What is a Sonohysterogram?

A sonohysterogram is an imaging test using ultrasound performed to look inside of the uterus. Ultrasound imaging is a noninvasive and safe test to help your doctor view internal structures and organs. You may be advised to have this test if you have symptoms that are associated with uterine problems such as abnormal menstrual bleeding or cramps, repeated miscarriages, infertility, an abnormal pelvic exam, post-menopausal bleeding, or more.

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This test can be performed to help Dr. Tepper diagnose a number of medical conditions, including:

  • Uterine polyps.
  • Uterine fibroids.
  • Endometrial atrophy.
  • Scarring of the uterus.
  • Abnormal shape of the uterus.
  • Uterine cancer.


Welcome to my practice. Let me introduce myself and my practice philosophy. I am a board certified OB/GYN in practice for over 20 years and have been a solo-practitioner on the Upper East Side of Manhattan since 2000. All deliveries are performed at The Mount Sinai Medical Center where I went to medical school and at Lenox Hill Hospital.

The Sonohysterogram Procedure

Prior to your sonohysterogram test, you will be asked to take a pregnancy test, as pregnant women should not undergo this procedure. This test is usually done one week after your period starts, as this is when your uterine lining is thinnest, allowing your doctor to view results more easily. You will also be asked to use the restroom to empty your bladder before the test.

Overall, the sonohysterogram procedure can be broken down into the following steps:

  • Initial transvaginal ultrasound: To begin, you will lie down on the exam table and an initial transvaginal ultrasound will be performed.  This involves the insertion of an ultrasound probe into the vagina, which will emit sound waves to create an image of your uterine lining.
  • Inserting fluid into the uterus: Next, a tool called a speculum will be inserted into the vagina to keep it open, making it easier for your doctor to reach the cervix. A special swab will be used to clean the inside of the cervix, and a tube will be inserted to send fluid into the cervical opening. This fluid will cause your uterus to get slightly larger and make the uterine lining easier to see.
  • Second transvaginal ultrasound:  In the last step of this test, the transvaginal ultrasound probe will be reinserted and more fluid will be sent through the inserted tube to the uterus. This ultrasound will be used to examine the uterine lining and note the flow of fluid from the uterus into the fallopian tubes. This exam takes about 30 minutes to complete.

After your sonohysterogram, you will be able to return to your regular activities, as it does not usually cause side effects that would interfere with daily life. Some patients may experience light bleeding which should resolve within a few days.


Whether you are a new or returning patient, Dr. Tepper can assess your concerns and discuss your options to find the most comfortable and convenient care for you. To get started, call our office to set up an appointment.


Contact Us Today to Learn More

For more information regarding sonohysterography or to schedule an appointment with Dr. Tepper, do not hesitate to contact our office today! We will be happy to assist you in any way possible.

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