Sonohysterography

 

What are the common reasons for having this examination?

  • Suspected abnormalities of the uterus - either ones you were born with or new ones eg. fibroids. 
  • Further evaluation of abnormalities seen on transvaginal scan eg. in women receiving tamoxifen therapy for breast cancer
  • Investigation of sub-fertility and recurrent miscarriages
  • If the lining of the uterus was not able to be seen clearly on routine scanning

You should not have the procedure if you are pregnant or may be pregnant at the time of the examination or you have acute pelvic infection or unexplained pelvic tenderness which may be due to pelvic inflammatory disease.

This technique is used to detect abnormalities of the uterus and the endometrium. Essentially a small amount of fluid is injected into the uterus through a fine tube to outline the uterine cavity.

 

Will I need an anaesthetic?

Whilst you may experience some mild discomfort, this is not a painful procedure and therefore no anaesthesia is required. Some patients find a single dose, 1 hour prior to the procedure, of simple analgesia eg. Naprogesic helpful.