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Investigations
Hysterosalpingo-Contrast Sonography
(hy co sy)
This is a relatively new technique to
detect a blockage of the Fallopian tubes using ultrasound. Hysterosalpingo-Contrast
Sonography (hy co sy) is performed as an outpatient procedure and takes
about 20 minutes. No anesthetic is required but the patient may experience
some discomfort.
A speculum is inserted into the vagina to visualize
the cervix, clean it, and then a fine tube with a balloon at its end
is inserted through the cervix. The balloon is then inflated to hold
it in position. The speculum is then removed and a vaginal ultrasound
probe is inserted into the vagina. A special dye is then injected through
the uterus into the tubes.
The dye should be observed filling the cavity of the
womb, passing through the tubes and spilling out at the end.

The main advantages of HyCoSy is that it can be performed
at the time of ultrasound examination and it avoids the use of X-rays.
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