Specialized examinations

Saline infusion sonography (sonohysterography).

Sonohysterography, sometimes known as saline infusion sonography, is minimally-invasive outpatient ultrasound technique that produces images of the inside of your uterus. a saline fluid allows for more detailed imaging, as it is injected through the cervix into the uterus. ultrasound is used to create images of the endometrial cavity.

It is preferable to perform sonohysterography one week after menstruation. at this time, the endometrium is at its thinnest—ideal for determining whether it is normal and healthy. the procedure should not be performed if the patient is pregnant.

How is the saline infusion sonography performed?

A transabdominal ultrasound examination will be performed prior to the saline injection. the patient will then be asked to assume the lithotomy position (lying on back with feet in stirrups). the sonologist/gynecologist will place a sterile speculum inside of the vagina. the cervix will be cleaned with a betadine solution and a small catheter (tube) will be inserted through the cervix and be allowed to rest inside of the cavity of the uterus. this may cause some mild cramping. once the catheter is in place the speculum will be removed. at this time the transvaginal ultrasound probe (which is covered with a disposable non -latex protective sheath) will be placed into the vagina. while the saline is being slowly injected into the cavity of the uterus images will be obtained. these images will assist in establishing a treatment/management plan for a patient’s specific condition.

Following the examination the patient will be asked to remain in the waiting area for several minutes to monitor any discomfort. over the counter medications should be able to minimize any discomfort that some women might feel. you may experience vaginal spotting following this procedure – this is entirely normal.

Once the ultrasound procedure is completed, you will be able to return to normal activity immediately.

You can expect this procedure to last about 30 minutes

Results:

Following your ultrasound, a sonologist will analyze the images and send a report to your health care provider. your health care provider will share the findings with you.

A follow up examination may be necessary to determine if treatment is working . your health care provider will explain if this is necessary.

Tubal Patency Ultrasound

Tubal patency ultrasound is a minimally invasive ultrasound technique that produces images of the inside of the uterus and fallopian tubes. a saline fluid mixed with air allows for more detailed imaging, as it is injected through the cervix and into the uterus and fallopian tubes. transvaginal ultrasound will be used to create images of the uterine cavity and tubes.

The referring physican will prescribe antibiotics to be taken before and after the procedure.

A transabdominal ultrasound examination will be performed prior to the saline/air injection.the patient will be asked to assume the lithotomy position (lying on back with feet in stirrups) the sonologist/gynecologist will place a sterile speculum inside of the vagina. the cervix will be cleaned with a betadine solution and a small catheter (tube) will be inserted through the cervix and be allowed to rest inside of the cavity of the uterus. this may cause some mild cramping. once the catheter is in place the speculum will be removed. at this time the transvaginal ultrasound probe (which is covered with a disposable non -latex protective sheath) will be placed into the vagina. while the saline/air is being slowly injected into the cavity of the uterus and images of the fallopian tubes will be obtained.

Following the examination the patient may be asked to remain in the waiting area for several minutes to monitor any discomfort. over the counter medications should be able to minimize any discomfort that some women might feel taht day. you may experience vaginal spotting following this procedure- this is entirely normal.

You can expect this procedure to last about 30 minutes.

It is recommended that you have a support person attend the appointment, if possible, in the event of moderate cramping that could, but rarely, occur.

Results:

Following your ultrasound, a physician will analyze the images and send a report to your health care provider. your health care provdier will share the findings with you.