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Related Experiment Videos

Sonohysterography.

Mary Jane O'Neill1

  • 1Division of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, Harvard Medical School, White Building Room 270, 55 Fruit Street, Boston, MA 02114, USA. Moneill@partners.org

Radiologic Clinics of North America
|August 6, 2003
PubMed
Summary

Sonohysterography (SHG) reliably differentiates focal from diffuse uterine pathology, aiding in the management of abnormal uterine bleeding and infertility. For postmenopausal bleeding, SHG is key, but tissue diagnosis is often needed for focal lesions.

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Area of Science:

  • Gynecologic Imaging
  • Diagnostic Ultrasound

Background:

  • Sonohysterography (SHG) is essential for evaluating abnormal uterine bleeding (AUB) and infertility.
  • Distinguishing focal from diffuse uterine pathology is crucial for accurate diagnosis and treatment planning.

Purpose of the Study:

  • To highlight the role of SHG in the triage of postmenopausal bleeding (PMB).
  • To emphasize the common findings and diagnostic goals of SHG in premenopausal and postmenopausal patients.

Main Methods:

  • SHG utilizes saline infusion into the uterine cavity during ultrasound.
  • This enhances visualization of the endometrium and intracavitary structures.

Main Results:

  • SHG reliably distinguishes focal (e.g., polyps, submucosal fibroids) from diffuse uterine pathology.

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  • In premenopausal patients, SHG aids in diagnosing causes of dysfunctional uterine bleeding and infertility.
  • In postmenopausal patients, the primary goal is detection and localization of findings, often necessitating tissue diagnosis.

    • Conclusions:

    • SHG is a critical tool in the diagnostic workup of AUB and infertility.
    • While SHG effectively identifies focal lesions, tissue diagnosis is frequently required in postmenopausal women, irrespective of apparent benign imaging features.