PREGNANCY-BIRTH Messages for May, 1999: Re: hysterosonogram

Re: hysterosonogram

From: William D. McIntosh, MD (anonymous@obgyn.net)
Sun, 30 May 1999 14:34:24 -0500 (CDT)

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At Sat, 29 May 1999, Valerie wrote: >
>My Dr. tried three times to give me a saline infused sonogram
>yesterday, but the saline just wouldn't run into my uterus. Since I
>have an unusually sensitive cervix he is now recommending general
>anesthesia and a hysterosonogram (sp?). All this is to visualize my
>uterus for possible causes for my 3 miscarriages.
> I'm not keen on the general anesthesia. Anyone have any bright
>suggestions? Has anyone had this sonogram without anesthesia? How bad
>was is? Is it possible to have an epidural?
>Thanks for any ideas!
> Valerie Austin
>
>--
>"Si HOC Legere Scis Nimium Eruditionis Habes"
>

It sounds like your cervix needs a small amount of dilation in order to infuse the saline for the test. I can think of three possibilities.

1. He is going to dilate your cervix while you are under anesthesia, either general, or heavy sedation with paracervical block, and then instill the saline and scan you, a HYSTEROSONOGRAM. I have never heard of it being done this way, but it is feasible if he has a U/S machine in the OR.

2. Since he cannot get what he wants in the office, and since he is considering general anesthesia anyway, he might be planning a HYSTEROSCOPY instead, in my opinion a better test if general anesthesia is planned, as it will provide more information.

3. He might be planning a HYSTEROSALPINGOGRAM, a radiologic test in which a radio-opaque dye is instill through the cervix, and x-rays are taken of the internal anatomy of uterine cavity, and of the fallopian tubes. This is generally done with a paracervical block (local anesthetic injected in such a way as to make the cervix numb).

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: anonymous@obgyn.net: "pushing a baby back inside after the head is delivered"
Previous message: William F. von Almen, II, MD: "Re: tained placental fragments"
In reply to: Cindy: "Re: Leaking amniotic fluid at 17 weeks? Thanks Dr. Hill!"

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