HyCoSy compared to HSG include: HyCoSy does not use radiation or ionising contrast material. Many women find HyCoSy less painful than HSG.
Which of the methods of examination is the most informative in the diagnostics of a tubal infertility?
Testing for tubal infertility The diagnosis of tubal factor infertility is initially investigated in most cases with a hysterosalpingogram. This is an x-ray examination performed in a radiology department in which contrast material (dye) is injected through the cervix to the uterine cavity.
What is a tubal assessment?
Tubal assessment Fallopian tube assessment A first-choice fertility investigation that assesses whether the fallopian tubes are open.
When should fallopian tubes be tested?
It is best to have HSG done in the first half (days 1–14) of the menstrual cycle. This timing reduces the chance that you may be pregnant. During HSG, a contrast medium is placed in the uterus and fallopian tubes. This is a fluid that contains a dye.
How is Hydrosalpinx diagnosed?
Your doctor may be able to detect the presence of a hydrosalpinx on ultrasound. If your tube appears enlarged on ultrasound, this usually indicates a more severe hydrosalpinx. Your doctor will make a small opening in your belly and insert a special telescope or laparoscope to look at your uterus and fallopian tubes.
What is the difference between SHG and HSG?
A sonohysterogram, also known as SHG or SIS, is like an HSG. However, it involves sterile, saline water rather than radio-opaque dye. Additionally, it requires an ultrasound instead of X-ray imaging. After introducing saline into the uterus using a catheter, you will have a transvaginal ultrasound.
What is alternative to HSG?
Hysterosalpingo-foam sonography (HyFoSy) is a new technique that is thought to have comparable accuracy as HSG, while it is less expensive and more patient friendly. HyFoSy would be an acceptable alternative for HSG, provided it has similar effectiveness in terms of patient outcomes.
What are the imaging investigations that can diagnose the tubal obstruction?
Hysterosalpingography (HSG) has been used to evaluate the uterine cavity and the tubal status since decades. It uses iodinated contrast and X-rays and is painful and inconvenient for patient. Laparoscopy is considered to be the gold standard for tubal evaluation, but is an operative procedure and needs anesthesia.
What causes tubal factor?
Tubal factor infertility at a glance Tubal factor infertility is most commonly caused by pelvic inflammatory disease, sexually transmitted infections, or other conditions such as endometriosis. The American Society for Reproductive Medicine (ASRM) says that 25\% to 35\% of female infertility is due to tubal factors.
What is HyCoSy tubal patency test?
Hysterosalpingo-Contrast Sonography (HyCoSy) is an ultrasound procedure used to assess the patency of the fallopian tubes and detect abnormalities of the uterus and endometrium. The procedure uses a non-toxic contrast agent for visualization under ultrasound.
Can an ultrasound tell if your tubes are tied?
This means that tubes can be identified on ultrasound when either there is hydrosalpinx or free fluid in pelvis [Figure 4a and b] or fluid is introduced in the tubal lumen or in the pelvis. Fluid can be introduced using a catheter through cervix to visualize and assess the fallopian tubes by ultrasound.
What is the best Test to assess tubal patency?
Tubal patency tests The availability of a plethora of tests to assess tubal patency suggests that there is no perfect test. The various tests are extensively reviewed in other publications3–5 and summarised in Table 1.
Are tubal patency tests relevant in the era of Art?
This article reviews the current best available evidence as well as provide an expert insight on the role of tubal patency tests and tubal surgery in the era of ART. Tubal patency tests The availability of a plethora of tests to assess tubal patency suggests that there is no perfect test.
What is the best test for tubal cancer?
The various tests are extensively reviewed in other publications3–5 and summarised in Table 1. Laparoscopy Laparoscopy is widely considered to be the gold-standard test for tubal patency; however there is no evidence base to support its ‘gold-standard’ attribute due to lack of a proven alternative comparator.
Can ultrasound be used to check tubal size?
The use of ultrasound to investigate tubal patency has become a well-established modality in parts of Europe and Britain and has led to the development of “1-stop shops” for the evaluation of infertility. The procedure has been called hysterosalpingo-contrast-sonography (HyCoSy). What is done at HyCoSy?