Hysterosonosalpingography and Hysterosonography in Milan
What are Hysterosalpingosonography and Hysterosonography?
Hysterosalpingosonography (SHSG) and Hysterosonography (SHG) are advanced diagnostic procedures used in gynecology to examine the uterus and fallopian tubes, providing essential information for fertility assessment and the diagnosis of uterine conditions..
What are these exams for?
- Hysterosalpingosonography: Combines ultrasound and contrast medium to assess fallopian tube patency and uterine morphology. Useful for identifying tubal blockages or uterine anomalies that could affect conception. Contrast flow into the ovarian fossae indicates tubal patency.
- Hysterosonography: Similar to SHSG but uses radiography to evaluate the uterine cavity structure, requiring a radiologist’s involvement and thus is less common in outpatient settings.
Purpose of both procedures:
- Detailed internal uterine structure assessment.
- Tubal patency evaluation.
- Identification of potential causes of female infertility.
Preparation guidelines
Adequate preparation for Hysterosonosalpingography and Hysterosonography exams is essential to ensure the reliability of the results and minimize discomfort during the procedure. For both tests, it is crucial to choose the appropriate time in the menstrual cycle, preferably in the first few days after the end of the menstrual period, to reduce the risk of interference with a potential early pregnancy and ensure maximum visibility of the internal structures.
It is essential to maintain adequate hydration in the days before the exam. For Hysterosonosalpingography, specifically, the use of a non-steroidal anti-inflammatory (such as ibuprofen) may be recommended approximately one hour before the appointment, to relieve cramps that may accompany the introduction of the contrast medium. In some cases it may be necessary to come to the exam with a partially full bladder, to facilitate the performance of the transvaginal ultrasound.
Open communication with your doctor is vital: inform the specialist of any allergies, particularly to contrast medium if applicable, and of any medications taken regularly. Finally, it is a good idea to plan for a short period of rest post-exam, allowing your body to recover from the surgery and monitor any unusual reactions.
Differences between Hysterosonosalpingography and Hysterosonography
Although both tests focus on evaluating the uterus, there are significant differences. Hysterosonography uses an ultrasound to create images of the uterus and its inner lining using a liquid introduced through the cervix. Hysterosonosalpingography, on the other hand, in addition to evaluating the uterus, focuses on the study of the patency of the fallopian tubes, using a foaming ultrasound solution that allows the passage of liquid through the tubes to be visualized.
Are there any side effects?
Both tests are generally safe, with minimal side effects. During or after the exam, some patients may experience mild cramping, bleeding, or watery discharge. These symptoms tend to disappear within a few hours.
Hysterosonosalpingography and hysterosonography are generally safe and well-tolerated procedures and are performed with attention to patient comfort. The findings offer valuable information for the treatment and management of gynecological conditions, supporting informed clinical decisions for women’s health and well-being. These tests represent key diagnostic tools in modern gynecological practice.
For appointment or request for information
Do you want more information about the service?