Hysterosonography
Hysterosonography, also known as sonohysterography, is a diagnostic technique that utilizes ultrasound imaging to assess the uterus and the lining of the uterine cavity. This minimally invasive procedure provides crucial information about the uterus, assisting healthcare providers in diagnosing and monitoring various gynecological conditions. During hysterosonography, a sterile saline solution is introduced into the uterus. This saline infusion helps to expand the uterine cavity, enhancing the clarity of the ultrasound images of the uterine lining. The combination of the saline and ultrasound allows for better visualization of any potential abnormalities within the uterus, facilitating accurate diagnosis and assessment of conditions affecting women's reproductive health.
About Hysterosonography
Hysterosonography is performed for various reasons, including:
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Evaluation of Abnormal Uterine Bleeding: This procedure can help identify the underlying causes of abnormal uterine bleeding, such as polyps, fibroids, or other structural abnormalities in the uterus.
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Assessment of Uterine Abnormalities: It is effective in detecting and evaluating uterine conditions, such as a uterine septum (a congenital abnormality where the uterus is divided by a septum) or intrauterine adhesions (scarring within the uterus).
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Monitoring of Fertility Treatments: Hysterosonography is useful for assessing the uterine cavity and monitoring the response to fertility treatments, including in vitro fertilization (IVF).
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Localization of Intrauterine Devices (IUDs): The procedure can also be used to locate and evaluate the position of an IUD within the uterus.
The specific indications for hysterosonography will depend on the individual’s symptoms and medical history.
Procedure of Hysterosonography
The hysterosonography procedure generally follows these steps:
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Preparation: The patient will be asked to empty their bladder before the procedure begins.
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Positioning: The patient is positioned on an examination table, similar to a pelvic exam.
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Speculum Insertion: A speculum is gently inserted into the vagina to allow visualization of the cervix.
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Cleansing and Numbing the Cervix: The cervix may be cleansed with an antiseptic solution, and a local anesthetic may be applied to minimize discomfort.
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Saline Infusion: A thin catheter is inserted through the cervix into the uterine cavity. A sterile saline solution is then slowly infused through the catheter to expand the uterine cavity.
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Ultrasound Imaging: An ultrasound probe is placed on the abdomen or inserted into the vagina to obtain detailed images of the uterine lining. The healthcare provider will carefully examine the uterine cavity and document any relevant findings.
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Completion of the Procedure: After the imaging is complete, the catheter is removed, and the patient can typically resume normal activities.