This video shows a step by step procedure on how hysteroscopy is carried out. The sonohysterogram begins with slow injection of small amount of saline solution into the uterus to determine if there are any uterine abnormalities present. Mar 27, 20 this is a short tutorial by denise broderick, md for medical students and residents explaining the definition, indications, timing and considerations of a sonohysterogram. Diagnostic hysteroscopy is a commonly performed gynecologic procedure to evaluate the endometrial cavity.
It can spot fibroids, polyps, scar tissue, and more. Sonohysterogram, diagnosingevaluating polyps, endometreosis. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on youtube. A sonohysterogram is a diagnostic test during which your health care provider uses a vaginal probe ultrasound to evaluate the uterus after it has been filled, and expanded, with saline solution the uterine cavity is filled with sterile saline in. Receive accurate diagnosis and treatment by our specialists. Sonohysterogram what does sonohysterogram stand for. This is a short tutorial by denise broderick, md for medical students and residents explaining the definition, indications, timing and considerations of a sonohysterogram. Your sonohysterogram will typically be scheduled for the following week cycle day 6 through 11. Extreme obesity and impaired flexibility of the hips are factors that may prohibit a sonohysterogram 2.
The difference between a hysterosalpingogram hsg and a sono. A sonohysterogram shg is one procedure that can determine if the inside of a womans uterus is normally shaped. When there is a question about the tubes, a hysterosalpingogram is used. However, the two are distinct from each other and have some differences. In order to schedule a sonohysterogram, you will need to call with the first day of your period.
Im worried because i have never heard of anyone having pain like that during the test. Protips on how to survive the hsg procedure aka the tube test duration. A sonohysterogram is a procedure that gives your provider the opportunity to get a detailed look at the inside of your uterus. Had this done today, only felt catheter going through cervix. Instructions and user guide sonohysterography and sonosalpingography transvaginal ultrasound training model bpob1801 september 12, 2011 rev 2. About sonohysterogram during a sonohysterogram, a catheter is inserted. The saline infusion and sonohysterogram procedures are imaging tests that help. A sonohysterogram is an ultrasound exam of the uterus and fallopian tubes that can be used to investigate the cause of problems such as infertility, abnormal menstrual bleeding or cramping, or pelvic pain. Sonohysterogram preparation guide veterans affairs. Saline infusion sonohysterography sis or shg is a procedure to evaluate the uterus and the shape of the uterine.
Sonohysterogram chicago abnormal menstrual bleeding. Sonohysterography, also known as saine infusion sonography, is a special, minimally invasive ultrasound technique. Patients who may benefit from this technique include pre and postmenopausal women who have abnormal endometrial thickening, women who have submucosal fibroids, and women undergoing screening before in vitro fertilization. How does a sonohysterogram help in assessing female fertility. Download all the videos you want with the simple and smart downloader. Id say it depends on whether the re requires a full bladder for the procedure some do, some dont. This slightly distends the cavity and allows us to see if the wall and lining of your uterus is smooth or. Those on high deductible health plans or without insurance can shop, compare prices and save. The procedure cannot be performed in the presence of true cervical stenosis. Enter, wait for the web page to change, it will lead you straight forward to vdy website for the specific video you intended to download. Sonohysterogram is a method of assessing the endometrium and the shape of the cavity.
A saline sonohysterogram test is performed by a mrm physician. Remove your training model from its shipping container and make sure that you have received all of the items listed in chapter 3. This exam gives images of your uterus, uterine lining and ovaries. It is a simple, minimally invasive diagnostic procedure designed to provide a clearer look at the endometrial cavity the inside part of the uterus and its lining, the endometrium. What you need to know im going to try really hard not to sound like a text book, but until friday i didnt know exactly how serious and how important this test is. I had this on done by my obgyn cause i was having some spotting a week before my period and they wanted to check for fibroids. In 568 93% correctly performed procedures, no statistically significant differences. Sonohysterogram of an anterior to posterior uterine adhesion. Instillation of 10 to 20 ml of saline into the uterus to enhance ultrasonic imaging and help determine the cause of abnormal uterine bleeding, female infertility, or to identify uterine masses. Oct 08, 20 fortunately, a sonohysterogram is considered a very safe procedure. Saline sonohysterogram michigan reproductive medicine.
