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Beyond Blood Tests and Hormone Levels
What to Expect From Invasive Infertility Diagnosis and Treatment
By Michele St. Martin
A Caution About This Procedure:
As with any kind of procedure requiring anesthesia, the attending physician will give instructions about not eating and drinking prior to surgery. It is usual to not have anything by mouth after midnight for surgery the next day. Generally doctors advise that a woman abstain from intercourse until after a two-week checkup following surgery. Patients recovering from a laparoscopy are instructed to get plenty of rest and to avoid heavy lifting.
What It Is and Why It Is Performed:
A sonohysterogram is a relatively new procedure that is often used in place of an HSG.
What to Expect If You Have the Procedure:
A sonohysterogram has the advantage of being performed in a doctor's office (HSG is performed in a hospital radiology department). A speculum is placed into the vagina, through which a catheter is placed in the uterus. A saline solution is then injected into the uterine cavity while a transvaginal ultrasound is conducted. No X-rays or iodine are used (although these are components of the HSG).
How You May Feel During and After the Procedure:
While some women report about the same amount of discomfort as with HSG, others have had much less; it has been suggested that this may be because the saline is less irritating than iodine.
Source: The InterNational Council on Infertility Information Dissemination (INCIID).
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