A sono salpingogram, also known as a hysterosalpingo-contrast-sonography
(HyCoSy), is a medical imaging test used to evaluate the fallopian tubes and uterus of a woman who is experiencing infertility or other reproductive issues.

The procedure involves the insertion of a small catheter through the cervix and into the uterus, followed by the injection of a sterile saline solution mixed with a contrast agent. This solution fills the uterus and fallopian tubes, allowing for clear visualization of the reproductive organs using ultrasound imaging.

The sono salpingogram can help to identify any blockages or abnormalities in the fallopian tubes or uterus, which can cause infertility or difficulty in conceiving. It can also detect the presence of uterine fibroids or polyps, which can affect fertility and pregnancy outcomes.

The procedure is typically performed on an outpatient basis or with anaesthesia and takes around 20-30 minutes to complete. It is generally well-tolerated, although some women may experience cramping or discomfort during the procedure. After the test is complete, the woman can usually resume normal activities immediately.

Overall, a sono salpingogram is a safe and effective diagnostic tool that can provide important information for couples who are experiencing fertility issues and are seeking to conceive.

Usually single or double iui is performed based on the nature of the problem.The patient is made to lie down for 15-20 minutes after the IUI and normal physical
activities can be resumed after the IUI. 

This can improve the chances of fertilization and pregnancy by bringing the sperm closer to the egg at the fallopian tubes where they can chemically communicate.Upto 3-6 IUI’s can be tried by the couple based on the reserve,tubal status,sperm quality.

Ovulation induction and IUI are often used together as a fertility treatment. In this case, the woman is given medication to stimulate the growth of follicles in the ovaries, and then the IUI procedure is performed around the time of ovulation to increase the chances of the sperm fertilizing the egg.

Ovarian reserve testing is a medical evaluation that helps determine a woman's fertility potential. This testing involves assessing the quantity of a woman's remaining eggs in her ovaries.

There are several methods used for ovarian reserve testing, including blood tests that measure hormone levels such as follicle-stimulating hormone (FSH), and anti mullerian hormone (AMH). These hormones are used as markers of ovarian function and can help predict the number of remaining eggs a woman has AMH has been
accurate in measuring the ovarian reserve with good reproducibility.

AFC-Antral follicle count is an important method for ovarian reserve testing.Here
ultrasound is used , which can measure the size and number of follicles in the
ovaries. This test is done between 2-5 days of the menstrual cycle and is one of the most accurate methods to test the ovarian reserve.