What is Sonohysterography?
- Sonohysterography is a type of ultrasound exam.
- Sterile fluid is put into the uterus through the cervix using a thin plastic catheter or tube. tube.
- The fluid helps show more detail than when ultrasound is used alone.
- This test can be done in the clinic.
- It usually takes less than 20 minutes.
For what reasons is a sonohysterography performed?
It can be useful to find the underlying cause of many problems, like infertility and repeated miscarriage. It is able to detect:
- Abnormal growths inside the uterus, such as fibroids or polyps, and information about their size and depth.
- Sterile Scar tissue inside the uterus.
- Abnormal uterine shape.
- Problems with the lining of the uterus.
- Whether the fallopian tubes are open or blocked.
When to do & When not to do sonohysterography?
- Sonohysterography is not done if you are or could be pregnant or if you have a pelvic infection.
- The test usually is scheduled at a time in your menstrual cycle after your period has stopped.
- If you are bleeding at the time of the test, the results may not be as clear.
How to do Sonohysterography?
- It is done when bladder is empty.
- You will be asked to undress from the waist down and lie on an exam table.
- If we think of any infection, patient may need to take antibiotics to clear up the infection before you have the procedure.
What are the main steps of a sonohysterography?
Sonohysterography has three main steps:
- Performing an initial transvaginal ultrasound exam
- Putting fluid inside the uterus, and
- repeating an ultrasound exam.
How is the fluid put inside the uterus for a sonohysterography?
- After the first transvaginal ultrasound exam, the transducer is removed.
- A speculum is placed in the vagina. It holds the vagina open. A swab is passed through the speculum to clean the cervix.
- Next, a thin tube is inserted into the vagina and placed in the opening of the cervix or inside the uterus. The speculum then is removed.
- The transducer is placed in the vagina again. A sterile fluid is slowly passed through the tube. Cramping may occur as the fluid goes into the uterus.
What happens after the fluid is put inside the uterus for a sonohysterography?
- When the uterus is filled with fluid, ultrasound images are made of the inside of the uterus and the uterine lining.
- If the test is being done to assess your fallopian tubes, fluid containing bubbles is placed inside the uterus through the tube.
- The bubbles make the fluid easier to see. The pathway of the fluid through the fallopian tubes is noted on ultrasound.
What can I expect after a sonohysterography?
- Most women are able to go home right away and are back to their normal activities that day.
- Some of the following symptoms may occur after the test:
- 1. Cramping
- 2. Spotting or light bleeding
- 3. Watery discharge
What are the risks of a sonohysterography?
- This test is very safe, but there is a rare risk of pelvic infection.