{"id":1442,"date":"2022-03-10T14:56:04","date_gmt":"2022-03-10T14:56:04","guid":{"rendered":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/?p=1442"},"modified":"2022-03-15T15:04:01","modified_gmt":"2022-03-15T15:04:01","slug":"saline-infused-sonography-sis-indications-preparation-and-outcome","status":"publish","type":"post","link":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/saline-infused-sonography-sis-indications-preparation-and-outcome\/","title":{"rendered":"Saline Infused Sonography (SIS): Indications, Preparation and Outcome"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Saline ultrasound used for analyzing the uterus interior is called a sonohysterogram (SHG). There are other names for sonohysterography, including hysterosonography, saline-infused sonography (SIS), and<\/span><a href=\"\/advanced-obgyn-institute\/ultrasonography\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\"> SIS ultrasound<\/span><\/a><span style=\"font-weight: 400\">. When the saline sonogram is specifically focused on fallopian tubes, it could also be called sonosalpingography. This saline infusion ultrasound is essentially done when the patient shows potentially abnormal uterine changes and symptoms, when testing fertility, or before the IVF procedure.<\/span><\/p>\n<h2><b>How the Saline Ultrasound Works<\/b><\/h2>\n<p><span style=\"font-weight: 400\">Performing an SIS ultrasound requires the placement of a thin tube into the cervical opening. Saline infusion is then slowly inserted through the tube in order to slightly spread the uterine walls. At the same time, the technician inserts an ultrasound wand, known as the transducer, to assess the walls and the shape of the uterus. The transducer sound waves bounce off the uterine walls and then get recorded as echoes. These echoes translate to images of the uterus on the monitor that the doctor\/technician can see.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It&#8217;s possible to get transvaginal ultrasound without inserting saline, but a saline sonogram actually provides a better and more accurate assessment of the uterine condition. With the uterine walls slightly spread out, it\u2019s also easier to spot and record potential issues.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Your doctor might suggest a sonohysterogram in case of the following:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Unusual menstrual cramping<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Either unusually light or heavy period bleeding<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Spotting in between periods<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Bleeding after menopause<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Before the IVF procedure<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Recurring miscarriages or infertility<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Pain and pressure in the pelvic area<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Sonohysterogram can pinpoint abnormalities in the shape of the uterus and congenital abnormalities such as the uterine septum, fibroids, polyps, scar tissue, unusual endometrial growths, and how thick or thin the uterine wall and endometrium are in general.<\/span><\/p>\n<h2><b>Preparation for the SIS Ultrasound<\/b><\/h2>\n<p><img decoding=\"async\" class=\"size-full wp-image-1444 aligncenter\" src=\"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound.jpg\" alt=\"Doctor and Patient Discussing Something While Sitting at the Table\" width=\"1000\" height=\"663\" srcset=\"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-200x133.jpg 200w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-300x199.jpg 300w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-400x265.jpg 400w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-600x398.jpg 600w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-768x509.jpg 768w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound-800x530.jpg 800w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/Preparation-for-the-SIS-Ultrasound.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">The best course of action would be talking to your doctor so that they can explain the best preparation practices. In general, an SIS ultrasound should be performed after the period but before ovulation. That way, there\u2019s no risk of performing the test early in the pregnancy.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In case you don\u2019t menstruate, the doctor might prescribe some meds to induce it. If there\u2019s a higher infection risk, they might also prescribe antibiotics that have to be taken prophylactically.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s generally recommended to take some over-the-counter pain relievers about half an hour before the scheduled ultrasound. The most common pain reliever, in this case, is 400 mg of ibuprofen, but if you can\u2019t take it, make sure to inform your doctor about it so that they can suggest a suitable alternative.<\/span><\/p>\n<h2><b>What to Expect During the Procedure?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">While you may be used to going in for an ultrasound with a full bladder, SIS ultrasound requires a completely empty bladder. Therefore, make sure to go to the restroom before the procedure.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Before you lie down on the exam table, you\u2019ll have to remove your clothes from the waist down. Of course, the technician will help you with this. Lie on your back, with bended knees and\/or heels in the stirrups.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In many cases, before the hysterosonogram, you will get a transvaginal ultrasound without saline infusion. Afterward, the doctor will disinfect the whole area with a cotton swab. There\u2019s nothing painful about this, but you might feel a bit of pressure.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The next step involves the insertion of the thin tube, i.e., a catheter that goes into the cervical opening. A small balloon filled with water or air next to the catheter will hold it in place. The doctor\/technician will proceed to insert the transvaginal ultrasound wand and push saline through the tube. Saline goes through the fallopian tubes and into the uterus. As the saline fills up, the transducer takes pictures of the uterine cavity.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Aside from the hysterosonogram, the doctor might also want to do the trans-abdominal ultrasound. This is a typical type of ultrasound where the gel is applied to the abdomen, and another transducer is used to move over the gelled area to take images.