A baseline transvaginal ultrasound procedure is usually performed first to view the endometrium, or the lining of the uterus, including its thickness and any associated ovarian abnormality.
Transvaginal ultrasound is performed very much like a gynecologic exam and involves the insertion of the transducer into the vagina after the patient empties her bladder. The tip of the transducer is smaller than the standard speculum used when performing a Pap test.
A protective cover is placed over the transducer, lubricated with a small amount of gel and then inserted into the vagina. Only two to three inches of the transducer end are inserted into the vagina. The images are obtained from different orientations to get the best views of the uterus and ovaries. Transvaginal ultrasound is usually performed with the patient lying on her back.
For hysterosonography, sterile saline is injected into the uterus, distending or enlarging the uterine (endometrial) cavity. The saline outlines the endometrial lining, and will allow for detection of a polyp or other lesion. This results in improved visualization and measurement. The exam takes approximately 45 minutes.
Our radiologist is a physician specifically trained to create and interpret radiology examinations. He or she will perform your examination in conjunction with one of our ultrasonographers. The radiologist will analyze and interpret your images, and will send a signed report to your referring physician, who will share the results with you.
A Hysterosalpingogram (HSG) is done to visualize your uterus, assess for abnormalities and determine if your fallopian tubes are open. Sometimes an HSG is done for uterine abnormalities or fibroids. The exam is performed by a radiologist and is similar to annual pelvic examination. The physician will insert a small tube (about the size of a spaghetti noodle) into the cervix and sometimes into the uterus. Once the catheter is securely in place, a liquid will be introduced through the catheter into the uterus and fallopian tubes creating contrast sothat internal organs can be seen on the x-ray. The doctor will be using an x-ray and watching a monitor while the liquid is being introduced into the uterus for visualization of the uterus and fallopian tubes.
The radiologist will analyze and interpret your images and may be able to give you a preliminary report of his/her findings. A signed report will be sent to your referring physician, who will share the complete results of the tests with you.