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Many conditions that cause infertility can be diagnosed with history, physical examination, hormonal analysis and scans alone. A more detailed evaluation can then be arranged if necessary.

Female Diagnostics

Echovist (Hysterosalpingo Contrast Sonography). HyCoSy is an examination using ultrasound to check if your fallopian tubes are blocked. A speculum is passed (like when having a smear test) and a small amount of contrast media is injected through the cervix. Your uterus (womb) and ovaries will be examined at the same time. This test is usually carried out within the first 10 days of your cycle after bleeding has stopped.

Hysterosalpingogram (HSG)

This test is carried out in the x-ray department of the hospital and is a screening test to check if the tubes are blocked. A speculum is passed (like when having a smear test) and a small amount of dye is injected through the cervix. A series of x-rays are taken which show the outline of the uterus and if the tubes are open, dye will be seen flowing through.

Hysteroscopy

If the HSG suggests that there is an abnormality of the inside of the womb, a hysteroscopy can be done for a closer look. A fine telescope is passed through the cervix and the uterine cavity visualised. Hysteroscopy can detect fibroids or congenital variations such as a double-womb, bicornuate (heart-shaped) uterus or a uterine septum.


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