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Once the hysterosonogram is completed, the doctor\/technician will remove the ultrasound wand, catheter, and balloon. It\u2019s possible to get some saline leakage when you stand up. On average, the entire saline ultrasound procedure doesn\u2019t take longer than 15 minutes.<\/span><\/p>\n<h2><b>What to Expect After the Procedure?<\/b><\/h2>\n<p><span style=\"font-weight: 400\">There\u2019s a chance of feeling slight cramping post SIS ultrasound, but that\u2019s nothing to worry about. If the only procedure you had was a saline sonogram, you can easily resume your daily activities right after it. Your regular menstrual pain relief meds should do the job, in this case, just fine.<\/span><\/p>\n<p><span style=\"font-weight: 400\">It\u2019s also possible to experience some saline leakage 24-48 hours after the ultrasound. Really light spotting may also happen. It would be best to use and bring with you menstrual pads to feel comfortable. However, you shouldn\u2019t use tampons after sonohysterogram at least for a couple of days to avoid infection risk. Also, it\u2019s important to refrain from engaging in sexual intercourse for at least two to three days after the ultrasound for the same reason. If you also had some other procedures and exams in conjunction with SHG, discuss the recovery process with the doctor.<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, if you happen to experience any of the following symptoms, make sure to contact your doctor as soon as possible:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Pain and cramps that last longer than a day<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Bleeding that\u2019s heavier than just spotting<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Strong pain sensation on the day of the ultrasound<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fever<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Other symptoms that you find unusual and worrisome<\/span><\/li>\n<\/ul>\n<h2><b>What About the Results?<\/b><\/h2>\n<p><img decoding=\"async\" class=\"size-full wp-image-1445 aligncenter\" src=\"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results.jpg\" alt=\"In the Hospital, Obstetrician Uses Transducer for Ultrasound\/ Sonogram Screening\" width=\"1000\" height=\"563\" srcset=\"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-200x113.jpg 200w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-300x169.jpg 300w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-400x225.jpg 400w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-600x338.jpg 600w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-768x432.jpg 768w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results-800x450.jpg 800w, https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-content\/uploads\/sites\/194\/2022\/03\/What-About-the-Results.jpg 1000w\" sizes=\"(max-width: 1000px) 100vw, 1000px\" \/><\/p>\n<p><span style=\"font-weight: 400\">Sonohysterogram is performed either by the doctor or the technician. They might be able to provide you with some information as they get the images on the monitor. However, you\u2019ll need a follow-up appointment with the doctor for full results reading.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If the SHG results come back normal, the doctor may suggest the following steps, depending on the reason why the procedure was ordered in the first place:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Give approval for the IVF procedure<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Come up with a fertility plan and treatment<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Suggest further tests<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">In case the SHG results come back showing some abnormalities, the following steps will highly depend on the nature of these abnormalities. For instance, if the saline ultrasound detected fibroids or polyps, the doctor will most likely start by explaining the removal process and its pros and cons.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Sonohysterography can also provide a diagnosis of<\/span><a href=\"https:\/\/en.wikipedia.org\/wiki\/Uterine_septum\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\"> the uterine septum<\/span><\/a><span style=\"font-weight: 400\">, where extra tissue separates the uterus, either partially or fully, to the cervix. This can lead to recurring miscarriages and infertility. While this particular condition is rather rare and congenital, it can be fixed with surgery.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In order to enjoy top gynecological health, women should listen to their bodies and don\u2019t hesitate to report anything that they might find unusual or worrisome. What\u2019s more, regular visits to the doctor, together with timely tests and screenings, are the best way to maintain good health as well as take protection for more serious conditions seriously. For all your gynecological needs and questions, feel free to get in touch with<\/span><a href=\"\/advanced-obgyn-institute\/tahnie-danastor\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\"> Tahnie Danastor OBGYN<\/span><\/a><span style=\"font-weight: 400\">, a provider of top-notch OBGYN care at Advanced OBGYN Institute in Weston and Pembroke Pines, Florida. She\u2019s a renowned specialist who has helped many women lead more fulfilling lives while also educating them on all gynecological matters.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Saline ultrasound used for analyzing the uterus interior is called a sonohysterogram (SHG). There are other names for sonohysterography, including<\/p>\n","protected":false},"author":3,"featured_media":1443,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"categories":[30],"tags":[72,73,70,71,74,69],"class_list":["post-1442","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gynecology","tag-hysterosonogram","tag-saline-infusion","tag-saline-sonogram","tag-saline-ultrasound","tag-sis-ultrasound","tag-sonohysterogram"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/posts\/1442","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/comments?post=1442"}],"version-history":[{"count":0,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/posts\/1442\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/media\/1443"}],"wp:attachment":[{"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/media?parent=1442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/categories?post=1442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.toplinemd.com\/advanced-obgyn-institute\/wp-json\/wp\/v2\/tags?post=1442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}