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Hysterosonogram Patient Information

Hysterosonography is a noninvasive technique that involves the slow infusion of sterile saline solution into the uterus during ultrasound imaging. Hysterosonography allows the physician to evaluate abnormal growths inside the uterus; abnormalities of the tissue lining the uterus (the endometrium); or disorders affecting deeper tissue layers. In certain cases, it can be used to evaluate the fallopian tubes. Hysterosonography does not require either radiation or contrast media, or invasive surgical procedures.

What will happen during the procedure?

  1. An ultrasound will initially be performed.
  2. A Radiologist will be performing the procedure. The doctor will insert a speculum into the vagina.
  3. A catheter will be inserted through the speculum into the cervix.
  4. A tiny balloon at the tip of the catheter will act as a stopper while fluid is injected into the endometrium. This fluid will allow us to better visualize the uterine cavity and lining.
  5. The sonographer will then re-insert the probe and document any findings.


Studies must be performed within 10-14 days of the first day of the menstrual cycle but after your period is over and bleeding has stopped.

If your cycle is unpredictable or bleeding is prolonged, please discuss the procedure with your physician.

Please refrain from intercourse from the time your period begins until after the exam is performed so there is no chance of pregnancy. If there is any chance you may be pregnant please perform a pregnancy test prior to the procedure.

Please inform us if you have a history of Pelvic Inflammatory Disease (PID).

To minimize pain and cramping during the procedure, we offer our patients ibuprofen and 5 mg of oxycodone 1 hour prior to the procedure. Please notify us of any allergies. We also suggest the patient take 600 mg of Ibuprofen at home 3 hours before the procedure.

To minimize the risk of post procedural infection, we prescribe a short course of antibiotic (doxycycline) for 3 days post procedure.  Please take the pills with food and notify us of any allergies.

You must have someone to drive you home (you cannot drive after taking oxycodone).

Post Hysterosonogram Instructions

  1. In the majority of cases, there is no discomfort except for mild cramping.
  2. For relief, take a nonsteriodal anti-inflammatory medications (e.g. Advil, Motrin or Ibuprofen) or tylenol. Nothing should be inserted into the vagina for 24 hours (no tampons or douching).
  3. Avoid heavy lifting or excercise for 24 hours.
  4. In the event that you develop fever, pain (greater than normal menstruation pain), or excessive bleeding, please contact your doctor directly. This may be a sign of infection.

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