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A recent study conducted at the Thomas Jefferson University Hospital in Philadelphia has found that sonohysterography (SHG) is a highly effective transvaginal ultrasound technique that improves the ability of doctors to diagnose adenomyosis, a condition that causes severe pelvic pain combined with abnormal and unexplained vaginal bleeding.
SHG is a relatively new technique that allows medical practitioners to view a woman’s uterine cavity more clearly. A soft, plastic catheter is placed in the cervix in conjunction with transvaginal ultrasound, and a sterile saline infusion passed through this tube expands the uterus and also provides a contrast to the lining, thus giving doctors a better idea of what the problem really is.
Sonohysterography is especially useful in treating women with infertility – it helps determine the presence of polyps, fibroids or tumors that prevent conception.
Besides, it allows doctors to examine the uterine cavity before any surgery like a hysterectomy or a D&C procedure.
It also helps in investigating unexplained infertility and repeated miscarriages.
It’s a good diagnostic tool to explore unexplained vaginal bleeding in pre and post menopausal women.
It allows examination and assessment of the endometrium and reveals endometrial abnormalities.
A sonohysterography that’s performed before a suggested hysterectomy can sometimes help you avoid the hysterectomy altogether. So you’re saved the cost, mental stress, physical pain, and recovery from a surgery.
The main advantages of a sonohysterography are:
It’s painless and can be administered in a normal ultrasound scan room
It does not require the patient to be sedated or under the influence of anesthesia.
It is not as expensive as an MRI scan which is normally used to investigate abnormal bleeding
It is commonly available at most healthcare facilities.
It helps avoid invasive diagnostic procedures
It has no side effects and is not very uncomfortable for the patient
Diagnosis is quick
There are no complications to be worried about
Reference: Verma SK, Lev-Toaff AS, Baltarowich OH, Bergin D, Verma M, Mitchell DG Clinical Observations. Adenomyosis: Sonohysterography with MRI Correlation Am. J. Roentgenol. ; 192: 10.2214/AJR.08.1405