Mar 28, 20 complications of shg include failure to complete the procedure owing mainly to patient noncompliance 7% of patients, pelvic pain 3. Please advise if this is the correct way of billing this procedure. The difference between a hysterosalpingogram hsg and a. If you have the app, it should be in the start menu in windows, or the applications folder on macos if you dont already have vlc, you can download it for free at if opening vlc prompts you to update the app, follow the onscreen instructions to do so. A sonohysterogram is a procedure that combines the use of highresolution endovaginal ultrasound with the infusion of sterile saline into the uterineendometrial cavity, creating an enhanced view of the endometrium. A uterine ultrasound can give doctors a clear picture of whats going on inside. A sonohysterogram is a noninvasive way to visualize the uterine cavity in screening for uterine abnormalities. A sonohysterogram is a minimally invasive ultrasound imaging also called sonography procedure that allows a radiologist to examine the interior of the uterus and its lining endometrium. The saline provides a black background against which abnormalities in the uterine cavity can be seen clearly on ultrasound. Mine did, and for that reason i found the shg very uncomfortable.
Depending on your condition, your doctor may use one or both of these procedures to diagnose your infertility. It is also used to assess uterine abnormalitys like bicornuate or septate uterus in women with history of recurrent miscarriages or premature. Sonohysterogram infertility test saline ultrasound. Sonohysterography is a procedure used to visualize the presence of any lesions inside the uterine cavity. A rare complication of any procedure which involves infusion of fluid into the uterus e. Hysterosalpingogram hsg and sonohysterograms are two very commonly used medical processes used by professionals in the field of medical diagnosis. I promised you that i was going to write this after the appointment, but i needed time to deal with the massive amount of information and emotions. Sonohysterography usual and unusual findings youtube.
Our office performs sonohysterograms and we are coding as follows. Sonohysterography technique and indications news medical. Click the videos address in the bar at the top of your browsers window, then add the word vd before the youtube part in the address and then press. A very small amount of sterile fluid is inserted into the cavity of the uterus. Sonohysterogram can it detect blocked fallopian tubes. Sonohysterography definition of sonohysterography by. I hope this is helpful to those who are about to go through this little procedure. Dec 01, 2017 saline infusion and sonohysterogram procedure is extremely safe and is a reliable way to identify the occurrence of polyps, fibroids, congenital defects and other malformations in the uterus. Sonohysterogram is a procedure where fluid saline is administered through a small catheter placed through the cervix in the uterus and ultrasound is utilized to image the cavity of the uterus. The saline ultrasound procedure will be scheduled when you are not having your menstrual period.
Illustrated pamphlets are easy to download and share with patients. Sonohysterography shg, which provides enhanced endometrial visualization during standard transvaginal ultrasonography, is a relatively safe procedure for the evaluation of endometrial pathology. The dark shaded, fluid filled uterine cavity, is outlined in yellow. Hysterosalpinogram is a procedure to used to visualize the uterus and fallopian tubes. For looking at the uterus only, a sonohysterogram is a good choice because it. A sonohysterogram uses ultrasound to look at the inside of your uterus. The procedure for performing a sonohysterogram is very simple and usually takes about 5 minutes. For more free medical education and nursing videos, visit our medical education websites at. A sonohysterogram doesnt show how well the fallopian tubes are working. The saline administered expands the uterine cavity therefore revealing findings that may normally not be visualized by ultrasound alone. Receive accurate diagnosis and treatment by our specialists a sonohysterogram uses ultrasound to look at the inside of your uterus. Saline infusion sonohysterography is a useful adjunct to transvaginal ultrasonography for the evaluation of the endometrial cavity. This procedure is brief and can be completed in the northwestern womens health associates office.
