Sonohysterogram is a low-risk ultrasound procedure that diagnoses uterine abnormalities, often used for infertility and abnormal bleeding. Saline infusion inflates the uterus to detect abnormalities better. The procedure takes five minutes and is done in a doctor’s office. It must be timed with a woman’s menstrual cycle for best results.
A sonohysterogram is a type of ultrasound that is used to diagnose abnormalities of the uterus. This procedure is often used to determine if uterine abnormalities are present that could be preventing a healthy pregnancy. Ultrasound sonohysterography is a very low-risk procedure and is more effective than conventional ultrasound at detecting structural abnormalities in the uterus.
Conventional ultrasound uses sound waves to generate images of the inside of the body. In an ultrasound, a device called a transducer is passed over the skin. The transducer emits sound waves that bounce off body tissue, producing echoes that differ according to the type of tissue and the distance between the tissue and the transducer. The ultrasound unit uses this information to generate an image of the tissues inside the body.
The sonohysterogram works on the same principle, but uses a different type of probe. Another difference is that the saline solution is infused into the uterus. The saline infusion improves the ultrasound unit’s ability to create accurate images of the inside of the uterus, as the saline infusion inflates the uterus. This causes the uterine walls to separate and allows for easier detection of abnormalities.
The sonohysterogram procedure is very quick and only takes about five minutes to complete. This is an outpatient procedure that can be done in a doctor’s office or fertility clinic. During this procedure, a speculum is used to widen the cervix so the doctor can pass a catheter into the uterus. The saline solution is infused through the catheter into the uterus and an ultrasound probe is inserted into the vagina. During the ultrasound process, the probe can be manipulated to show different views of the uterus. It’s common to experience some cramping during and after the ultrasound; for most women, ibuprofen is sufficient for pain relief.
Saline sonohysterography is generally recommended for women who have had trouble conceiving or have been unable to carry a pregnancy to term. Also, women with recurring menstrual problems or abnormal bleeding may have a sonohysterogram. This ultrasound test can diagnose problems such as fibroids, polyps, and scar tissue. All of these problems can lead to infertility, miscarriage, or abnormal vaginal bleeding.
An important consideration when performing sonohysterography is that the procedure must be carefully timed to coincide with a particular point in a woman’s menstrual cycle. For best results, this test should be done between the end of a period and the start of ovulation. This is because the uterine walls are thinnest during this part of the menstrual cycle, which makes abnormalities easier to detect.
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