Ultrasound and Sonohystogram

Ultrasound, also called sonography or ultrasonography, uses high-frequency sound waves to produce medical images. Saline-infusion sonohysterography is a procedure that allows a more detailed view of the inner lining of the uterus (endometrium) than is possible with standard pelvic ultrasound. 

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There are different types of ultrasound exams that can be performed. At Women's Wellness Place the most common type of ultrasound for gynecology is a transvaginal ultrasound. This will provide your physician with diagnostic information of your uterus and ovaries. This exam is also used to see the cervix more clearly on expectant mothers.

A transvaginal ultrasound employs the use of an internal ultrasound probe which is inserted into the vagina about as far as a tampon. You may experience slight discomfort during this exam such as pressure or a feeling of having to urinate.

Another type of ultrasound exam is a pelvic ultrasound which provides diagnostic information of your uterus and ovaries. This exam is also used on pregnant patients during their 2nd and 3rd trimesters to assess the status of the unborn baby.

A pelvic ultrasound employs the use of a curved transducer which is run across your lower abdomen with some slight pressure applied.

Women's Wellness Place also offers 3D ultrasounds for expectant mothers. This technology employs the use of a curved 3D probe which is run across your abdomen to obtain images of your unborn baby. These images differ from 2D in that you are able to see more of the facial features. These exams are best performed between 28 and 32 weeks gestation when your baby has a good amount of fat and muscle developed.

A speculum is placed into the vagina to visualize the cervix. The cervix is cleaned with betadine, stabilized and a small catheter is placed into the cervical canal. Some cramping is common during this procedure.

A small balloon at the tip of the catheter is then inflated to hold the catheter in place. The speculum is removed from the vagina and the transvaginal ultrasound probe is then inserted into the vagina. A baseline sonogram is then performed. 

Once completed, saline is then placed through the catheter and into the uterus. This may cause mild cramping. The entire procedure is very quick, typically less than 5 min. Once done, the catheter is removed.

Your provider will discuss these findings with you and develop a plan for any possible next steps.