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Sonohysterography
Description
Sonohysterography is a technique for ultrasonographic visualization of the uterine cavity using saline as a contrast and distending media. The technique is also known as saline infusion sonohysterography (SIS). It is well suited for the ultrasonographic detection of endometrial polyps, hyperplasia, cancer, leiomyomas, and intrauterine adhesions. It has replaced diagnostic dilatation and curettage for most women.
Indications
Similar to those for hysteroscopy or endometrial biopsy; dysfunctional uterine bleeding, postmenopausal bleeding, menorrhagia, infertility (selected cases), or recurrent abortion, endometrial or pelvic infections (eg, tuberculosis), missing intrauterine contraceptive device, or other situations in which viewing the endometrial cavity can establish a diagnosis. The technique is particularly adept at documenting endometrial polyps, submucosal leiomyomata, and intrauterine adhesions.
Contraindications
Acute bleeding; acute cervical, uterine, or pelvic infection; known uterine or cervical cancer; pregnancy (known or suspected); recent uterine perforation; vaginitis (relative).
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