What is Sonohysterogram (SHG)?

In gynaecology, a sonohysterogram (SHG) is a safe and painless procedure to examine the uterus and the uterine lining. It is an ultrasound exam that helps the doctor check the inside of the uterus and the ovaries. The procedure is harmless as it uses sound waves and a computer to create images. A fertility specialist may use an SHG to diagnose conditions such as infertility, abnormal bleeding, and uterine fibroids.

When to see a doctor? 

The doctor advises an SHG in case of symptoms such as:

  • Unusual menstrual bleeding
  • Infertility
  • Recurrent miscarriages
  • Abnormal pelvic examination

What to expect from the test?

SHG is often performed following the end of the menstrual cycle. It starts with an ultrasound examination where a probe is put into the vagina. A thin catheter is then inserted into the uterus through the vagina. Sterile saline (salt water) is injected into the uterus while the ultrasound examination is still performed. The uterus is filled with saline solution, which helps define the uterine walls and cavity. It reveals uterine abnormalities, including fibroids, polyps, or scar tissue.

Preparing for the test

The week following the end of menstruation is the best time to perform the test for accurate results. Additionally, it reduces the risk of uterine infection.

Some things to remember before for an SHG :

  • Eat and drink normally. Medications can also be taken as usual.
  • Dress comfortably for the test.
  • Over-the-counter painkillers or antibiotics may be prescribed to avoid discomfort or pain during the test.
  • The patient may be asked to use an absorbent pad after the test to prevent leakage of the saline fluid.

Possible results of the test

Medical experts utilize sonohysterogram to detect a range of abnormalities, including:

  • Uterine fibroids
  • Ovarian polyps
  • Ovarian cancer
  • Abnormally shaped uterus
  • Internal scarring of the uterine tissue
  • Fallopian tube obstruction
  • Abnormalities in the uterine lining

You can book your consultation at the fertility hospital in Kondapur. The doctors at the fertility hospital in Kondapur will provide you with the best consultation and treatment plan.

Risk factors associated with the test

The sonohysterogram is a safe and low-risk procedure. However, some women may experience discomfort, bleeding, or cramps after the test. Your doctor will prescribe medication if necessary to manage the pain.

Pregnant women who need an SHG shouldn't undergo a saline sonohysterogram. Women with active pelvic inflammatory disease (PID) are advised not to undergo an SHG. It is best to speak with a healthcare practitioner to learn more about the risks and complications associated with an SHG.


A sonohysterogram (SHG) is a reasonably safe procedure to check the inside of the uterus. A healthcare specialist will prescribe an SHG to help diagnose many medical conditions, such as infertility, pelvic discomfort, and abnormal vaginal bleeding. A specialist will guide patients on how a sonohysterogram is done and why someone might need it.

Request an appointment at

Apollo Fertility, Kondapur, Hyderabad

Call 1860-500-4424 to book an appointment.

1. How much time does the SHG take?

The SHG exam is typically done under 30 minutes. However, examination of the uterus may take longer in rare cases.

2. What can a SHG diagnose?

A sonohysterogram is conducted to determine the root causes of several conditions, such as irregular uterine bleeding, frequent miscarriages, and pelvic discomfort. Additionally, it might pick up abnormal uterine growth like polyps or fibroids.

3. Is a SHG necessary for IVF?

Before beginning IVF, the uterus cavity should be examined through a procedure such as an SHG for a thorough examination of the uterus.

4. Is SHG painful?

Although Sonohyterogram is a safe procedure, some women may experience pain and discomfort during and after the procedure.

5.Do I need a full bladder for a SHG?

You do not need a full bladder for undergoing a sonohysterogram. Your doctor will perform an abdomen scan and ask you to use the restroom to empty your bladder before performing the SHG.

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