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Click here for patient instructions 

What is a HyCoSy/HyFoSy procedure?

Fallopian tube abnormalities account for up to 40 % of female subfertility. Normal fallopian tubes are not seen on a routine pelvic scan, but the bright white colour produces during Hyfosy can help to visualise the tubes. Until recently, this procedure was known as HyCoSy (Hysterosalpingo-Contrast-Sonography) as a contrast medium called Levovist was being used to outline the tube. This product is no longer available in Australia and we now use a product called ExEm foam which does not contain contrast. 

How is Hyfosy performed?

A hyfosy procedure takes approximately 30 minutes. The first part of the procedure is similar to a cervical screening test. A speculum is gently inserted into the vagina. A thin tube (catheter) is then passed into the uterus through the cervix. A small balloon at the tip of the catheter is inflated to hold the catheter in place. The speculum is removed and the ultrasound probe is inserted into the vagina to visualise the uterus. 

The foamy solution is then passed into the uterus and the fallopian tubes to assess the tubes. If the tubes are open, the fluid will be seen passing through the tubes on the ultrasound screen.

What do I need to do to prepare?

It is important that there is no possibility of being pregnant before the Hyfosy scan.  Please do not have intercourse from the first day of your period until after the examination and if you do, you must use barrier contraception

The best time to perform a Hyfosy is approximately day 7 to day 12 of a regular 28-day (monthly) menstrual cycle (the first day of your period is counted as day 1). If you do not have regular periods please call us for advice. We are not able to do the examination if you are still bleeding from your period.When you are due to have the procedure you will be asked to partially undress and put a drape over the lower half of your body. 

We will provide you with a script for a once off dose of antibiotics to take the night before you procedure.


Do I need pain relief?

The level of pain experienced during the hyfosy is variable. During the examination, you may experience some discomfort and have a cramping sensation like period pain.  It is wise to take two ibuprofen or paracetamol about 30 minutes before your hyfosy procedure. No anaesthetic is required for this procedure.

Where will it be?

Your procedure will be performed in our consulting rooms at 61 Honeysuckle Street, Bendigo.  Anju will perform the procedure with the assistance of the Practice Nurse. 

When do I get the results?

Anju will be able to tell you the results of the examination once complete.


Are there any possible complications?

There is a small risk of infection however this risk is significantly reduced with the use of prophylactic antibiotics taken the night beofre the procedure. 

How much will the procedure cost? 

While the procedure itself is relatively straight forward, the consumables required to perform this procedure are costly, which is reflected in our fees. Please refer to our FAQ page for information relating to fees.   

Patient instructions:

  1. Discuss Hyfosy with Anju in consult, receive script for antibiotic 

  2. Call on 'day 1' of cycle to book in appointment - to be booked in on day 7-12 of cycle 

  3. Take stat dose of antibiotic the night before procedure 

  4. Take ibuprofen or paracetemol 30 mins before procedure

  5. Attend appointment 

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