When you’re having difficulty getting pregnant, you want answers. To help determine the cause of your infertility, Farris Fahmy, MD, FACOG, Dr. Rachel Roesner, DO, and Dr. Ravikumar, MD, FACOG at Aster OB/GYN may recommend a Sono HSG, or hysterosalpingography, a minimally invasive procedure that allows them to take a look at your uterus and fallopian tubes. If you’re struggling with infertility and live on or near the Upper West Side of New York City, call the office or book an appointment online for a consultation with Dr. Fahmy, Dr. Ravikumar or Dr. Roesner.
Sono HSG is an ultrasound procedure that allows Dr. Fahmy, Dr. Ravikumar and Dr. Roesner to see the inside of your uterus and fallopian tubes. The procedure uses a transvaginal ultrasound probe and a saline and air mixture to create detailed images of your reproductive organs.
Sono HSG is most commonly performed in women experiencing infertility. The images allow Dr. Fahmy, Dr. Ravikumar and Dr. Roesner to get a good picture of your uterus and fallopian tubes to see if there are any physical issues — namely partially or fully blocked fallopian tubes — that may be impeding your ability to get pregnant. Dr. Fahmy, Dr. Ravikumar and Dr. Roesner can then use this information to devise a plan to improve your chances of conception.
They also uses Sono HSG to confirm that your elective tubal sterilization has been successful. The procedure is performed a few months after surgery and allows Dr. Fahmy, Dr. Ravikumar and Dr. Roesner to view your blocked fallopian tubes to ensure sterilization is complete.
Sono HSG is a minimally invasive procedure Dr. Fahmy, Dr. Ravikumar and Dr. Roesner performs in their office. To ease any pain or discomfort, they may use a local anesthetic before they begin.
During the Sono HSG, you must lie on a gynecological table with your feet in stirrups. Dr. Fahmy and Dr. Ravikumar place a speculum in your vagina and clean your cervix. They then insert a catheter for placement of the saline and air and removes the speculum.
Dr. Fahmy, Dr. Ravikumar and Dr. Roesner use the FemVue® Saline-Air device, which allows for a consistent stream of air and saline for accurate imaging. The transvaginal wand is then inserted into your vagina for scanning of your uterus and fallopian tubes.
The entire procedure takes 30 minutes or less, and Dr. Fahmy, Dr. Ravikumar or Dr. Roesner may be able to provide your results immediately following the procedure.
Dr. Fahmy, Dr. Ravikumar and Dr. Roesner use the results of your Sono HSG to develop a plan for your infertility. If the test shows that your fallopian tubes are blocked, Dr. Fahmy, Dr. Ravikumar and Dr. Roesner may be able to perform laparoscopic surgery to get a better look at your tubes and, if they can, remove the blockage.
If needed, they may recommend additional treatments, such as in vitro fertilization.
If you’d like more information about Sono HSG and whether it’s a procedure that might help improve your chances of getting pregnant, call the office or book an appointment online.