Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
How Does This Procedure Sonohysterogram Improve Upon The Ultrasound In Assessing The Condition?
Question: Hi,
My spouse is due for a sonohysterogram to assess if there are any endometrial polyps present as the transvaginal pelvic ultrasound indicated uniform bumps which could be polyps. How does this procedure improve upon the ultrasound in assessing the condition?
She is also to take two Naprogesic tablets one hour before the procedure. Given the following medications taken can the Naprogesic be taken? Particularly as 25mg of Prednisone has been taken for two months already? Initially 30mg for the first 40 days. Other medications taken include Mycophenolate Mofetil 2000mg daily. Metformin 2000mg. Gliclazide up to 120mg daily.
Thank you.
My spouse is due for a sonohysterogram to assess if there are any endometrial polyps present as the transvaginal pelvic ultrasound indicated uniform bumps which could be polyps. How does this procedure improve upon the ultrasound in assessing the condition?
She is also to take two Naprogesic tablets one hour before the procedure. Given the following medications taken can the Naprogesic be taken? Particularly as 25mg of Prednisone has been taken for two months already? Initially 30mg for the first 40 days. Other medications taken include Mycophenolate Mofetil 2000mg daily. Metformin 2000mg. Gliclazide up to 120mg daily.
Thank you.
Brief Answer:
Sonohysterogram will be helpful.
Detailed Answer:
Hello.
Thanks for writing to us.
The presence of uniform bumps in uterus endometrium is suggestive of polyps. Sonohysterogram will help to ascertain the exact size and shape of these polyps. It helps in dilating the endometrial cavity for proper assessment.
In ultrasound we have to assess the endometrial cavity when it is in a collapsed state where the exact assessment of its components is limited.
Naprogesic tablets are pain killers which will help in controlling the pain that is expected during the procedure. She can take them with the current medicines she is taking as advised by her physician.
Hope this answer is helpful.
Any further questions are welcome.
Regards.
Dr. Rakhi Tayal
Sonohysterogram will be helpful.
Detailed Answer:
Hello.
Thanks for writing to us.
The presence of uniform bumps in uterus endometrium is suggestive of polyps. Sonohysterogram will help to ascertain the exact size and shape of these polyps. It helps in dilating the endometrial cavity for proper assessment.
In ultrasound we have to assess the endometrial cavity when it is in a collapsed state where the exact assessment of its components is limited.
Naprogesic tablets are pain killers which will help in controlling the pain that is expected during the procedure. She can take them with the current medicines she is taking as advised by her physician.
Hope this answer is helpful.
Any further questions are welcome.
Regards.
Dr. Rakhi Tayal
Above answer was peer-reviewed by :
Dr. Dr. Nagamani N.G
Dear Dr. Tayal,
Thank you for the detailed information and advice.
Could I ask if the procedure is safe for an immuno-suppressed patient with a 3 month history of prednisone treatment at 25-30mg per day and a 2 month history of treatment with mycophenalate mofetil at 2000mg per day? I have noted there is a small risk of infection with the procedure?
Are there any procedures or tests that could be done to screen for the main risk factors for infection from a sonohysterogram or contra-indications for the procedure?
Thank you.
Thank you for the detailed information and advice.
Could I ask if the procedure is safe for an immuno-suppressed patient with a 3 month history of prednisone treatment at 25-30mg per day and a 2 month history of treatment with mycophenalate mofetil at 2000mg per day? I have noted there is a small risk of infection with the procedure?
Are there any procedures or tests that could be done to screen for the main risk factors for infection from a sonohysterogram or contra-indications for the procedure?
Thank you.
Brief Answer:
Risk of infection is present.
Detailed Answer:
Hello.
Thanks for writing again.
Sonohysterogram is an invasive procedure and even if all the precautions are taken a small risk of infection cannot be ruled out.
Regarding the safety, it is always assessed with respect to the benefit we are likely to get from the procedure. There are no specific tests to find out the risk of infection. Her treating doctor is the best person to assess the risk and benefit as he knows all the details of the case.
Contraindications for sonohysterogram are pregnancy, pelvic infection or inflammation, pelvic pain, cervical stenosis, etc.
Hope this answers your questions.
Thanks.
Risk of infection is present.
Detailed Answer:
Hello.
Thanks for writing again.
Sonohysterogram is an invasive procedure and even if all the precautions are taken a small risk of infection cannot be ruled out.
Regarding the safety, it is always assessed with respect to the benefit we are likely to get from the procedure. There are no specific tests to find out the risk of infection. Her treating doctor is the best person to assess the risk and benefit as he knows all the details of the case.
Contraindications for sonohysterogram are pregnancy, pelvic infection or inflammation, pelvic pain, cervical stenosis, etc.
Hope this answers your questions.
Thanks.
Above answer was peer-reviewed by :
Dr. Saisudha Kotla
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
