The HSG they look through an X-ray and watch the dye but with the saline sono they leave the saline in and do a vaginal sonogram to see in there.
The patient should refrain from intercourse for approximately 48 hours. With both they use a catheter to inject either saline or dye (HSG). The patient may also experience light spotting or watery discharge for as long as 24 hours after the procedure. After the procedure the patient may continue to have mild cramping for a few hours. Pictures of the ovaries may also be taken. Several images of the uterus will be taken during the procedure. Materials and methods This study was performed in our Clinic of Obstetrics and Gynecology between March and August 2011. Our aim was to investigate the optimal analgesic method in saline infusion sonograms. The patient may experience mild cramping at this point. Operations performed with local anesthesia can sometimes be extremely painful and uncomfortable for patients. This distends the endometrial cavity and allows the physician to see the entire cavity on the ultrasound monitor. Sterile saline flows through the catheter into the uterine cavity. The ultrasound probe is then placed in the vagina. A special catheter approximately 1mm in diameter (about the size of a single strand of spaghetti) is inserted through the cervical canal. A speculum is inserted into the vagina and the cervix is cleansed with an antiseptic solution. The procedure is simple and usually takes 10 to 15 minutes to complete. The saline infusion sonogram is usually scheduled early in a menstrual cycle, just after your period stops but before ovulation – usually between days 5-10 of the cycle. It may also be done to evaluate causes of irregular or very heavy menstrual cycles and some types of chronic pelvic pain. This procedure may be done as part of an evaluation for recurrent pregnancy loss or done prior to an IVF cycle. Some women have some period-like pain during or. Scar tissue may also be identified with the saline infusion sonogram. Sonohysterography does not require hospitalisation, anaesthetic or analgesia. Benign uterine growths, such as polyps or uterine fibroids, may develop in the cavity and create an environment that is hostile for implantation of an embryo. A saline infusion sonogram is routinely performed to make sure that the endometrial cavity (inside of the uterus) is normal.
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