That procedure is called an hsg this is done when the put a type of dye through there to check the flow in your tubes. Saline infusion sonohysterography has a 75% sensitivity and 93% specificity for the detection of uterine adhesions 29,34,35,36. If you are bleeding, the results may not be as clear. It was one of the most painful things ive had to do. If you are presently on oral contraceptives birth control pills your sonohysterogram can be scheduled for any day that you are not bleeding. A sonohysterogram is an important part of a female infertility assessment and is an extension of a pelvic ultrasound that allows the patient to have uterine, uterine cavitary and tubal patency evaluation all within in the same test. Sonohysterogram done in this video i give a brief update as it relates to my shg and discuss my feelings about waiting an additional month before my transfer.
Sonohysterogram also known as sonohysterogram or saline ultrasound is a procedure used primarily to visualize the uterus. A sonohysterogram is a special kind of ultrasound that evaluates the inside of your uterus. Before, during and after the procedure, the physician will answer your questions. I have been told that it should be relatively painless close to menstrual cramps. Preprocedurally, non steroidal anti inflammatory drugs and antibiotics may be administered. Can be done in the doctors office, rather than at a radiology centre or hospital.
While saline infusion and sonohysterogram procedure involves minimum risk and side effects, there is a little discomfort experienced by the patients. This diagnostic tool serves to evaluate polyps, fibroids, endometrial atrophy, endometrial adhesions or scarring, malignant lesionsmasses and. Sonohysterography shg has recently become a widely used method for studying both the uterine cavity and tubal patency. This procedure is usually performed to investigate potential.
Sonohysterogram is a procedure in which a small amount of sterile saline is injected in the uterine cavity. Subscribe now to download acogs guidancebased english and spanish patient education pamphlets. I felt a tiny bit of cramping when they inserted the catheter into the uterus and a little cramping and pressure when they flushed the saline through. Doctors order a salineinfusion sonogram, or sis also known as a sonohysterogram, shg or water ultrasound as a diagnostic tool to check for problems inside the uterus.
Edward zbella explains a saline sonogram procedure as it is performed to evaluate the uterus. Why it is done a sonohysterogram is a noninvasive way to visualize the uterine cavity in screening for uterine abnormalities. It is commonly performed when the lining of the uterus is thickened, for suspected polyps and women on tamoxifen. A doppler ultrasound study may be part of a sonohysterography examination. The test may be postponed until the bleeding stops. Doppler ultrasound is a special ultrasound technique that evaluates blood as it flows through a. Prior to performing the procedure, the size of the cavity can be demonstrated using sounding, hysteroscopy, or saline sonohysterogram. Determining the best catheter for sonohysterography fertility and. Jun 03, 2009 a sonohysterogram, detects any abnormalities in your uterus, as they put in saline solution to check for those things. The doc seemed to also have trouble getting the catheter through my cervix. Im going to try really hard not to sound like a text book, but until friday i didnt know exactly how serious and how important this test is. A sonohysterogram is also is done before and after some surgical procedures.
Sonohysterogram is listed in the worlds largest and most authoritative dictionary database of abbreviations and acronyms. You may have this test done during fertility testing, just before ivf, or when you have symptoms of possible uterine abnormalities. Since diagnostic ultrasound uses only sound waves, no harmful effects are currently known. Sonohysterogramwhat you need to know and my results. A sonohysterogram, detects any abnormalities in your uterus, as they put in saline solution to check for those things. Oct 30, 2012 i had the saline sonogram and saline hsg, back to back. Sonohysterography ultrasound of the uterus saline infusion. A hysterosalpingogram hsg also checks for uterine problems as well as determining if the fallopian. Both of them are nonsurgical ways of viewing the females internal reproductive system, especially during pregnancy. It provides pictures of the inside of a womans uterus. You will be given an appointment for some time point after the bleeding from the period has ended but before it is thought that ovulation might occur. In patients with significant uterine retroversion, partially filling the bladder or manipulating the uterus with the. Aug 30, 2017 to ensure your safety, notify your doctor if you experience severe or intensifying pain, a change in vaginal discharge, or a general feeling of unwellness following the procedure.