E2073. Tube Ease or Not Tube Ease: Evaluation of Tubal Patency with HSG and HyCoSy
  1. Victoria Wells; Boston University Medical Center
  2. Charles Tandler; Boston University Medical Center
  3. Leah Schafer; Boston University Medical Center
  4. Christina LeBedis; Boston University Medical Center
Evaluation of tubal patency is an integral aspect of the assessment of subfertility/infertility. Hysterosalpingography (HSG) has long been the mainstay for visualizing and evaluating fallopian tubes, however advancement in state-of-the-art technology and techniques have allowed for alternative methods including Hysterosalpingo Contrast Sonography (HyCoSy), with each technique having its unique advantages and disadvantages.

Educational Goals / Teaching Points
Discuss the role of imaging in reproductive endocrinology. Review the unique advantages and disadvantages of HSG and HyCoSy to evaluate tubal patency, namely utility, pros/cons, technique, and complications/contradiction. Identify appropriate uses of the HSG and HyCoSy in assessing tubal patency and further assessment of pelvic anatomy that may also influence fertility.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Brief discussion of the uterus and ovaries and the abnormalities affecting fertility with a focus on fallopian tubes: tubal occlusion and wall irregularity. Review of imaging modalities to evaluate tubal patency: (a) HSG - Contrast agents: Oil-based vs water-based contrast media and potential therapeutic effect (b) HyCoSy - Contrast agents, 3D HyCoSy, and 'one-stop investigation of infertility.' Sample cases and discussion.

HSG and HyCoSy are distinct modalities that offer unique advantages and disadvantages to evaluate tubal patency.