If you have abnormal bleeding, especially after menopause, repeated miscarriage, or difficulty becoming pregnant, your doctor may recommend a special uterine ultrasound called sonohysterography. This test provides a clearer view inside the uterus and can identify problems not visible on a routine ultrasound.
The test is commonly used to detect abnormal growths such as fibroids or polyps. It can also identify scar tissue or an abnormal uterine shape.
How Is Sonohysterography Performed?
First, the doctor performs a transvaginal ultrasound by inserting a slender ultrasound probe into the vagina to obtain images of the uterus. The probe is then removed, a speculum is used to view the cervix, and a thin catheter is inserted into the uterus. The speculum is removed, the ultrasound probe is reinserted, and sterile fluid, usually saline, is passed through the catheter to expand the uterus. The doctor then uses the probe to examine the uterine cavity and lining.
The procedure takes about 15 to 30 minutes. Mild discomfort may occur when the fluid is introduced.
Do I Need a Sonohysterogram?
Your doctor will determine whether the test is appropriate. It is generally not performed during menstruation or pregnancy. A pregnancy test may be required beforehand for safety.
What Do the Results Show?
A normal result means the uterus has a normal shape and no abnormal growths were found.
An abnormal result may show fibroids, polyps, scar tissue, or an abnormal uterine shape. Your doctor will discuss suitable treatment options if a problem is found.
How Will I Feel After the Test?
You can drive yourself home, but may have mild abdominal cramping, light bleeding, or watery discharge for a few days. The risk of infection is very low. Some doctors recommend avoiding anything in the vagina for several days.
Knowledge | Do You Need a Sonohysterogram?
Knowledge | Do You Need a Sonohysterogram?
If you have abnormal bleeding, especially after menopause, repeated miscarriage, or difficulty becoming pregnant, your doctor may recommend a special uterine ultrasound called sonohysterography. This test provides a clearer view inside the uterus and can identify problems not visible on a routine ultrasound.
The test is commonly used to detect abnormal growths such as fibroids or polyps. It can also identify scar tissue or an abnormal uterine shape.
How Is Sonohysterography Performed?
First, the doctor performs a transvaginal ultrasound by inserting a slender ultrasound probe into the vagina to obtain images of the uterus. The probe is then removed, a speculum is used to view the cervix, and a thin catheter is inserted into the uterus. The speculum is removed, the ultrasound probe is reinserted, and sterile fluid, usually saline, is passed through the catheter to expand the uterus. The doctor then uses the probe to examine the uterine cavity and lining.
The procedure takes about 15 to 30 minutes. Mild discomfort may occur when the fluid is introduced.
Do I Need a Sonohysterogram?
Your doctor will determine whether the test is appropriate. It is generally not performed during menstruation or pregnancy. A pregnancy test may be required beforehand for safety.
What Do the Results Show?
A normal result means the uterus has a normal shape and no abnormal growths were found.
An abnormal result may show fibroids, polyps, scar tissue, or an abnormal uterine shape. Your doctor will discuss suitable treatment options if a problem is found.
How Will I Feel After the Test?
You can drive yourself home, but may have mild abdominal cramping, light bleeding, or watery discharge for a few days. The risk of infection is very low. Some doctors recommend avoiding anything in the vagina for several days.
Contact your doctor immediately if you develop:
Fever over 100.4°F (38°C)
Foul-smelling discharge
Heavy bleeding
Pain not relieved by over-the-counter medication
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