A saline sonogram, also known as a sonohysterogram or saline infusion sonography (SIS), is a diagnostic procedure that provides a detailed view of the uterus. This imaging tool helps identify issues within the uterine cavity not visible during a routine ultrasound. Understanding what a saline sonogram involves can help alleviate concerns about discomfort.
Understanding the Saline Sonogram Procedure
The saline sonogram procedure begins with steps similar to a standard gynecological exam. A speculum is inserted to access the cervix. The cervix is cleansed, and a thin catheter is advanced into the uterus.
Once the catheter is in place, the speculum is usually removed, and a transvaginal ultrasound transducer is inserted. Sterile saline is then injected through the catheter into the uterine cavity. This saline acts as a contrast agent, expanding the uterus to provide clearer images of the uterine lining and any structural abnormalities.
Expected Sensations During the Procedure
Many individuals report sensations ranging from mild discomfort to moderate cramping during a saline sonogram. As the catheter is inserted, some may feel a brief pinching or tugging. This is often followed by pressure or menstrual-like cramping when saline is introduced into the uterus.
These sensations occur because the uterus is a muscular organ that can contract in response to the fluid filling its cavity, similar to how it contracts during menstruation. The degree of cramping can vary from person to person, with some experiencing only mild discomfort while others find it more noticeable. Communicating any intense sensations to the medical staff during the procedure is always important.
Strategies for Reducing Discomfort
To minimize discomfort during a saline sonogram, several strategies can be used. Taking an over-the-counter pain reliever, such as ibuprofen or acetaminophen, about an hour before the appointment can reduce cramping. This pre-medication helps to manage the body’s natural response to the procedure.
During the procedure, deep breathing and relaxation techniques can be beneficial. Maintaining a relaxed state helps to prevent tension in the pelvic muscles, which might otherwise intensify discomfort. Communicating with the medical staff about any sensations ensures they can provide reassurance or adjust the procedure as needed.
What to Expect After the Sonogram
After a saline sonogram, minor after-effects are common as saline drains from the uterus. Many individuals notice a watery discharge, which may be tinged with blood, for a few hours or up to a day. Light spotting or mild cramping, similar to period pain, can also occur.
These post-procedure symptoms are normal and resolve quickly, allowing most individuals to resume usual activities immediately. Contact a healthcare provider if severe pain, heavy bleeding, fever, or unusual vaginal discharge develops, as these could indicate a complication.