Explanations Why Your Physician May Order a Sonohysterogram and What to anticipate


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Other doctors may order a sonohysterography at the same time as an HSG. Research has found that the combination of tests may be better at detecting some uterine fertility problems. The advantage of having an HSG and sonohysterogram at the same time is the catheter needs to be placed only once. Your doctor will recommend a sonohysterogram when they need to examine the structure of your uterus and its lining. Test uses range from testing for infertility to diagnosing the cause.

The echoes from these sound waves can create a real-time image of the inside of your uterus. This can show the structure of your uterus. The saline fluid helps the ultrasound form an image with sharper detail. Your healthcare provider can use this information to diagnose a number of different health conditions.

A sonohysterogram uses ultrasound to look at the inside of your uterus. A salt (saline) solution is put in the uterus for a clearer image. Ultrasound images from a sonohysterogram can help find the cause of bleeding or problems with getting pregnant.

Unlike a hysterosalpingogram, a sonohysterogram doesn’t use X-rays or an iodine dye. With a sonohysterogram procedure, it will give the doctor a detailed view of many uterine abnormalities, which is not possible with a routine trans-vaginal ultrasound. It can also prevent any unnecessary surgery, as well as ensure that all fibroids and polyps will be removed surgically.

Your doctor might order a sonohysterogram to investigate the cause of infertility, repeated miscarriages, or abnormal uterine bleeding. It is a way of viewing the uterus and endometrium in order to identify abnormalities, such as Fibroids and other masses. If you’re having unusual bleeding (especially after menopause), repeat miscarriages, or a hard time getting pregnant, your doctor might suggest a special type of uterine ultrasound, also known as a. Your doctor may also order an ultrasound if they notice any abnormal swelling, pain, or infections so that they can uncover any underlying conditions that might be causing these symptoms. Your doctor may do this type of biopsy if your Pap test shows that you have “precancerous” cells in your uterus. She could also suggest one if you have any of these symptoms: Heavy or long periods.

An HSG can show that the tubes are blocked, but it can’t explain why. Your doctor may order further testing, including exploratory laparoscopy or a hysteroscopy. These procedures can both help investigate the issue and possibly correct the problem.

List of related literature:

After the patient is placed in lithotomy position, the health care provider will insert a speculum to view the cervix.

“Medical-Surgical Nursing E-Book: Concepts for Interprofessional Collaborative Care” by Donna D. Ignatavicius, M. Linda Workman, Cherie Rebar
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Women who were about to have a colposcopy, a common diagnostic procedure to check for the presence of abnormal (cancerous) cells in the uterus, were given the monitoringblunting questionnaire while waiting to undergo the procedure, and they were then divided into two groups: monitors and blunters.

“The Marshmallow Test: Mastering Self-Control” by Walter Mischel
from The Marshmallow Test: Mastering Self-Control
by Walter Mischel
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The preconceptual visit should include a complete physical examination with evaluation of blood glucose levels, cardiovascular and renal health, gastrointestinal system, an eye examination to check for diabetic retinopathy, and evaluation of the presence of neuropathy.

“Comprehensive Neonatal Nursing Care: Fifth Edition” by Carole Kenner, PhD, NNP, FAAN, Judy Wright Lott, DSN, RN, BC-NNP, FAAN
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by Carole Kenner, PhD, NNP, FAAN, Judy Wright Lott, DSN, RN, BC-NNP, FAAN
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Depending upon the primary complaint, other more invasive procedures such as endoscopy, cystoscopy, hysteroscopy or laparoscopy, may enhance diagnostic capacity through quintessential physical findings suggestive of pathology as well as provide possible treatment interventions [8].

“Management of Common Problems in Obstetrics and Gynecology” by T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy
from Management of Common Problems in Obstetrics and Gynecology
by T. Murphy Goodwin, Martin N. Montoro, et. al.
Wiley, 2010

After the speculum examination, a bimanual examination is performed to assess the size, shape, and consistency of the uterus and ovaries.

