Women's Health Texas – San Antonio


Sonohysterography is a type of diagnostic ultrasound examination

When women come to Women’s Health Texas with complaints about irregular bleeding or infertility, our San Antonio OBGYNs may recommend sonohysterography. This ultrasound exam allows medical personnel to view the uterus with ultrasound technology. It can detect various problems inside the uterus.

  • Fibroids
  • Polyps
  • Scar tissue
  • Issues with the uterine lining
  • Abnormal uterine shape

This ultrasound examination is also helpful during fertility evaluations. This is because it can detect whether a woman’s fallopian tubes are open or blocked.

What to expect before sonohysterography

Sonohysterography is not appropriate for all women. Our San Antonio OBGYNs cannot schedule the exam for women who are pregnant, allergic to latex or have a pelvic infection. In women who are still menstruating, the exam must occur after a woman’s period ends for the month, but before ovulation occurs.

Our physicians recommend that women take ibuprofen about one hour before the appointment to help with cramping. Women should also wear a sanitary pad after the exam because saline fluid will drain out of the uterus.

What to expect during and after the procedure

Sonohysterography takes place at our office. It usually lasts about a half hour and it involves several steps.

  • The woman first empties her bladder. She will then lie on an exam table for the initial transvaginal ultrasound. During this exam, a slim device called a transducer is covered with a thin protective layer and gel. The transducer is gently placed inside the woman’s vagina and the device transmits images to a screen.
  • After the transvaginal ultrasound, medical personnel place a speculum and a thin tube into the vagina. Once this tube is in place, our team removes speculum and puts the transducer back into place.
  • Once medical personnel place the transducer in the woman’s vagina, they inject sterile saline fluid. Then, a second transvaginal ultrasound is performed while the uterus is filled with fluid. By performing the examination while the uterus is full of fluid, medical personnel can see more detail.

After the procedure, women will experience a watery discharge as the saline solution leaves the uterus. Some women may experience cramping or light bleeding.

Sonohysterography is a safe procedure, and complications such as infections are extremely rare. If women notice fever, pain or any change in vaginal discharge after the procedure, they should call our San Antonio OBGYNs.

If you’re having medical issues such as irregular bleeding, contact us for an appointment. A sonohysterography can help our physicians diagnose and treat the problem.