HYSTEROSONOGRAPHY

REASON FOR VISIT:

• Vaginal bleeding
• Congenital defects
• Masses
• Adhesions (or scarring)
• Polyps
• Fibroids
• Atrophy
• Tumors
• Blockages to blood flow
• Narrowing of vessels

RISK ASSESSMENT

•Pregnant
•Acute PID

PREPARATION OF THE PATIENT:

•Blood tests
•Urinalysis
•Pregnancy test
•USG
•The patient was emptied her bladder before the procedure

ANESTHESIA:

None

POSITION OF THE PATIENT:

Lithotomy position

THE PROCEDURE

•A protective cover was placed over transducer

•Transducer was lubricated with gel
•Transducer was inserted into the vagina
•The images were obtained from different orientations
•The transvaginal probe was removed
•A sterile speculum was inserted as the patient lies on her back with
her knees held to her chest/ her feet in stirrups.
•The cervix was cleansed
•A catheter was inserted into the uterine cavity
•The speculum was removed
•The transvaginal probe was re-inserted into the vaginal canal
•Sterile saline was injected into the catheter and ultrasound was
performed.

FINDINGS:

NORMAL RESULTS

A symmetrical uterus with a normal endometrium is found and no

visible masses or tumors.

ABNORMAL RESULTS

Adhesions/ polyps/ leiomyomas/ abnormal thickening of the

endometrium/ tissue changes related to tamoxifen was noted

DURATION

_____min

COMPLICATIONS
Pain