Recently, a new imaging procedure called FemVue has made it possible to evaluate the fallopian tubes without using any radiation. The FemVue infuses a mixture of saline and air bubbles into the uterus and allows us to visualize the bubbles flow out of the tubes using ultrasound.  At the same time, the ultrasound enables us to clearly see the contour of the uterine cavity, an essential component of the fertility evaluation. Dr. Koopersmith and Dr. Landay are the only physicians in Los Angeles and the San Fernando Valley who perform this procedure in their office.

We encourage you to look into having the FemVue performed as part of your fertility work-up and to discuss it with your doctor.

FemVue® Sono HSG

FemVue Sono HSG is a safe and simple diagnostic procedure to evaluate your fallopian tubes in the convenience of your gynecologist’s office using ultrasound instead of being sent for an X-Ray HSG.

The procedure is completed in a few easy steps. First, a slender flexible catheter is passed through the body’s natural openings into the uterus. Then, a transvaginal ultrasound probe is positioned. Using the FemVue Saline-Air Device, your doctor delivers a mixture of saline and air bubbles into the uterus, which then flows into the fallopian tubes.

Under ultrasound, the saline and air bubbles are highly visible, allowing the doctor to follow the bubbles’ path. Your doctor will watch the flow of the bubbles to determine if your tubes are open. If the tubes are open, the bubbles may be seen moving through the tubes and spilling out over the ovaries. Your doctor will evaluate both tubes to determine if they are open.

A Sono HSG is performed in your gynecologist’s office and is generally less costly than an X-Ray HSG while providing similar results.

HSG Comparison Chart

FemVue Sono HSG X-Ray HSG
Location Performed Your physician’s office Radiology center/Hospital
Performed by Your gynecologist or
infertility specialist
Radiologist or
Imaging Method Ultrasound X-Ray
Contrast Medium1 Saline and air bubbles X-Ray dye
Allergens None Iodine
Results Immediate Follow-up call or
additional appointment
Referral Needed No Yes2
Medical History/Records On file with your doctor Requires additional paperwork
1. A medical contrast medium (or contrast agent) is a substance used to enhance the contrast of structures or fluids within the body in medical imaging.
2. The patient is responsible for verifying referral is accepted by their insurance company.

Scheduling your FemVue Sono HSG

Your procedure will be performed during the first half of your menstrual cycle, before you ovulate. This will ensure that you are not pregnant and allow you to attempt conception during the rest of the month. Contact your physician’s office on the first day of your menstrual cycle to schedule the procedure.

Preparing for the Procedure

Your doctor may advise you to take an anti-inflammatory medicine, such as Motrin or Advil, approximately 1 hour prior to the procedure in order to minimize any discomfort. Some women experience mild cramping when undergoing an HSG procedure.

During the Procedure

The FemVue Sono HSG is performed in your doctor’s office using ultrasound and usually takes less than 15 minutes.

Getting Your Results

Your doctor may discuss the results of the test with you during or after completing the procedure.

Schedule a Consultation

mom-baby-bathTake the first step toward parenthood and schedule a consultation with one of our highly trained fertility specialists. Drs. Koopersmith and Landay are available to answer any question you may have and help you achieve your dream of having a healthy baby. Follow this link to fill out a short contact form and we will be in touch with you shortly to schedule a consultation. We look forward seeing you soon.
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