Testing & Diagnostics
Medically reviewed by Norbert Gleicher, MD, FACOG, FACS - Written by CHR Staff - Updated on Oct 08, 2018
Hysterosonogram (HSN) is sort of a combination of a HSG and ultrasound. However, instead of using radio-opaque dye and x-rays to "see" the uterus, we use saline (salt water) and high-resolution ultrasound.
The result is a very sensitive method for visualizing abnormalities inside the uterus. Hysterosonograms are more "comfortable" than HSG, which sometimes causes cramping. Hysterosonograms, however, cannot replace hysterosalpingograms when it comes to evaluations of fallopian tubes.
Hysterosonogram showing intrauterine adhesions
This patient came to us having failed five IVF cycles at another program. The hysterosonogram revealed scar tissue (adhesions) inside the uterine cavity. Interestingly, an HSG performed previously did not demonstrate any adhesions.
Another hysterosonogram showing example of adhesions in the uterus
Hysterosonogram demonstrating Intra-abdominal adhesions
Fluid which passed through the fallopian tubes allowed this view of pelvic adhesions from the fallopian tube to the uterus.
Examples of early intra-uterine pregnancy using high resolution ultrasound
This infertility patient conceived with the use of gonadotropins (injectable fertility medications). The amnion (thin membrane surrounding the embryo during pregnancy) is clearly seen.
Using color flow doppler, blood flow is seen in the early embryo.
Norbert Gleicher, MD, FACOG, FACS
Norbert Gleicher, MD, leads CHR’s clinical and research efforts as Medical Director and Chief Scientist. A world-renowned specialist in reproductive endocrinology, Dr. Gleicher has published hundreds of peer-reviewed papers and lectured globally while keeping an active clinical career focused on ovarian aging, immunological issues and other difficult cases of infertility.