Hysterosalpingo contrast sonography (HyCoSy): let's make the point!

Area of Science:

• Reproductive medicine
• Diagnostic imaging
• Gynecological ultrasonography

Background:

• Accurate evaluation of tubal patency and uterine cavity morphology is crucial for infertility diagnosis.
• Hysteroscopy and laparoscopy are traditional reference methods but have limitations.
• Hysterosalpingo contrast sonography (HyCoSy) is an emerging technique utilizing advanced contrast agents and 3D resolution.

Purpose of the Study:

• To provide a comprehensive literature overview of HyCoSy.
• To support the use of HyCoSy as a first-line infertility diagnostic technique.

Main Methods:

• Systematic literature search conducted in PubMed and Scopus.
• Key search terms included HyCoSy, tubal patency, infertility, uterine cavity, and ultrasounds.

Main Results:

• HyCoSy demonstrates reliability comparable to laparoscopic techniques for assessing tubal patency and uterine morphology.
• HyCoSy avoids drawbacks of traditional methods, including hospitalization, radiation, anesthesia, and iodinated contrast media.
• HyCoSy is a safe, well-tolerated outpatient procedure that may promote spontaneous pregnancies.

Conclusions:

• HyCoSy is a valuable tool in the standard infertility work-up.
• The technique offers significant advantages over conventional diagnostic methods.
• HyCoSy is recommended as a first-line approach for infertility assessment.