Sonography hysterography is an exam that allows the gynecologist to observe the inside of the uterus, facilitating the identification of possible lesions, such as fibroids, endometriosis or polyps, for example.
In the sonography hysterogram it is also possible to observe whether the uterine tubes are obstructed or not, which can happen in cases of infertility.
This exam is carried out by the gynecologist in hospitals, imaging clinics or in the gynecological office, and can be carried out by the SUS, some health plans or privately.
What is it for
Indications for hysterosonography include:
- Suspicion or identification of lesions in the uterus, mainly fibroids, which are small benign tumors that develop little by little and can cause large hemorrhages and consequently anemia;
- Differentiation of uterine polyps;
- Investigation of abnormal uterine bleeding;
- Assessment of women with unexplained infertility;
- Repeated abortions.
This exam is only recommended for women who have already had intimate contact and the ideal period to perform the exam is in the first fortnight of the menstrual cycle, when you are no longer menstruating.
However, sonohysterography is contraindicated in pregnancy or if it is suspected and in the presence of vaginal infections.
How is done
The sonohysterography exam is carried out with the woman in the gynecological position, similar to collecting a Pap smear and according to the following steps:
- Insertion of a sterilized speculum into the vagina;
- Cleaning the cervix with an antiseptic solution;
- Introduction of a catheter to the bottom of the uterus, as shown in the image;
- Injection of sterile saline solution;
- Removal of the speculum;
- Insertion of the ultrasound device, the transducer, into the vagina that emits the image of the uterus on the monitor, as shown in the image.
Furthermore, in women with a dilated or incompetent cervix, a balloon catheter can also be used to prevent the saline solution from flowing back into the vagina. After carrying out this examination, the gynecologist will be able to indicate the best form of treatment to combat the damage to the uterus identified in the examination.
Hysterosalpingography is an exam that, in addition to the uterus, can better observe the tubes and ovaries, and is done by injecting a contrast agent through the opening of the uterine cervix and then taking several X-rays with the aim of It is important to observe the route that this liquid takes inside the uterus, towards the uterine tubes, which is highly recommended for investigating fertility problems. Find out more about what hysterosalpingography is used for and how it is performed.
Does sonohysterography hurt?
Sonography hysterography can be painful and can also cause discomfort and cramping during the exam.
However, this test is well tolerated and the doctor may recommend some analgesic or anti-inflammatory medication before and after the test.
It is also possible that after ultrasound hysterography, irritation of the vagina may occur in people with more sensitive mucous membranes, which may lead to infection and increased menstrual bleeding.
