![]() Am J Obstet Gynecol 2004 190:634-638.ĭe Mello JF Sr, Abrao MS, Cerri GG, de Barros N. Complications of laparoscopy: an inquiry about closed- versus open-entry technique. Jansen FW, Kolkman W, Bakkum EA, de Kroon CD, Trimbos-Kemper TC, Trimbos JB. Current methods of tubal patency assessment. Uterine cavity findings and hysteroscopic interventions in patients undergoing in vitro fertilization-embryo transfer who repeatedly cannot conceive. Oliveira FG, Abdelmassih VG, Diamond MP, Dozortsev D, Nagy ZP, Abdelmassih R. Infertility evaluation via laparoscopy and hysteroscopy after conservative treatment for tubal pregnancy. Hu C, Chen Z, Hou H, Xiao C, Kong X, Chen Y. © 2020 by the American Institute of Ultrasound in Medicine. However, intracervical balloon insertion requires a less-significant volume of saline compared with intrauterine placement, leading to a reduced risk of intrauterine infection and the spread of malignant endometrial cells into the peritoneal cavity at the time of the procedure.īalloon catheter intracervical intrauterine pain perception saline infusion sonohysterography. Intracervical catheter placement did not reduce pain during or after SIS. The pain score was not associated with patients' age, the volume of the saline infused, the presence of intrauterine abnormality, and the procedure time. Nulliparous women had insignificantly more pain after the initial inflation of the balloon compared with multiparous women (p =. The total volume of required saline for adequate distention of the cavity was significantly lower in the cervical group than the intrauterine group (p =. There were no significant differences in inflation and deflation pain and the total procedure time between the 2 groups. Data were analyzed on the basis of the intention-to-treat principle for each woman who underwent SIS.Ī total of 300 infertile women were assigned to the treatment groups. The primary outcome measures included the degree of pain after inflation and then after deflation of the balloon catheter. The examination was scheduled at the early follicular phase of the menstrual cycle. In this randomized clinical trial, women who underwent saline infusion sonohysterography (SIS) were randomized to intracervical or intrauterine balloon placement between May 2012 and May 2014. Learn more about all baseline testing done when evaluating one’s fertility health.This study aimed to evaluate whether the site of the balloon placement into either the uterine cavity or cervical canal can affect the intensity of pain during sonohysterography. If the doctor is unable to clearly see the fallopian tubes a hysterosalpingogram (HSG) may be ordered to detect any blockages. ResultsĪ normal result is when the uterine cavity and fallopian tubes are free from obstructions. Contact us if you are experiencing pain, very heavy bleeding, abnormal vaginal discharge, and/or a fever. You may take 2-4 ibuprofen (400-800mg) 30-60 minutes before the procedure to help alleviate this discomfort. This test is not usually painful but can cause mild cramping and spotting during and after the procedure. If antibiotics are prescribed, please follow the instructions for these as given by your nurse, and take all of the pills prescribed. It can also take place at any other time while on birth control pills or as advised by your doctor. This test is generally done in the first half of your menstrual cycle after bleeding has stopped and before ovulation has occurred. Thus confirming they are open and unobstructed. A spill of the saline solution may also be seen from your fallopian tubes. Your cavity then expands so abnormal structures that may interfere with pregnancy or cause irregular bleeding, such as fibroids or polyps, may be visualized. Our ultrasonographer performs the SHG vaginally by injecting a small amount of sterile saline solution through the cervix into your uterine cavity with a catheter. This procedure can also be known as SIS (saline infusion sonography). It can give some insight into blockages of your fallopian tubes. What Is A Saline Sonohysterogram (SHG)? PurposeĪn Saline Sonohysterogram (SHG) is a diagnostic ultrasound used to detect any abnormal structures on the inside of your uterus (uterine cavity).
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