Sonohysterosalpingography
Steps Involved in IVF:
Procedure Description
Sonohysterosalpingography, often abbreviated as SHG, is a specialized imaging procedure used primarily to evaluate the uterine cavity and fallopian tubes. This diagnostic technique combines ultrasound technology with a sterile saline solution injected into the uterine cavity, providing high-resolution images of the uterus and a clearer understanding of any blockages or abnormalities in the fallopian tubes. Unlike traditional imaging techniques, SHG is minimally invasive, does not involve radiation, and offers a more comprehensive view of the reproductive system’s internal structures.
The procedure begins with the placement of a thin catheter through the cervix into the uterine cavity. Once positioned, the physician introduces a small amount of saline solution into the uterus. This saline distends the cavity slightly, enabling the ultrasound to capture clearer and more defined images of the uterine walls, the endometrial lining, and the structure of the fallopian tubes. By improving visualization, SHG assists in detecting uterine abnormalities such as polyps, fibroids, adhesions, or congenital abnormalities, which may affect fertility or contribute to recurrent pregnancy loss.
SHG is typically performed for women experiencing infertility, recurrent miscarriages, abnormal bleeding, or for those who have had inconclusive results from other imaging studies. It is often preferred because of its high accuracy and the relative comfort it offers compared to other invasive diagnostic techniques. Physicians and patients alike appreciate SHG’s ability to provide vital insights without the need for sedation, anesthesia, or extended recovery.
Procedure Duration
The sonohysterosalpingography procedure is relatively quick, usually taking between 15 and 30 minutes from start to finish. Although the imaging portion is brief, the preparation and setup steps require careful precision to ensure patient comfort and optimal imaging results. Initially, the patient is positioned comfortably on an examination table, and a preliminary ultrasound is conducted to confirm the position of the uterus and fallopian tubes.
After the initial ultrasound, the physician inserts a sterile catheter into the cervix, which typically takes only a few minutes. Following this, the saline solution is gradually introduced into the uterus, distending the cavity for a more precise ultrasound image. During this phase, patients may experience mild cramping similar to menstrual discomfort, which generally subsides once the procedure is complete. The ultrasound imaging then captures detailed visuals, allowing the physician to assess the uterus and fallopian tubes for abnormalities or blockages.
After the imaging is complete, the physician removes the catheter and provides the patient with aftercare instructions. Most women can resume normal activities immediately after the procedure, although it is recommended to rest if experiencing mild discomfort. Recovery is minimal, and patients can expect results shortly after, allowing for timely treatment planning if needed.
Benefits
- Minimally Invasive: SHG does not require anesthesia or sedation, making it a comfortable choice for many patients.
- High Diagnostic Accuracy: This procedure effectively identifies structural issues in the uterus and fallopian tubes.
- Quick Recovery: Patients can return to daily activities immediately after the procedure.
- Radiation-Free: Unlike some imaging procedures, SHG uses ultrasound, eliminating exposure to radiation.
- Fertility Insights: SHG is valuable for fertility assessments and treatment planning for patients struggling with conception.
Potential Destinations
1. Thailand
Known for its advanced healthcare facilities and skilled practitioners, Thailand has become a popular destination for reproductive health services. With state-of-the-art medical facilities and affordable healthcare costs, it is ideal for patients seeking diagnostic procedures like SHG in a comfortable setting.
2. Turkey
Turkey’s healthcare system is internationally renowned, with many hospitals offering cutting-edge diagnostic tools for reproductive health. Medical tourists benefit from Turkey’s blend of skilled professionals, competitive pricing, and adherence to international medical standards.
3. India
India is a hub for medical tourism, offering high-quality reproductive health services at a fraction of the cost of Western countries. Clinics specializing in fertility and women’s health are staffed with experts in sonohysterosalpingography, making India an attractive option for SHG.
4. Mexico
For North American patients, Mexico provides accessible and affordable healthcare options with a high standard of care. Several clinics in major cities offer advanced imaging services, including SHG, making Mexico an excellent choice for medical tourists from the United States and Canada.
5. United Arab Emirates
With its modern healthcare infrastructure, the UAE offers medical tourists access to advanced diagnostic procedures and specialized women’s health services. Facilities in Dubai and Abu Dhabi are equipped with the latest technology, ensuring accurate results for patients seeking SHG.
Risks & Considerations
- Discomfort or Cramping: Some patients may experience mild to moderate cramping during or after the procedure due to uterine distension.
- Infection Risk: As with any procedure involving catheter insertion, there is a small risk of infection. Adhering to sterile practices minimizes this risk.
- Allergic Reactions to Saline Solution: While rare, some individuals may have sensitivity to the saline solution used in SHG.
- Bleeding or Spotting: Mild bleeding or spotting can occur following the procedure but typically resolves quickly.
- Possible False Negatives: SHG may not detect very small abnormalities, and follow-up testing may be necessary for a complete diagnosis.
How to Choose the Right Doctor and Hospital
When selecting a doctor or hospital for a sonohysterosalpingography procedure, it is essential to prioritize medical facilities that specialize in reproductive health and have a proven track record with diagnostic imaging procedures. Look for practitioners who are board-certified in gynecology or radiology, as they will have the specific expertise required for accurate SHG assessments.
It is also advisable to research the facility’s reputation and ensure it is equipped with the latest ultrasound technology, as high-quality equipment significantly enhances image clarity and diagnostic accuracy. Reading patient reviews and consulting with healthcare coordinators can provide additional insight, allowing you to make an informed choice for this critical diagnostic step.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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