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ACOG Technology Assessment In Obstetrics and Gynecology number 3, september 2003

Obstetrics & Gynecology: September 2003

ABSTRACT: Saline infusion sonoliyslerography consists of ullrasonograph-ic imaging of the uterus and, ulerocervicat cavity, using real-lime ultra-sonography during injection of sterile saline into the uterus. When properly performed, saline infusion sonohysterography can provide information about the uterus and endametrium. The most common indication for sonohysterography is abnormal uterine bleeding. Sonohysterography should not be performed in a woman who is pregnant or who could be pregnant or in a woman with, a pelvic, infection, or unexplained pelvic tenderness. Physicians who perform or supervise diagnostic saline infusion sonohysterography should have training, experience, and demonstrated competence in gynecologic ultrasonography and saline infusion sonohysterography. Portions of this document were developed jointly with the American College of Radiology and the American Institute of Ultrasound in Medicine.

Tliis Technology Assessment was developed by the ACOG Committee on Gynecologic Practice with the assistance of Daniel iireitkopf, MD, Steven R. Goldstein, MD, and John W. Seeds, MD. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change. The information should not be construed as dictating an exclusive course of treatment or procedure to be followed. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.

© 2003 by The American College of Obstetricians and Gynecologists. Published by Wolters Kluwer Health, Inc. All rights reserved.