Hysterosalpingo-Contrast Sonography (HyCoSy) Report
Date: 23.08.2025
Three-dimensional transvaginal ultrasound findings
•	Uterus: Anteverted, normal shape, no Müllerian anomalies, mobile
o	Corpus: 60 mm (length) × 35 mm (transverse) × 48 mm (anteroposterior)
o	Volume: 40.2 mL
•	Endometrium: Intact, thickness 6 mm (double layer)
•	Cervix: Normal, length 29 mm
•	Ovaries: Both with smooth outline, 
o	Right ovary volume: 7.6 mL with small cyst
o	Left ovary volume: 8.4 mL
HyCoSy (Contrast Sonography) findings
•	Uterine cavity: Good distension with contrast, no filling defects.
•	Fallopian tubes:
o	No free spill of contrast visualized from the right tube.
o	Minimal contrast spillage into the peritoneal cavity observed from the left tube after forceful instillation.
Impression
•	Normal uterine morphology and cavity.
•	Right fallopian tube: No contrast spillage → likely occluded.
•	Left fallopian tube: Minimal contrast spillage after pressure → suggestive of partial patency or functional impairment.
•	Bilateral tubal factor infertility cannot be excluded.
ADVICE FOR DIAGNOSTIC LAPAROSCOPY 
