Sonohysterogram (SHG), also known as a saline sonogram or water ultrasound, is a diagnostic procedure in which fluid is inserted into the uterus via the cervix and then is examined via ultrasound. The use of fluid in this ultrasound enables your doctor to see more details than in a standard ultrasound, as the walls of the uterus are typically touching each other, and the water allows them to separate. This ultrasound is usually performed by your Reproductive Endocrinologist (RE).
What it Diagnoses: A sonohysterogram can be used to determine the causes of abnormal bleeding and recurrent loss. This ultrasound enables your doctor to closely examine your uterus, specifically the inside of it (uterine cavity), and to measure the depth, shape and size. The cavity is assessed for possible growths, such as fibroids or polyps, and other abnormalities such as adhesions, retained tissue from a recent miscarraige or other problems with your uterine lining. Sometimes an assessment of fallopian tube patency is done at the same time, but typically this is done separately, at the time of HSG.
When to schedule your appointment:
This test must be done after you stop bleeding but before you ovulate.
Bring along with you:
- Come prepared with a pad, there will be liquid discharge and this procedure could cause some spotting or light bleeding.
- Most people do not feel much, but some may experience cramping from this procedure. (It is typically less crampy than the HSG.) Confirm with your Doctor prior to the visit what type of pain relief medication you are allowed to take. With your doctor’s permission, in order to reduce the chance of pain, take the pain relievers 45 minutes prior to the procedure.
Step 2: Be proud of what we have accomplished:
Begin by taking pride in all the milestones that you have achieved on this journey. Each step you take is a big accomplishment that took a lot of bravery and courage. Applaud yourself for persevering. There may be a lot yet ahead of you, but it is important to take stock of what you have already achieved and not only focus on what lays ahead.
Try to identify a few things that you have done right. Focus on what you have accomplished in relationships, marriage, professionally, and successes in daily living such how you are surviving a global pandemic and handling social distancing. Manage your expectations, and determine whether they are realistic or setting you up for failure.
Take note of your inner critic, the rule of thumb is, if you wouldn’t say it to a friend, then don’t say it to yourself. To counter that harsh, condemning voice, can you identify some areas of your life that are working or where you feel successful?