If you cannot tolerate anti-inflammatories (eg. This not only helps to minimise crampy discomfort, but also helps the procedure to be performed with greater ease, due to the uterine relaxation produced. However, we strongly encourage you to take 2 tablets of an anti-inflammatory medication (such as nurofen, naprogesic or advil) an hour before the procedure. Whilst you may experience some mild discomfort, this is not usually a painful procedure and therefore no anaesthesia is required. You will be advised of the findings as the procedure is performed. The speculum is removed and a vaginal ultrasound scan is then performed as the saline (sterile salt water) is injected. A fine (2 mm) plastic tube is passed through the cervix into the uterus. A speculum will be placed in the vagina and the cervix will also be cleansed with antiseptic. Your legs will be placed in stirrups (the lithotomy position) and the external genitalia cleansed with Betadine (or an alternative) antiseptic solution. For the procedure itself you will be undressed from the waist down and covered with a sheet. Before the procedure commences your bladder will need to be emptied completely. On the day of the procedure a transabdominal and/or transvaginal ultrasound of the pelvis may be performed immediately prior to the procedure. Saline infusion is not done with an intra-uterine device (IUD) in place. You should not have the procedure if you are pregnant or may be pregnant at the time of the examination or you have acute pelvic infection or unexplained pelvic tenderness which may be due to pelvic inflammatory disease. If the lining of the uterus was not able to be seen clearly on routine scanning.Investigation of sub-fertility and recurrent miscarriage.in women with suspected polyps of thickening of the endometrium beyond the menopause. Further evaluation of abnormalities seen on transvaginal scan.Suspected abnormalities of the uterus - either ones you were born with or new ones.What are the common reasons for having this examination? Essentially a small amount of fluid is injected into the uterus through a fine tube to outline the uterine cavity. This technique is used to detect abnormalities of the uterine cavity and the endometrium. Saline Infusion Sonography Also known as sonohysterogram
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