HyCoSy FAQs
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It is important that you are not pregnant when you have this scan. A pregnancy test will always be performed prior to commencement of the procedure
The ideal time to perform a HyCoSy is just after your period finishes, approximately days 7-10 of your menstrual cycle, when bleeding has ceased. If you have irregular periods, please mention this to our team at the time of booking.
While our team will do our best to keep you comfortable, some patients describe cramping similar to period pain during the test. We recommend taking ibuprofen a few hours before your appointment to minimise any discomfort.
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When you arrive, please present to reception. You will be asked to fill out a basic questionnaire outlining your gynaecological or obstetric history.
You will be asked to change into a hospital gown before the procedure. To complete your scan, you will need to lie down on a bed.
First, an initial transvaginal ultrasound will be performed to document the uterus and ovaries. The transducer (probe) is covered with a disposable sheath, and a warm lubricant is applied. If you are allergic to latex, let us know so we can use a latex-free cover. Usually, you will be asked to gently insert the transducer into your vagina, with assistance from your sonographer.
The sonographer will gently move the transducer to take images of the fallopian tubes and pelvic organs.
Once initial images have been captured, the transducer will be removd and your sonographer will move on with the HyCoSY.
The first part of the HyCoSy is similar to a pap smear, with a vaginal speculum gently inserted into the vagina. The cervix is then cleansed with an antiseptic solution.
A thin, flexible catheter with a tiny balloon is inserted through the opening of the cervix, and the speculum is removed. The balloon at the tip of the catheter is slowly inflated. This is to stop fluid from leaking back out during the scan.
The sonographer will then perform another transvaginal ultrasound while a small amount of sterile saline is introduced through the catheter. This saline causes the endometrial cavity to expand, allowing for assessment of the contour and shape of the cavity.
Next, a small amount of ultrasound contrast agent will be introduced through the catheter. This is to test if the fallopian tubes are open or blocked (patent).
Most women experience little or no pain, though some may feel mild discomfort.
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You can return to your normal activities after your scan.
A sanitary pad will be provided to use following the scan, as the fluid used in the test will leak out of the vagina. This is sometimes blood-stained, which is normal.
To reduce the risk of infection, it is advised not to use a tampon.
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The time required for a HyCoSy Scan can vary, but averages 45-60 minutes.
How much will it cost?
Fees for radiology procedures will vary depending on a variety of factors. We will advise you about the cost of your service at the time of booking but if you do have any questions, contact us and one of our team will be happy to help with your query. You can read more about our billing information here.
How do I access my images?
At Queensland X-Ray, we provide our patients with their images and results online. To access your images and results, you’ll need to register for an account when you visit one of our practices. If you’ve already registered, you can access the Patient Portal here.