Wednesday, October 20, 2010

Sonohysterogram

Has anyone ever had one of these??? I called Dr. Ke's office Monday to schedule my "ultrasound" that he said I would need before January.  Dr. Ke and his nurse were both out of the office, so Dr. Kutteh's nurse called me back and said she would need to check with him and see what type of ultrasound I would need before she could schedule it.  Well, when she called back. she said that Dr. Ke wanted to do a Sonohysterogram. She said they would inflate my uterus with liquid so they could check for abnormalities.  I would need to call them on day one of my period and they would schedule from there.  She mentioned it would need to be done between cycle days 6-12.  Of course, I had never heard of one of these, so I went to the ever so trusting Google.  According to http://www.ivf1.com/sonohysterogram/, this is what I found:



Sonohysterogram or Hysterosonogram

What is a sonohysterogram?

A hysterosonogram or HSN is also known by the names sonohysterogram, saline ultrasound, saline sonogram, or saline infusion sonogram. A hysterosonogram is an office based ultrasound procedure that can determine if there are abnormalities inside the uterus that might interfere with pregnancy. It is important to have an evalaution of the uterine cavity with a sonohysterogram or other  method before proceeding with an IVF cycle. This test involves no radiation, and there are very few risks from the procedure. Compared to a regular ultrasound, a sonohysterogram is better at detecting abnormalities on the inside walls of the uterus because it involves infusing sterile fluid inside the uterus. This way, the walls of uterus separate from each other and any abnormalities that might have been hiding right along the sides of the walls will be easily identified.

Here is an example to help understand why we do a hysterosonogram. Think of your uterus like a collapsed balloon. If there was a small growth or bump on the inside wall of the collapsed balloon, it might be hard to see since the top and bottom walls are touching each other. However, if we inflated the balloon, the small growth will be easier to see since it will likely be able to hang away from the wall.

Traditionally, the "best" way to look for abnormalities inside the uterus was a test called a hysteroscopy, which involves an out-patient surgery using a type of telescope to look inside the uterus. However, in recent years, the techniques for a sonohysterogram have become so advanced that it has usually replaced hysteroscopy as the first procedure to look for abnormalities in the uterus. Compared to a hysteroscopy, a sonohysterogram is less invasive, less expensive and nearly as effective at detecting abnormalities

I understand the importance of this.  But that doesn't make it any less scary! I need encouragement. I KNOW that I am going to have to get used to these invasive things, but baby steps I guess.  Have any of you ever  had this done?????




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