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Procedures Center

Women's Imaging Center

Computer Aided Detection (CAD)

Bone Density Measurements/DEXA

Hysterosonography

Mammography

Ultrasound

Hysterosonography

Hysterosonography is a minimally invasive ultrasound technique used in women to view the inside of the uterus. Sterile saline is injected into the endometrial cavity through a small catheter while a transvaginal ultrasound is performed. This allows real-time imaging of the uterus as the saline is put inside. The saline fills and distends (expands) the endometrial cavity, providing a good visualization of the anatomic structures within.

A sterile speculum will be inserted as the patient lies on her back with her feet in stirrups. The cervix will be cleansed, and a catheter will be inserted into the uterine cavity. Once the catheter is in place, the speculum will be removed, and the transvaginal probe will be inserted into the vaginal canal. Sterile saline will then be injected into the catheter as ultrasound is being performed. The average time to perform hysterosonography is 10-15 minutes.

Hysterosonography should not cause any significant pain or discomfort. You may feel occasional cramping as a result of saline introduction, but over-the-counter medication should be sufficient to minimize any discomfort associated with the procedure.

It is best to perform hysterosonography one week after menstruation to avoid the risk of infection. Hysterosonography should not be performed if you are pregnant.