How Does a Hysterosonogram Diagnose Infertility Issues?

Dr. Randy Morris

How Does a Hysterosonogram Diagnose Infertility Issues?

Dr. Randy Morris

Hysterosonogram is one of the most common procedures used to diagnose female infertility problems. It can be performed in the doctor's office, and has a very low risk of side effects. Below, we will take a look at how hysterosonogram can be used to diagnose fertility issues, as well as what treatments might be appropriate for different fertility problems.

How Hysterosonogram Works

Hysterosonogram is sometimes referred to as a saline ultrasound. The procedure is used to examine the uterine cavity, and it is important to have a sonohysterogram or a similar procedure before having an IVF cycle. Sonohysterogram is much more effective at identifying uterine wall abnormalities than a simple ultrasound.During a hysterosonogram, the doctor inserts a catheter through the cervix and inflates a balloon to keep the catheter in place. Then, saline or another solution is injected through the catheter into the uterus. The saline fills out the uterus, like a balloon, making it easier to examine the walls of the uterus and identify abnormalities. Then, an ultrasound is performed to visualize the uterus. Sonohysterogram is much less invasive and expensive than hysteroscopy, which was previously the diagnostic procedure of choice. Thanks to advances in technique, hysterosonogram is nearly as effective as hysteroscopy, without the downsides associated with that procedure.

What Conditions Can be Diagnosed

According to research, sonohysterogram can detect over 90% of uterine abnormalities, which allows doctors to treat any problems before going through with an IVF cycle. For that reason, it is commonly used to diagnose the cause of infertility, recurrent miscarriage, or abnormal vaginal bleeding.Some abnormalities that can be detected with sonohysterogram include:

  • Polyps
  • Scar tissue
  • Fibroids
  • Uterine septum
  • Bicornuate uterus

What to Expect

Sonohysterogram is a simple procedure to perform. It can be done in the office in just a few minutes, and in most cases no medication is required during the procedure. After the procedure, you may feel mild to moderate discomfort and cramping, which can be treated with over-the-counter medications. You can return to most normal activities immediately, but your doctor may instruct you to abstain from intercourse for a day or two. There is a small possibility of side effects, such as infection or bleeding, with this procedure, as with any procedure. However, the overall risk of side effects is very low, and most side effects are mild and treatable. Your doctor will only recommend a sonohysterogram if he believes that the benefits outweigh the risks in your case. Dr. Randy Morris would be happy to meet with you about your infertility. To schedule your consultation today, please click below and enter your information or call IVF1 at (630) 357-6540.