A hysterosonogram is a test to see if the uterine cavity has a normal shape. This test is useful in making sure the uterine cavity does not have any structural uterine abnormalities (polyps or fibroids). A physician from our department, a resident, and a medical assistant or nurse will be present during the test. The entire procedure takes approximately 20 to 45 minutes.

Scheduling the Procedure

• This test is done between day 6 and 12 of your cycle. (The day you being your period is day 1.)
• You need to call and schedule a FCUS. In order to schedule this procedure, please call 720-848-1690, Option #1, Monday through Friday, 8:00 a.m. to 4:30 p.m.

Preparing for the Tests

• Please let us know if your period does not seem to be normal. The test cannot be done if you are pregnant or have an active pelvic infection.
• About an hour before the exam take ibuprofen (Motrin, Advil), 600 mg, or a similar medication. This helps to decrease some mild to moderate cramping you m ay experience.

The Actual Test

This test is done at the Advanced Reproductive Medicine office at the Anschutz Outpatient Pavilion located at 1635 N. Ursula Street. The office is on the third floor. Pre-register in the office 15 minutes before your scheduled appointment.

The procedure involves the use of a speculum (the same instrument used for Pap smear exams). The speculum helps open the vagina so the cervix can be seen. A small catheter is passed into the uterus to instill sterile water to dilate (enlarge) the uterine cavity. Several ultrasound pictures are taken and then the instruments are removed. Cramping occurs while the uterus if full of fluid and for about 15 minutes after the procedure.

Risks
The very rare risks of the procedure include:

• developing an infection from the procedure
• damage to the pelvic structures from the instruments used.

After the Test

• You may have a light discharge and some vaginal spotting or bleeding. Do not worry unless it continues or is heavier than a normal period.
• You may have some mild to moderate cramping for 24 to 72 hours. It is safe to take ibuprofen or a similar medication (Motrin®, Advil®, Nuprin®).
• If you feel like you may have a fever, take your temperature. Call the office if it is sgreater than 101 degrees F.
• Please schedule an appointment with your physician when all your studies and lab work have been completed. We will then discuss the next step in your management.

FOR EMERGENCIES

If you have any questions or problems, call the physician who performed the test or Advanced Reproductive Medicine at 720-848-1690, Monday through Friday, 8:00 am to 4:30 p.m.

AFTER 4:30 p.m. and on weekends, please call 720-848-1690 and ask for the doctor on call for Reproductive Endocrinology. The answering service will have the doctor return your call. If unable to reach your health-care provider call the Emergency Department at 720-848-9111.

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