The test will take about 15 to 30 minutes.Most of the saline solution will leak from your cervix and vagina. A sonohysterogram can help your provider see problem areas in your uterus and uterus lining (endometrium) that may be causing unwanted symptoms, like bleeding, pelvic pain and infertility. Ultrasound images are taken and reviewed.Īfter the test, the ultrasound wand and then the tube are removed. With a sonohysterogram, an ultrasound records structures and shapes inside your uterus while your uterus is filled with saline. Doctors perform an SHG by placing a small catheter inside the uterus and filling it up with a moderate amount of saline, or salt water. Onscreen, the ultrasound image shows the inside of your uterus while saline solution is injected through the tube into the uterus. The doctor then removes the speculum and places the ultrasound wand again. Transvaginal ultrasound while the uterus is filled with fluid. Sonohysterogram is an ultrasound combined with installation of saline into the uterus that is used to detect abnormalities in the uterine cavity such as.Then a flexible tube (catheter) is put in the cervix or through the cervix into the uterus. The speculum opens the vagina a little bit, allowing your doctor to see the cervix. Next, your doctor places a tool called a speculum into your vagina. It will slowly be moved to take pictures from different angles and then is removed. A thin ultrasound wand with gel on it is gently placed into your vagina. Then you lie back with your feet and legs supported by footrests.Ī sonohysterogram is done in several steps. You are given a gown or sheet to cover up with during the test.įor the test, you sit on the edge of a padded table. You then take off your clothes below the waist. Patients are advised to report any post-procedure abnormal bleeding, abdominal pain or fever to their doctor.Ĭontact us for more information about SHG.A sonohysterogram can be done in a doctor's office, a hospital, or a clinic.īefore the test, you empty your bladder. Most women are familiar with ultrasound (also called a sonogram), a prenatal test for pregnant women which uses sound waves. Computed tomography The CT scan is an x-ray test that makes detailed cross-sectional images of your body. This lets the doctor see changes in the uterine lining more clearly. SHG is a low-risk procedure that may cause mild spotting and cramping that usually responds well to ibuprofen. For an sonohysterogram or saline infusion sonogram, salt water (saline) is put into the uterus through a small tube before or during the transvaginal ultrasound. This information is then used to develop a course of treatment for the patient. The saline highlights any irregularities in the uterus, including fibroids, polyps, scar tissue and other abnormalities, giving the physician a better idea of their size. The SHG is performed at the clinic and is usually completed in about 15 minutes. Patients should receive specific instructions for their physician's office. Due to cramping associated with SHG, patients are told to take ibuprofen just before the procedure. The SHG is performed in the days following the end of menstruation and before ovulation occurs, which allows for optimum viewing of the uterine walls. Patients with active pelvic inflammatory disease (PID) should not undergo SHG. DX, diagnosis EM, endometrium PM, postmenopause SIS, saline-infused sonohysterogram. SHG can detect all of these conditions and minimize the need for invasive diagnostic procedures like biopsies and dilation and curettage (D&C). Saline infusion sonohysterography (SIS) is a simple, low-cost, minimally invasive procedure with a high level of diagnostic accuracy. The saline infusion sonogram is usually scheduled early in a menstrual cycle, just after your period stops but before ovulation usually between days 5-10 of the cycle. SHG is a noninvasive procedure that does not involve the radiation and contrast dye used in a hysterosalpingogram or HSG.įertility problems are sometimes caused by polyps, fibroids or adhesions (bands of tissue) inside the uterus. SHG is used to evaluate uterine abnormalities and the endometrium (uterine lining) as well as other disorders. This procedure begins like a transvaginal ultrasound with the addition of a slow introduction of saline into the uterus. SHG is shorthand for sonohysterogram, a saline infusion sonogram (also known as SIS) that is performed in the office.
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