MONDAY, MARCH 2, 2009

I am set today for my Saline Sonogram. From what I have read, it should be a really easy, painless procedure. In fact, so much so, that I told hubbo not to cancel his important meetings and that I could take myself. And, to be honest, the HSG was SO painful, I can’t see how this will be painful. Instead of dye, this is simply saline injected for contrast. The saline sonogram is used to evaluate the inner cavity of the uterus (endometrial cavity). It can also be used to discover whether either of the fallopian tubes is open. This test does not reveal any abnormalities on the outside of the uterus or on the ovaries, such as adhesions or endometriosis. From what was explained to me, I was told they would be looking for polyps, fibroids, or any “foreign matter.”

This is what we hope the sonogram looks like…dark with no light streaks or spots!

Normal Saline Sonogram

Normal Saline Sonogram

Okay, off to the procedure! More later…

Hey gang, it’s the next day, last night was ROUGH, to say the least. I am coming to learn that I am incredibly sensitive—and that my retroverted uterus makes it tough to get up in there.

The procedure was performed by Dr. Sohn, who couldn’t have been more kind, knowledgeable and gentle. In the practice they rotate docs, so this was my time to meet Dr. Sohn. Unlike many, he talked me through the entire procedure, which I appreciated. The procedure is performed as follows:

  • The procedure is performed in the office
  • A speculum is inserted into the vagina.
  • The cervix is swabbed with an antiseptic to help avoid infection that can be caused by insertion of a small, balloon-tipped catheter through the cervix.
  • The speculum is removed and a transvaginal ultrasound probe is inserted into the uterus, providing a picture on a monitor.
  • A warm saline solution is injected through the catheter, expanding the fallopian tubes to allow for better visualization.

The doctor and nurse will tell you to expect mild cramping, and to take 800mg ibuprofen an hour before the procedure. If there is any pain, it should go away after the probe is removed.

THAT IS THE EXPECTATION. I, of course, could not be the norm, and had to be in dire pain. It wasn’t as bad as the HSG, but we ran into a few issues that created more pain than anticipated. Due to my retroverted uterus, Dr. Sohn had to manipulate the cervix in several ways to insert the catheter. My opinion is that the balloon on the end of that sucker is what hurts. Following that, there was some resistance flushing in the saline. When it did flush through, it felt like the most incredible menstrual cramp where you would expect an enormous flow to exit. I felt the cramp swirl from the bottom of the right of my uterus and flow up around the top around to the bottom of the left. I visualized a large marble in there. Then I started thinking about roulette. Then I started thinking about the movie Casino Royale…then I wondered if I would ever design anything as amazing as the opening credits for that movie. ANYTHING to distract, I suppose. I laid back on that table crying silent tears down the sides of my face.

Very Cool. I pulled it together. I got to watch the whole thing on the video monitor. I didn’t actually know what I was looking at. Kind of like Rachel on Friends when she can’t see the baby on the ultra sound. At that moment, Dr. Sohn showed me a bright white spot on the monitor. It kind of looked like a AA battery. Maybe an air bubble? He asked, Have you ever had an IUD? Uh, no. Are you sure? I laughed. He said, yes, you would likely know better than I would. So he, in his words, rooted around in there for a while to see if he could change the size, shape, position…an air bubble shouldn’t remain that long.

After about 45 minutes he removed the probe, sat me up and said, I think you have a “foreign body” lodged in the lining of your uterus. Uh, EXCUSE ME? He suggested I have a hysteroscopy to determine what it was. This is where they insert a camera into the vagina to get a better look. Want to know something funny? THE FIRST THING I ASKED? Do I get any pain medication for that procedure? I was not doing one more thing that was going to hurt that much. He said he would discuss with Dr. F and they would call me later.

I WILL TRY TO GET THE IMAGES OF MY SONOGRAM SO YOU CAN SEE WHAT IT LOOKED LIKE.

MY TIPS FOR THE SALINE SONOGRAM

Procedure Time. 20-45 minutes depending on size, shape and position of uterus. Additionally, any findings can increase time to take additional images. It seemed to pass quickly for me.

Ask for meds. If you had a hard time with anything else, get a valium or vicodin or something more than advil.

Wear granny panties. I don’t know about you, but I am a thong wearer! I have found that for these appointments I need to wear full undies to wear a sanitary napkin.

Wear loose clothing. They shoot you up with TONS of saline/water. You will be bloated for about 24 hours. Since it is not in your bladder, it will need to be absorbed or leak out, so fun.

Sanitary napkin! They gave me one, but it was short. When I took a few steps, I GUSHED saline and blood. I had to stop in the lobby and change out. Be prepared.

Recovery Time. Take it easy. AS ALWAYS…I say take it easy that day, and don’t over-exert the next. The doctor will tell you that you can resume normal activities within 3 hours. Having had it done, IF you can, relax. Let someone take care of you. My hubbo made me really fresh swordfish, cous-cous and my all-time favorite SO bad for you dessert of vanilla ice cream with magic shell chocolate. He is the best.

IMPORTANT NOTE: I was completely ok to drive myself home. I had terrible cramps, but nothing worse than a very bad period by the time I left.

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