Saline Sonohysterogram (SSH, saline sono, hysterosonogram, saline infusion sonogram)
by Kelly (she's gaining on you, Carolyn! :-)
Why would you be having a SSH?
This procedure is used to determine if there are any abnormalities (such as polyps or fibroids) of the uterine cavity that could interfere with pregnancy.
What you can expect
The physician will place a small catheter into the uterus and sterile saline will slowly be injected into the uterine cavity. This will slightly inflate the uterus so that most abnormalities (polyps or fibroids) can be visualized with ultrasound. After the procedure, the saline will slowly drain out of the uterus, so you will need to wear a pad to protect your clothing. You may experience some light spotting (bleeding) after the procedure also.
My personal tips/experiences
This procedure was worse for me than the HSG because my cervix is tilted. It was performed by the nurse who couldn't seem to get the dye to go to the right place so they were never able to determine whether I had a polyp.
The worst part of this was that when I left I had the most horrible cramps that I have ever had - I think because she had injected so much dye (because she kept trying over and over again to no avail). I drove myself home from the appointment which was a big mistake - I would definitely suggest having someone come with you just in case yours goes anything like mine did. I almost had to pull over because the pain was making me nauseous (I only live about 10/15 minutes from my doctor's office, but the ride felt like an eternity).
I came home from the appointment and lay down because my cramps were so bad. I think the best thing though is to walk around and let the saline drain out of you. Once it started to drain out, the cramps started to subside.
I would also suggest taking motrin or advil prior to going. They suggested this for the HSG for me but not for this procedure so I wasn't prepared for the cramping.
Also, wearing a pad is a good idea because once the saline started to gush out (yes, mine did not slowly drain) I felt like I had peed myself (lovely picture, right?).
I did not have spotting immediately following the procedure but I did have it start a couple of days later. It was relatively heavy and lasted a good 4 days or so.
Honestly though, I think that this procedure goes pretty smoothly for the majority of women. Most women that I have heard from say that this procedure was much easier for them than the HSG so I definitely believe that experiences will vary greatly among people.