![]() Sections of the document that address physician qualifications and responsibilities, documentation, quality control, performance improvement, safety, infection control, and patient education are recommendations of the Committee on Gynecologic Practice. The clinical aspects of this document on sonohysterography include sections that address indications and contraindications, specifications of the examination, and equipment specifications that were developed collaboratively by the American College of Radiology, the American Institute of Ultrasound in Medicine, the Society of Radiologists in Ultrasound, and the American College of Obstetricians and Gynecologists. The sonohysterography procedure, including benefits and risks, should be explained fully to the patient before the procedure is performed. The obstetrician– gynecologist should be skilled in the transcervical placement of catheters. Credentialing obstetrician–gynecologists to perform or supervise diagnostic sonohysterography should be based on education, training, experience, and demonstrated competence in performing and interpreting transvaginal ultrasonography and sonohysterography. Sonohysterography should not be performed in a woman who is pregnant or who could be pregnant. The indications for sonohysterography include, but are not limited to, evaluation of the following: abnormal uterine bleeding uterine cavity, especially with regard to uterine leiomyomata, polyps, and synechiae abnormalities detected on transvaginal ultrasonography, including focal or diffuse endometrial or intracavitary abnormalities congenital abnormalities of the uterus infertility recurrent pregnancy loss and suboptimal visualization of the endometrium on transvaginal ultrasonography. Sonohysterography also can be used to assess tubal patency. ABSTRACT: The primary goal of sonohysterography is to visualize the endometrial cavity in more detail than is possible with routine transvaginal ultrasonography.
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