“Medical-Surgical Nursing E-Book: Assessment and Management of Clinical Problems, Single Volume” by Sharon L. Lewis, Linda Bucher, Margaret M. Heitkemper, Mariann M. Harding, Jeffrey Kwong, Dottie Roberts
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A bimanual examination is done to assess for cervical motion tenderness and for uterine or adnexal masses or pain.

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Risk factors include a foreign body in the uterus or cervix (such as a retained intrauterine device or cervical cerclage), premature delivery and a maternal history of vaginal candidiasis3.

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Radiographic studies performed before pregnancy and operative notes describing spinal surgical procedures should be reviewed before neuraxial anesthesia is given to any patient with significant scoliosis or previous spinal surgery.

“Chestnut's Obstetric Anesthesia: Principles and Practice E-Book” by David H. Chestnut, Cynthia A Wong, Lawrence C Tsen, Warwick D Ngan Kee, Yaakov Beilin, Jill Mhyre
from Chestnut’s Obstetric Anesthesia: Principles and Practice E-Book
by David H. Chestnut, Cynthia A Wong, et. al.
Elsevier Health Sciences, 2014

Bimanual examination is performed to determine the presence of pelvic masses, including fibroids, which may cause or contribute to voiding dysfunction.

“Urogynecology and Reconstructive Pelvic Surgery E-Book” by Mark D. Walters, Mickey M. Karram
from Urogynecology and Reconstructive Pelvic Surgery E-Book
by Mark D. Walters, Mickey M. Karram
Elsevier Health Sciences, 2014

Pregnancy and childbirth issues, such as gestational diabetes, gestational hypertension, or rectoceles and cystoceles, should be evaluated by the nurse as potential alterations in health status that may need continued monitoring.

“Fundamentals of Nursing E-Book: Active Learning for Collaborative Practice” by Barbara L Yoost, Lynne R Crawford
from Fundamentals of Nursing E-Book: Active Learning for Collaborative Practice
by Barbara L Yoost, Lynne R Crawford
Elsevier Health Sciences, 2019

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Wow that doctor was amazing, he was so calm and collected! I love when doctors talk about what they’re doing and check up on you as well. Makes the experience 100 times better.

  • I haven’t watched since Channon was pregnant with Snow because I’ve been dealing with a lot of personal family issues. I just happened to come across this vlog today and OMG Snow is the cutest and most beautiful baby I’ve ever seen! Seriously, I have NEVER seen a more adorable baby! Wowza!!!

  • If you can take ibuprofen instead of Tylenol I highly recommend it. Tylenol is a cox 2 inhibitor and if it tried to pass through fda testing now it wouldn’t pass. It also depletes your glutathione which is your natural detoxifier

  • I want to say this here. I have been watching your videos for years. And it makes me have hope for myself seeing you guys have Snow.

    I have a condition called Polycystic Ovarian Syndrome/Disease known as PCOS. I started having visible symptoms starting with Alopecia when I was 13/14 years old but wasn’t diagnosed with it until I was 15/16 years old and started developing weight and acne issues due to my conduction. I am 22 now and have experienced severe periods and cysts in my uterus and on it, cysts also covered both of my ovaries and tubes. I was contemplating having everything removed due to the sheer agony I had been in for so long. When I was about to turn 18 I experienced the absolute worst cyst rupture of my life during a period and it almost sent me into a seizure. I legitimately thought my uterus was going to break this time and I was going to actually die. Luckily when I went into the doctors they decided that it was okay to try using an IUD to halt me having periods when before they didn’t want me using one because of family history. At this point I was down to try anything because to this day I still believe if I had experienced that again I would actually die that time. Now this is important to note I was going off to college in a few weeks after this in another state. I was told I would spot for up to six weeks after implantation. Yeah they fucked up doing it. I of course didn’t know this until a month later I’m bleeding heavily and have what I though was a huge blood clot come out and I end up in the ER being told they think my body was rejecting it. So I go to an OBGYN and have them take a look. I was told my implant was punctured through one of my walls during implantation because the person who did it should have check my uterus position and didn’t. My uterus is not only sideways in my body but tilted at an angle… and at the rate I was bleeding I potentially could have died if I waited any longer to get checked out…. so yeah got that fixed up and a new one put in correctly.
    Yeah… and to top all of this shitty stuff that clot that came out? That was most likely a miscarriage since my IUD hadn’t been functioning properly.

