9 Bonnamy L, Marret H, Perrotin F, Body G, Berger C, Lansac J.Sonohysterography for endometrial abnormalities: preliminary results. Saline infusion sonohysterography: technique, indications, and imaging findings. Comparison of transvaginal ultrasonography and saline infusion sonohysterography in evaluating the endometrial cavity in pre- and postmenopausal women with abnormal uterine bleeding. 5 Erdem M, Bilgin U, Bozkurt N, Erdem A.Saline contrast hysterosonography in abnormal uterine bleeding: a systematic review and meta-analysis. 4 de Kroon CD, de Bock GH, Dieben SW, Jansen FW.Sonohysterography: a valuable tool in evaluating the female pelvis. 3 Lindheim SR, Adsuar N, Kushner DM, Pritts EA, Olive DL.Evaluation of the woman with postmenopausal bleeding: Society of Radiologists in Ultrasound-Sponsored Consensus Conference statement. 1 Goldstein RB, Bree RL, Benson CB et al.Knowledge of these pitfalls and the strategies to overcome them may prevent premature or unnecessary termination of an otherwise successful study. However, poor distention may be indicative of an underlying pathologic condition. Adequate distention of the endometrial cavity is crucial for successful SIS, and optimal positioning of the distended balloon may improve the degree of distention. Injection of air during any US-guided procedure may lead to shadowing that obscures the region of interest. Inability to obtain access to the cervix is the most common cause of unsuccessful SIS proper patient positioning in a semi-upright lithotomy position is important. Obstacles to a successful procedure include issues related to patient anxiety and discomfort, which may be prevented or minimized at almost every step of the procedure. It is important not to presume that fibroids are the cause of bleeding when the endometrium is obscured at preprocedure imaging. Performing preprocedure imaging serves many purposes, such as depicting hydrosalpinx, causes of uterine and adnexal tenderness, and pelvic inflammatory disease, as well as assessing the size and position of the uterus and the orientation of the cervix. SIS should be scheduled between days 4 and 10 of the patient's menstrual cycle, when the endometrium is at its thinnest, and physiologic changes during the secretory phase are not present. Although most SIS procedures are straightforward, a variety of pitfalls may lead to an unsuccessful procedure or incomplete evaluation. Physician and would like to refer your patient to our unit, click here.Saline-infused sonohysterography (SIS) may help improve visualization of the endometrium and endometrial cavity and assess tubal patency. Ultrasound Guided Removal of Endometrial Polyp.Saline Infusion Sonogram (SIS) and Hydrogen Contrast Sonohysterography (H圜oSy).Determine the source for any abnormal bleeding.Examine your cervix for changes that could lead to complications, such as miscarriage or premature delivery.Your provider may also use transvaginal ultrasound if you are pregnant to: Ultrasound guided removal of endometrial polyps.Ultrasound guided insertion or removal of IUD.Hysterosalpingo - contrast sonography (H圜oSy for tubal patency evaluation).Transvaginal ultrasound is a diagnostic tool used to examine your reproductive organs (uterus, fallopian tube, ovaries, cervix and vagina). UsingĢD and 3D transvaginal ultrasound imaging, our skilled ultrasound experts can identify a range of conditions and causes of symptoms, including:Įarly pregnancy problems including, miscarriage or ectopic pregnancy If the fetus is in a good position, it may be possible to tell the sex.The amount of amniotic fluid in the uterus.An estimate of the fetus’s size and weight.The fetus’s position, movement, breathing, and heart rate.Ultrasound can provide the following health information on your developing child: They can also screen for major congenital anomalies as well as estimate the gestational age of fetuses. With both 3-D and 4-D ultrasound capability, our skilled technicians at USF Health evaluate your baby’s health and development. Through our Obstetrics and Gynecology department, USF Health offers ultrasound for a variety of diagnostic reasons.Īn ultrasound is the first time you see your little one.
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