Tubal Patency Testing (HSG/HyCoSy) Eligibility, Gynaecology

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Inclusion Criteria

  • Couples in a relationship who are trying to achieve pregnancy (Heterosexual couples after confirmation of a normal semen analysis, or couples wishing to use donor sperm for treatment)
  • BMI 35 or below
  • Single women may be offered the investigation if they are pursuing fertility treatment privately

Exclusion criteria

  • Likely unexplained infertility, where outcome of tubal patency test is highly unlikely to change onward treatment plan
  • One tube already known to be damaged or removed
  • Significant semen abnormality where ICSI is the treatment of choice
  • Not appropriate as a test for tubal occlusion after sterilisation
  • Not appropriate as an assessment of the endometrial cavity in women with menorraghia / inter-menstrual or post-coital bleeding

NOTE: this guideline is hosted on the NHSGGC Obstetrics & Gynaecology Handbook website. Clicking on the link below will open the guideline in a new window.


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