Diagnostics of the fallopian tubes
The fallopian tubes are the connection between the uterus and the ovary, where fertilization of the egg cell by the sperm cell takes place. Blocked fallopian tubes, for example due to infections, operations or endometriosis, can be a cause of infertility.
Many women think that the patency of the fallopian tubes can be checked at every gynaecological examination - but this is not correct. This is often the reason why blocked or non-functioning fallopian tubes are only detected when they cannot get pregnant spontaneously. If the fallopian tubes are blocked or have a delayed opening, a previous inflammation is usually responsible. If the fallopian tube is blocked with a delay, there is an increased risk of an ectopic pregnancy, also called "tubal pregnancy", because the embryo is still in the fallopian tube after 5 days and implants there. You can see how important an open and well-functioning fallopian tube is for the occurrence of a pregnancy.
Before planning cycle monitoring with intercourse at the optimal time or insemination, it makes sense to check the patency of the fallopian tubes. Both treatments require open fallopian tubes, as the sperm cells must reach the egg cell unhindered and the embryo in turn must reach the uterus unhindered.
Many women think that the patency of the fallopian tubes can be checked at every gynaecological examination - but this is not correct. This is often the reason why blocked or non-functioning fallopian tubes are only detected when they cannot get pregnant spontaneously. If the fallopian tubes are blocked or have a delayed opening, a previous inflammation is usually responsible. If the fallopian tube is blocked with a delay, there is an increased risk of an ectopic pregnancy, also called "tubal pregnancy", because the embryo is still in the fallopian tube after 5 days and implants there. You can see how important an open and well-functioning fallopian tube is for the occurrence of a pregnancy.
Before planning cycle monitoring with intercourse at the optimal time or insemination, it makes sense to check the patency of the fallopian tubes. Both treatments require open fallopian tubes, as the sperm cells must reach the egg cell unhindered and the embryo in turn must reach the uterus unhindered.
Test your tubal patency directly with us at the Kinderwunschzentrum an der Wien!
For testing the patency of the fallopian tubes, we offer you two outpatient and painless options at our center:
Test your tubal patency directly with us at the Kinderwunschzentrum an der Wien!
For testing the patency of the fallopian tubes, we offer you two outpatient and painless options at our center:
HyCoSy (hysterosalpingocontrast sonography) is a diagnostic procedure to check the patency of the fallopian tubes. Patients describe it as being less painful and more comfortable than a fallopian tube X-ray (with contrast medium). The HyCoSy is performed by our team of doctors.
The HyCoSy uses ultrasound and a highly echogenic fluid (in our case ExEm® Foam) to examine the patency of the fallopian tubes. After thorough disinfection of the vagina, a catheter is carefully positioned in the cervix. Under ultrasound control, the correct position is checked and the ExEm® Foam gel is flushed into the uterine cavity. After the uterine cavity has been visualised, the contrast medium is flushed further through the fallopian tubes. Under ultrasound vision, it is checked whether the liquid runs through the fallopian tubes and flows into the abdominal cavity. You can follow this on our ultrasound monitor.
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Advantages to methods such as the fallopian tube X-ray (HSG) or laparoscopy (LSK):
- Possible directly at our Kinderwunschzentrum an der Wien
- largely painless and low-risk procedure
- Much less impact on the body
- no exposure to X-rays
- no anaesthesia necessary
The HyCoSy examination must be paid for privately, as the health insurance does not cover these costs. However, since 2023, the HSG (X-ray examination) is also no longer paid for by the health insurance. You can find the costs for the HyCoSy here.
The HyCoSy incl. ReBUS, hydrosonography & 3D ultrasound is an extended examination of the HyCoSy listed above. This examination not only includes the examination of the fallopian tubes for patency, but also includes the following services:
- Reproductive ultrasound (ReBUS)
- Precise ultrasound examination of the uterus using 3D ultrasound
- exact examination of the ovaries by means of 3D ultrasound
- Antral Follicle Count (AFC)
- Hydrosonography (gentle injection of water into the uterine cavity)
- Detailed 4-page report of the findings
HyCoSy incl. ReBUS, hydrosonography & 3D ultrasound is performed exclusively by Dr. Dijana Pekic at the Kinderwunschzentrum an der Wien.
arrange your extended hycosy appointment
The HyCoSy incl. ReBUS, hydrosonography & 3D ultrasound additionally checks:
- the presence of myomas and/or polyps
- the presence of endometriosis cysts and thus a possible endometriosis diagnosis
- the number of follicles present (AFC) and therefore a possible PCO diagnosis
- possible malformations of the uterus (e.g. uterus arcuatus, uterus subseptus)
- any obstacles to implantation
- the structure of the uterine lining
The examination by means of HyCoSy incl. ReBUS, hydrosonography & 3D ultrasound has to be paid privately, as the health insurance does not cover these costs. You can find the costs for HyCoSy Plus here.
As testing the patency of the fallopian tubes is associated with slight pain and costs, we recommend that all heterosexual couples first have the sperm quality analysed by means of a partner's spermiogram!
If the spermiogram results show that the partner has limited sperm quality, it may be necessary to go straight to in-vitro fertilization (IVF), which would make the examination of the fallopian tubes superfluous.
ALL INFORMATION ON THE SPERMIOGRAM ARRANGE YOUR SPERMIOGRAM APPOINTMENT