Ultrasound Hysterosonography

Steps Involved in IVF:

Procedure Description:

Ultrasound hysterosonography, also known as saline infusion sonohysterography (SIS), is a specialized ultrasound imaging technique used to visualize the interior of the uterus. This procedure is typically used to diagnose uterine abnormalities such as polyps, fibroids, adhesions, and other conditions that may affect fertility, cause abnormal bleeding, or lead to pelvic pain. By inserting a sterile saline solution into the uterus, ultrasound hysterosonography creates a clearer view of the uterine lining than standard transvaginal ultrasound, allowing healthcare providers to identify abnormalities with higher accuracy.

The procedure is conducted using a transvaginal ultrasound probe that provides detailed images of the uterine cavity. By filling the uterine cavity with saline, it helps separate the walls of the uterus, making it easier to see the inner lining and any possible lesions or structural issues. The saline acts as a contrast medium, enhancing the visibility of the uterine walls and making this a highly effective diagnostic tool.

Ultrasound hysterosonography is a safe, non-invasive, and relatively quick procedure that can be performed in a clinic or outpatient setting. It is commonly recommended for women experiencing abnormal uterine bleeding, infertility, recurrent miscarriage, or postmenopausal bleeding. Additionally, it may be used to evaluate the shape and structure of the uterus in women preparing for assisted reproductive techniques like in vitro fertilization (IVF).

Procedure Duration:

The duration of ultrasound hysterosonography is generally short, with the actual imaging process taking approximately 10 to 30 minutes. However, the overall appointment might take longer when considering preparation, explanation of the procedure, and any necessary follow-up discussion with the healthcare provider.

Phases of the Procedure:

  • Preparation Phase: After discussing the procedure with the patient and obtaining informed consent, the patient will be asked to lie on an examination table, typically in a position similar to that of a pelvic exam. A speculum is inserted into the vagina to allow access to the cervix, and a thin catheter is then passed through the cervix into the uterine cavity. This part of the process may cause mild cramping, which typically subsides quickly.
  • Saline Infusion and Imaging Phase: Once the catheter is in place, sterile saline is slowly infused into the uterus. This saline distends the uterine cavity and improves visibility for the transvaginal ultrasound. The healthcare provider will gently move the ultrasound probe to capture images from different angles, ensuring that all parts of the uterine lining are well-visualized.
  • Post-Procedure and Recovery Phase: After imaging, the catheter is removed, and the saline drains out naturally. Patients may experience mild cramping or spotting for a short period after the procedure. Most patients can resume normal activities immediately, with no significant recovery time needed.

Benefits:

  • Enhanced Visualization of Uterine Abnormalities: Allows for a clearer and more detailed view of the uterine cavity compared to standard ultrasounds.
  • Non-Invasive and Minimally Discomforting: The procedure is minimally invasive, causing little to no discomfort for most patients.
  • Quick and Convenient: It is a relatively quick procedure, often completed within 30 minutes, allowing patients to go home the same day.
  • Diagnostic Accuracy: Provides more accurate information for diagnosing conditions such as polyps, fibroids, adhesions, and structural anomalies, aiding in effective treatment planning.
  • Cost-Effective Alternative: It is a more affordable diagnostic option compared to other imaging methods like hysteroscopy or MRI.

Potential Destinations:

For medical tourists seeking ultrasound hysterosonography, several countries are known for their high-quality healthcare, advanced medical technology, and experienced specialists in gynecological imaging. Below are five destinations ideal for this procedure:

  • Thailand: With a thriving medical tourism industry, Thailand offers high-quality, affordable healthcare, particularly in women's health. Many hospitals in cities like Bangkok and Chiang Mai are internationally accredited and equipped with state-of-the-art imaging technology.
  • Turkey: Turkey has gained a reputation for advanced gynecological services, and Istanbul is a top destination for medical tourists. Turkish clinics are known for their skilled radiologists, modern medical equipment, and affordability.
  • Mexico: Convenient for North American patients, Mexico boasts a range of well-established hospitals offering comprehensive women's health services, including ultrasound hysterosonography. Medical professionals here are often bilingual, catering to international patients.
  • India: India is well-known for its high-standard healthcare services, offering cost-effective treatment options for various medical conditions. Hospitals in cities like Mumbai, Delhi, and Bangalore have a strong focus on women's health and offer ultrasound hysterosonography with experienced professionals.
  • Poland: For patients seeking treatment in Europe, Poland provides quality healthcare services with modern diagnostic facilities and experienced practitioners. Cities like Warsaw and Krakow have emerged as centers for medical tourism due to their advanced care at competitive prices.

Risks & Considerations:

While ultrasound hysterosonography is generally safe, patients should be aware of the following potential risks and considerations:

  • Mild Discomfort or Cramping: Some women may experience mild discomfort or cramping during or shortly after the procedure, though it is usually short-lived.
  • Vaginal Spotting or Discharge: Light spotting or watery discharge is common after the procedure due to the saline infusion and should resolve quickly.
  • Risk of Infection: Although rare, there is a small risk of pelvic infection following the procedure. Patients with a known infection or recent pelvic inflammatory disease (PID) should discuss the risks with their healthcare provider.
  • Allergic Reaction to Saline or Latex: Allergies to the saline solution or latex equipment used are rare but possible. It's important to inform the healthcare provider of any known allergies beforehand.
  • Inconclusive Results: In some cases, the procedure may not provide sufficient information, and further diagnostic tests, such as hysteroscopy or MRI, might be needed.

How to Choose the Right Doctor and Hospital:

When seeking ultrasound hysterosonography abroad, it is crucial to select a reputable doctor and hospital with a strong track record in women's health imaging. Look for facilities that are accredited by international health standards organizations, ensuring the hospital's quality, safety, and adherence to global best practices.

Additionally, ensure the doctor is a certified radiologist or gynecologist with extensive experience in performing ultrasound hysterosonography. Reading patient reviews, seeking recommendations from healthcare professionals, and requesting a consultation beforehand can help make an informed decision. Understanding the facility’s aftercare services and support is also essential, as follow-up care may be required in some cases.

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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