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Sonohysterography in Toronto and Mississauga

Image by Mick Haupt

Are you experiencing pelvic pain, irregular vaginal bleeding, or struggling with infertility?


Speak to your primary care health professional. Your doctor, midwife, or nurse practitioner may recommend sonohysterography medical imaging.


This non-invasive procedure allows healthcare professionals to visualize your uterine cavity and identify any abnormalities or pathologies that may be causing your symptoms. Unlike other invasive imaging studies like hysteroscopy, sonohysterography is a safer and less uncomfortable option. With no radiation exposure or the use of radioactive materials, it is a preferred choice for many patients.

Your doctor or other health professional will provide you with a requisition so that you can book your sonohysterogram. Download a requisition here and book your appointment by calling an Insight Diagnostic Imaging clinic or book online now.

What to expect when you go for a sonohysterogram​​

The first step in sonohysterography involves performing a vaginal ultrasound. This is done by inserting a small probe into the vagina to obtain images of the pelvic organs and assess the anatomy. Following this, a speculum is inserted into the vagina to visualize the cervix.

To ensure optimal hygiene, the cervical and vaginal area is cleaned with an antiseptic solution. This minimizes the risk of infection during the procedure. Next, a thin catheter is introduced into the cervical canal. This allows for the introduction of a saline solution into the uterine cavity.

Once the catheter is properly positioned, a vaginal probe is used to visualize the saline solution being slowly introduced into the uterine cavity. This helps to expand the cavity and provide better image quality. The saline solution also helps to evaluate the endometrial lining and detect any abnormalities.

Throughout the procedure, the physician evaluates the endometrium and uterus, looking for any signs of uterine pathology, such as polyps, fibroids, or adhesions. The images obtained during sonohysterography provide valuable information for diagnosis and treatment planning.

For those seeking sonohysterography in Toronto, Insight Diagnostic Imaging offers reliable and comprehensive diagnostic imaging services.


With a focus on providing the highest quality of care, Insight Diagnostic Imaging ensures a comfortable and efficient experience for our patients. By using state-of-the-art ultrasound machines and highly trained professionals, we deliver accurate results for a wide range of medical conditions, including pelvic pain, irregular vaginal bleeding, miscarriages, and infertility.


Insight Diagnostic Imaging has several convenient locations in and around Toronto, providing accessible diagnostic imaging services with the shortest wait times for patients. In Toronto, you can find Insight clinics in the Annex, Danforth, and North York.


Insight Diagnostic Imaging provides sonohysterography at the following clinic locations:

Spadina-Bloor Ultrasound

Central Toronto Diagnostic Imaging

Mississauga Diagnostic Imaging & Breast Health

What is Sonohysterography?

Sonohysterography, also known as saline infusion sonography, is a diagnostic procedure used to evaluate the uterine cavity and detect abnormalities. It is a minimally invasive procedure that provides detailed images of the endometrium and uterus.

Sonohysterography Medical Imaging in Toronto

Sonohysterography, also known as saline-infusion sonography, is a type of obstetrical ultrasound used to examine the uterus and fallopian tubes. This non-invasive medical imaging procedure involves the injection of a small amount of saline solution into the uterine cavity, which helps to enhance image quality and provide detailed images of the surrounding structures.

Sonohysterography is commonly used to diagnose the cause of pelvic pain, irregular vaginal bleeding, miscarriages, and infertility. By visualizing the uterine cavity, this imaging study allows healthcare professionals to identify any abnormalities or pathologies that may be contributing to these conditions. It can help detect uterine fibroids, polyps, adenomyosis, and other uterine abnormalities that may affect fertility or cause symptoms such as abnormal uterine bleeding.

In addition to providing your doctor with important information about the uterus and ovaries, a sonohysterogram can help to determine if the fallopian tubes are open, to determine if there are any ovarian cysts and to measure your antral follicle count, a measure of the egg supply.

Compared to other invasive imaging studies, such as hysteroscopy, sonohysterography is a safer and less uncomfortable alternative. It requires no radiation exposure or the use of radioactive materials, making it a preferred choice for many patients.


How to Prepare for a Sonohysterogram

Before undergoing a sonohysterography exam, there are a few necessary preparations that patients need to take.

  1. It is important for patients to have a full meal prior to the exam to prevent vasovagal symptoms. Unlike other pelvic ultrasound exams, there is no need to fill the bladder for sonohysterography.

  2. In addition, patients are advised to take 400 mg total of an over-the-counter painkiller, such as ibuprofen or acetaminophen, one hour before the exam. This can help to minimize any discomfort that may occur during the procedure.

  3. It is also recommended for patients to bring a sanitary pad to the exam. This is because a small amount of fluid may leak out after the procedure.


By following these patient preparation instructions, individuals can ensure that they have a comfortable and smooth sonohysterography exam.


Instructions for Post-Transvaginal Sonohysterogram 

After a transvaginal sonohysterogram (also known as a sonohysterography), patients should follow certain instructions to ensure a smooth recovery and minimize any potential complications.

Pain management is an essential aspect of post-procedure care. Patients are advised to take an over-the-counter painkiller, such as ibuprofen or acetaminophen, about an hour before the exam. This can help alleviate any pelvic cramps or discomfort that may arise during the procedure.

Mild bleeding may occur after the sonohysterogram, so it is recommended that patients bring a sanitary pad to the exam. It is normal to experience some spotting or light bleeding, similar to a menstrual period, for a day or two.

For 24 hours after the procedure, it is important to refrain from heavy lifting, rigorous exercise, vaginal intercourse, and the use of tampons. These activities can potentially disrupt the delicate uterine lining and increase the risk of bleeding or infection.

Additionally, patients should avoid swimming or using hot tubs during this time as well. However, they are permitted to shower.

It's crucial to be vigilant for any signs of infection, such as excessive pain, heavy bleeding, foul-smelling discharge, or a fever. If any of these symptoms occur, patients should contact their healthcare provider immediately.

By following these post-transvaginal sonohysterogram instructions, patients can promote a smooth recovery and minimize any potential complications.

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