Private Saline Sonography with a Consultant Gynaecologist

MUMS Consultant Gynaecologist, Miss Poonam Pradhan – offers saline sonography to investigate a range of gynaecological issues.

Saline Sonography (often called Saline Infusion Sonography – SIS or Sonohysterography) is a gynaecological ultrasound procedure used to look more clearly at the inside of the uterus (endometrial cavity).

During a standard transvaginal ultrasound, the uterine walls often lie against each other, which can make abnormalities hard to see.

In saline sonography:

• A thin catheter is inserted through the cervix into the uterus.
• Sterile saline (salt water) is slowly infused into the uterine cavity.
• The saline separates the uterine walls, creating contrast.
• A transvaginal ultrasound probe is used to visualize the cavity in real time.
• The fluid makes the uterine lining and any abnormalities easier to see.

Miss Pradhan commonly uses saline sonography to identify:

• Endometrial polyps
• Submucosal fibroids
• Uterine adhesions (Asherman syndrome)
• Congenital uterine abnormalities
• Endometrial thickening
• Causes of abnormal uterine bleeding
• Fertility problems / implantation issues

It is typically performed after a menstrual period but before ovulation (usually day 5–10 of the cycle) to ensure:

• The endometrium is thin
• There is no pregnancy

Using ultrasound and saline – better images of the uterine and endometrial cavity are visualised. Miss Pradhan will perform a pelvic ultrasound then use the saline within the uterus to improve visualisation.

Prior to having Saline Sonography

An STI test (sexually transmitted disease) is required, and the result obtained prior to the procedure. Results take a few days. The cost of the STI clearance (DL12) is £210 at MUMS.

We test (to ensure you do not have an infection that can spread with saline sonography) for:

• Chlamydia trachomatis
• Neisseria gonorrhoea
• Mycoplasma genitalium
• Ureaplasma species
• Trichomonas vaginalis
• Gardnerella vaginalis
• Herpes Simplex I/II

You do not need to have full bladder. Miss Pradhan will scan the abdomen initially before performing a transvaginal ultrasound. Miss Pradhan will look closely at the shape and size of your uterus, its appearance, the endometrium (lining of the uterus) and the ovaries. Miss Pradhan will share with you her findings and insert a speculum into your vagina and then introduce the saline into the uterus via a catheter.

How long does it take?

The STI checks appointment should be performed a few days before saline sonography. This appointment takes 15 mins. Saline Sonography and consultation lasts for approximately 45 minutes.

Following the procedure

Miss Pradhan will explain her findings and provide you with a report. You can drive home after the procedure, but it is best to have a driver in case you feel faint or have any cramping pains. Pain and discharge can last 24-48 hours. We advise that pain relief is taken one hour before the procedure. Simple over the counter analgesia is all that is required. Symptoms of infection include fever, loss of appetite, pelvic pain, or unusual vaginal discharge.

You can call us to arrange a saline sonography procedure on 0121 704 2669. You can also make an enquiry via our website to obtain more information.

We have ample parking and great reviews. For more information about Miss Pradhan, Consultant Gynaecologist – follow this link