A sonohysterogram is a diagnostic test during which your health care provider uses a vaginal probe ultrasound to evaluate the uterus after it has been filled, and expanded, with saline solution.

The uterine cavity is filled with sterile saline in order to improve detail of images in the uterine cavity. Abnormalities such as polyps and fibroids can usually be identified.

The sonohysterogram is usually performed in the first part of the menstrual cycle after menstruation. The procedure is performed in your doctor’s office and involves only minor discomfort.

We advise patients to take 600mg of Ibuprofen 30 minutes prior to the procedure to minimize cramping symptoms.

A sonohysterogram should not be performed in women who are pregnant or who are suspected to be pregnant. Additionally, it should not be performed in women with active pelvic infections or unexplained pelvic tenderness.

A sonohysterogram is a very safe procedure. The most common complication of a sonohysterogram is a pelvic infection, although this occurs less than 1 percent of the time and usually in the presence of preexisting pelvic disease.