Instillation of sterile saline into the uterine cavity under ultrasound guidance, study the uterine cavity can be done without any radiation exposure and without exposure to contrast media. The saline distended cavity is anechoic surrounded by symmetric endometrial lining.
Sonohysterography will enable the diagnosis of Asherman's Syndrome or, intrauterine adhesions, polyps, submucous fibroids and uterine septa.
HYCOSY or contrast hysterosalipingosonography involves the use of a sonography contrast media. In the future in the better understanding this may replace the more invasive HSG as a first time investigation of the infertile female.
Sonohysterography can be extended to sonosalpingo-graphy. This procedure shows patency of tubes and can replace second look laparoscopy. Apart from tubal patency, salpingitis is a pure colour Doppler diagnosis. In cases of unexplained infertility especially if adnexa is thickened and colour Doppler shows low resistance vascularity it is a suggestion of salpingitis.
This article is also published in India Study Channel
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