What is a Hysterosonogram ?

The Hysterosonogram is an ultrasound that can determine if the cavity of the uterus is normal or abnormal (Saline Infusion Sonogram).

Exam procedure

Your physician has asked that you undergo a procedure known as a Saline Infusion Sonogram. This is an ultrasound guided test, which looks at the lining of your uterus and possibly the Fallopain tubes as well.

The test involves a speculum examination (like for a Pap smear). The speculum examination allows access to the cervix (opening of the uterus). The cervix is seen and cleansed with an antiseptic. A very small catheter (a tube) is then placed through the cervix into the uterus. The speculum is then removed from the vagina and an ultrasound probe is placed into the vagina. While watching the uterus with ultrasound, a small amount of sterile saline (salt water) is injected slowly through the catheter into your uterus. This fills the uterus with saline and highlights any polyps or fybroids that may be inside the uterine cavity and might interfere with your chances of becoming pregnant. Once the uterine lining has been seen, tiny bubbles of agitated saline will be placed in the uterus. The bubbles allow the tubes to be seen. This part of the test can tell us if the tubes are open.

During the procedure, you may feel some discomfort as the catheter is placed into and through the cervix and as well when the small amount of salt water is injected into the uterus. This may cause some cramping. By and large, this cramping is minimal and stops as soon as the procedure is finished. However, the majority of patents find this test very comfortable and have minimal to no discomfort.