Hysterosalpingography (HSG)


Hysterosalpingography (HSG)

This is an x-ray examination of the womb and fallopian tubes and involves injecting a dye through the cervix into the womb. It does not usually require a general anaesthetic, but there may be associated discomfort.

Laparoscopy and dye examination

This involves admission to hospital and is performed under a general anaesthetic. A small incision is made in the abdomen and a needle inserted. Gas is passed through the needle to distend the abdomen then a telescope called a laparoscope is inserted into the abdomen. The womb, tubes and ovaries are then inspected. Dye is passed through the cervix into the womb and the tubes can be observed directly to see whether they are damaged or not.


What is hycosy?

Hycosy is a procedure to check the patency of your fallopian tubes prior to intrauterine insemination (IUI). It is a non-invasive procedure that usually takes approximately 15 minutes and the result is available immediately.  It is usually carried out between day eight and day ten of your cycle. You will be asked to telephone the Clinic on day one or two of your period to arrange an appointment.

Prior to your hycosy procedure you will be asked to have a cervical chlamydia swab. The result must be available before the procedure can be performed. 

The results of the procedure will be discussed on the same day and treatment can be planned accordingly.

What does hycosy involve?

A small thin catheter (tube) is passed through the cervix into your uterus and a small balloon is inflated to keep the catheter in position.  A vaginal ultrasound scan is carried out to locate the uterus and ovaries.  Echo contrast fluid is inserted into the catheter and tubal patency is checked via the ultrasound scan.  Once this has been established, the ultrasound scan and catheter are removed.

It is advisable to take some form of analgesia (pain killer) prior to the hycosy procedure.

What are the possible side effects of hycosy?

You will be asked prior to booking your appointment for the hycosy whether you are allergic to latex or any contrast medium.  The hycosy procedure will not be performed if you are allergic to any of the above, and other arrangements can be made. 

You may experience some abdominal discomfort and it is safe to take analgesia as appropriate.

It is advisable to bring someone with you to accompany you home.

Semen Analysis

The primary laboratory test for male fertility is "semen analysis". The sample is obtained by masturbation or collected from a special condom following intercourse. Sterile containers must be used to collect the sample following three days of sexual abstinence. 

A normal assessment should show:

  • Semen volume - 2-4mls
  • Sperm count - more than 20 million per ml
  • Sperm motility - more than 50% moving
  • Sperm morphology - more than 30% of normal shape
  • White blood cells - should be less than 1 million per ml
  • Anti-sperm antibodies test - should be negative


Latest news

What are the fertility options for women over 40?

The London Egg Bank aims to attract a new generation of egg donors

Fertility advice for the Over 40s

Hysterosalpingography (HSG)
FREE Guide
FREE Guide

Infertility treatment guide

  • Types of infertility treatment
  • Infertility problems
  • Infertility counselling 

Find a ...

Connect with us on:

This site compiles with the HONcode standard for trustworthy health information