Evaluation of postmenopausal endometrium

Pain experience during saline‐contrast sonohysterography differs between premenopausal and postmenopausal women

“…Saline‐contrast sonohysterography (SCSH), also called hydrosonography or saline‐infusion sonography, which is complementary to standard transvaginal sonography (US), is a simple, minimally invasive, and inexpensive procedure …”

“…During SCSH, a plastic catheter is inserted through the cervical canal, and the uterine cavity is distended by the injection of sterile saline solution. This makes it possible to evaluate the uterine cavity and discriminate between focal endometrial lesions and diffuse endometrial thickening …”

“…Many authors emphasize that SCSH is usually painless and well tolerated . However, in some cases, women have experienced mild cramping pain during the investigation, and in some others, SCSH had to be terminated because of the severity of the pain .…”

“…S aline-contrast sonohysterography (SCSH), also called hydrosonography or saline-infusion sonography, which is complementary to standard transvaginal sonography (US), is a simple, minimally invasive, and inexpensive procedure. 1,2 During SCSH, a plastic catheter is inserted through the cervical canal, and the uterine cavity is distended by the injection of sterile saline solution. This makes it possible to evaluate the uterine cavity and discriminate between focal endometrial lesions and diffuse endometrial thickening.…”

“…This makes it possible to evaluate the uterine cavity and discriminate between focal endometrial lesions and diffuse endometrial thickening. 1 Because SCSH can replace diagnostic hysteroscopy, thus reducing the number of unnecessary interventions, 3,4 it should be offered to all women in whom uterine cavity abnormalities are suspected 5 or abnormal uterine bleeding is being investigated. 6,7 Many authors emphasize that SCSH is usually painless and well tolerated.…”