Tubal Patency Test (HSG / HyCoSy)
A tubal patency test evaluates whether the fallopian tubes are open (patent) and whether the uterine cavity looks normal. It can be performed as an HSG (X-ray with contrast) or HyCoSy (ultrasound-based contrast test), depending on clinical suitability and availability.
Fertility / tubal patency test
Tubal Patency Test (HSG / HyCoSy)
A tubal patency test evaluates whether the fallopian tubes are open (patent) and whether the uterine cavity looks normal. It can be performed as an HSG (X-ray with contrast) or HyCoSy (ultrasound-based contrast test), depending on clinical suitability and availability.
The test assesses whether contrast can pass through the uterus and fallopian tubes, suggesting patency. It may also identify findings such as uterine cavity irregularities or tubal blockage patterns that can affect conception planning.
This test is commonly part of a fertility workup, especially when tubal factors are possible or before certain treatments.
- • Unexplained infertility
- • History of pelvic inflammatory disease or sexually transmitted infection
- • Previous pelvic or abdominal surgery
- • Suspected endometriosis or pelvic adhesions
- • Before IUI in selected cases
Step-by-step process
Scheduling and preparation
The test is usually scheduled after menstruation ends and before ovulation. We confirm timing and discuss any needed medications.
Procedure
A speculum is inserted and contrast is introduced through the cervix. Imaging is performed with X-ray (HSG) or ultrasound (HyCoSy) to observe flow.
After the test
Mild cramping or spotting can occur. We provide aftercare instructions and advise when to seek help.
Results and planning
Results are reviewed with you to determine next steps, such as timed attempts, IUI, IVF, or further evaluation.
- • Identifies tubal blockage as a potential cause of infertility
- • Assesses the uterine cavity in the same evaluation
- • Helps guide the appropriate next treatment option
- • In some cases, flushing may temporarily improve tubal flow (not guaranteed)
- • Cramping and spotting are common and usually short-lived
- • Small risk of infection; higher risk if there is untreated pelvic infection
- • Allergy to contrast is uncommon but possible (HSG contrast)
- • Radiation exposure in HSG is low and limited to the pelvis
We provide careful pre-test screening, clear explanations, and coordinated follow-up so results translate into a practical fertility plan.
Experienced fertility specialists
Appropriate test selection (HSG vs HyCoSy) based on your case
Clear aftercare guidance and results review
UAE-compliant medical standards and patient privacy
FAQs
Is the test painful?
Most patients feel mild to moderate cramping during the procedure. Discomfort is usually brief, and we provide guidance to help you feel more comfortable.
When in my cycle is it done?
It is usually scheduled after your period ends and before ovulation to avoid disrupting an early pregnancy and to improve imaging clarity.
What if a tube appears blocked?
A blocked appearance can sometimes be due to spasm. We review findings carefully and may recommend repeat testing or alternative evaluation if needed.
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