Re: hysterosonogram

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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.

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