The diagnostic test called sonohysterogram involves injecting sterile saline through the cervix into the uterus. The saline flows into the uterus enabling the physician to determine if the uterus is shaped normally. Intrauterine abnormalities, such as polyps, and fibroids, can also he detected. This test does not check for tubal patency.

How to Schedule Your Sonohyterogram:

Call Diamond Institute on Day 1 of your next period to schedule this procedure up to Day 12 of your menstrual cycle, after bleeding has stopped, but before ovulation. We do not want to perform the test while you are bleeding or spotting, or if you should be unexpectedly pregnant

• If you are on birth control pills. this test can be perfonned at any time of your cycle if you are not bleeding or spotting.

If you are not on birth control pills you must use Barrier Contraception from the first day of your period. up until the procedure.

Prior to the Sonohysterogram:

• It is Highly Recommended that your partner completes a semen analysis at least 3 days prior to the procedure, if ordered by the physician.

• You will be given a prescription for antibiotics to be started 2 days before the procedure. Please begin these antibiotics as ordered, and continue taking them for the full 5 days. The antibiotics are given as a precautionary measure.

The Day of the Procedure:

* Eat A Full Breakfast That Morning Prior to the Test! *

• Before the procedure, you will be given 600mg of Motrin for discomfort and mild cramps that may be a result of the test.

• First, a speculum is inserted into the vagina. This enables the physician to view the cervix. The cervix is washed with iodine to reduce the chance of infection. A small plastic tube is inserted through the cervix. Sometimes a tenaculum (metal clip) may need to be placed on the cervix to straighten it; this causes a pinching sensation. The tube is attached to a syringe containing sterile saline, which is injected into the uterus. On the ultrasound monitor you will be able to see the fluid as it enters the uterine cavity. You may feel some pelvic discomfort, similar to menstrual cramps, as the uterus fills up with saline. The entire procedure usually takes about 20 minutes.

• You may have spotting and slight bleeding after the procedure. You should wear a sanitary pad or panty shield for the remainder of the day.

• The doctor will review the hysterosalpinogram results with you, after the test is completed.

• After consult with the physician, you will plan the next steps with an IVF nurse.