    As I said before I am 22 now and hopefully my condition will allow me to have a baby within the next few years but I will have to most likely go the same route of using IVF to achieve a pregnancy. My best friend has told me however that if my body turns out unable to carry and support a pregnancy that she will be my surrogate.
    I just want to say thank you for making your videos. They give me great hope for myself in the future.

  • So happy it went well! I think this DR is the same on as Desi Perkins too. He seems very caring. Fingers crossed everything continues to go well Channon!

  • I have heard and experienced that male doctors will say that it does not hurt, and that you may experience mild cramping. But female doctors and nurses will say that it may hurt, and ask more about your painlevel during. So even when you say that it hurts, female doctors will be far more considerate.

  • This video just made my heart and hopes for you soar!���� �� ty for making me hungry! I haven’t had fast food in months, and where I am there’s no time planned whatsoever to be reopening, but I just want this yrs hard parts to stop. For everyone.(my cravings aside��) ♥️toU3&?4��

  • Your doctor was so good! So kind and explained things so smoothly! I hope every step of the way you get medical professionals with his demeanour ✨✨✨

  • I’m so glad you had such a nice doctor. He had great bedside manner. I’m so happy that you didn’t have terrible cramping and pain! ���� I also wanted to say that Xanax/Alprazolam is a tremendous help with cramps. I have absolutely horrible cramps when I have my period and when it gets to where I can’t bear it anymore, 1 soma + 1 xanax and the heating pad is a life saver for me.

  • Oh my gosh, Snow is so beautiful �� what a beautiful family you are Channon. And that Doctor was amazing, so gentle and reassuring ����

  • All these medical and formal videos yet none of them came close to yours. Thank you for this, I have mine in a couple weeks. Hope all is well with you and your family. Loved doggo!

  • Some people think that all vegans eat are vegetables! Lol so much junk food is vegan lol so happy that this go around it wasnt horrible pain for you! So excited to watch your journey again ����

  • This guy has the BEST bedside manner I have ever seen! I have bad anxiety like you and I felt so at ease just listening to his explanations lol You scored! Good luck Channon ❤️❤️❤️

  • I think it’s really cool that you filmed your experience so other women that need to go through this too know what to expect. I’m sure it takes a lot to do this. The Dr seems really sweet too & that’s something people don’t see all the time… ��☺️

  • I’m confused, no hate obviously, but here in the UK we can’t see anyone who isn’t from our household so has your mum moved in with you or is this rule different in America? Just curious of the difference��

  • Wow your doctor seems great! He explains absolutely everything so well. I swear every doctor says ‘okay’ 97493 times hahaha! So reassuring

  • Thank you for sharing your experience. It definitely put me more at ease to continue with my infertility journey and have this procedure done. ☺

  • This doctor is literally AMAZING! It’s like he’ s born to be a doctor, the way he talks to you, he is so calm and kind to you, and so educated. You can truly see he makes a difference.

  • I love that little surprised mouth gesture she does!! ��My grand daughter did that at about her age all the time. So cute! Probably cause you’ve had a baby is why it was more comfortable. So glad you had a good experience!! Love u guys and cannot wait to see that baby boy!!!����������

  • I love so so so so soo much Channon! Going to the doctor’s scares the shh out of me. Idk where u get ur strength but I love you and HAPPY MOTHERS DAY!

  • This is such a great video very informative! I can’t imagine how helpful this will be for anyone planning to go the same route to conceive.