A sonohysterogram is an ultrasound procedure used to diagnose uterus and endometrial abnormalities. It can help to pinpoint areas of concern for abnormal uterine bleeding, fibroids, or polyps. Ultrasound does not use radiation. Ultrasound images are used to show the structure of the uterus and endometrium and it's thickness.
Wear a loose fitting two piece outfit. Timing of your exam is essential and should be performed 4 to 8 days after the beginning of your period. Cramping is common, so we recommend taking up to 600 milligrams of ibuprofen 30 minutes before the exam.
Our technologist will take a brief medical history and you will be asked to disrobe from the waist down and to put on a gown. You will be asked to lie down face up on the examination table. The radiologist will insert a speculum into your vagina to access the cervix. The cervix is sterilized and a flexible catheter is passed through the opening of the cervix. The speculum is removed and a vaginal ultrasound camera (probe) is inserted into the vagina.
The ultrasound probe takes pictures of the uterus measuring endometrial thickness and shape. Sterile saline is injected into the uterus, enlarging the cavity. Saline outlines the lining and allows for easy visualization. After several images are obtained, the probe is removed. Cramping, similar to that experienced during menses is common after the exam.
This exam typically takes 60 minutes to complete.
You may experience cramping and or spotting and a watery discharge for one to two days following the procedure.
A radiologist will discuss the results with you. Additionally, your referring physician will receive a report within one business day.