At Conceptions Fertility Center, ensuring your comfort and the accuracy of your testing is our top priority. If you are scheduled for a Saline Infusion Sonography (SIS) ultrasound, following these preparation steps will help your procedure go smoothly and provide our fertility specialists with the best possible information.

Your SIS will be scheduled during the first half of your menstrual cycle, typically after your period ends but before ovulation begins. This timing allows our providers to obtain the clearest view of your uterine lining while minimizing any chance of performing the procedure during an early pregnancy.

Preparing for Your Appointment
● Avoid vaginal products: In the days before your SIS, please do not use tampons, douches, or vaginal medications unless specifically prescribed by your Conceptions Fertility Center provider.

● Report symptoms: Notify our team if you have any symptoms of infection, such as unusual vaginal discharge, pelvic pain, or fever. If you are experiencing these symptoms, your procedure may need to be rescheduled.

● Pain management: Many women find it helpful to take an over-the-counter pain reliever, such as ibuprofen, approximately one hour before the SIS to minimize cramping or discomfort during the procedure.

● Allergies and medications: Please inform your care team if you have allergies to latex or iodine or if you are taking blood thinners or other drugs. This allows us to provide any necessary adjustments or precautions.

Day of Your SIS Procedure

● Eat and drink normally: There’s no need to fast for this procedure. You can eat and drink as usual unless otherwise instructed.

● Bladder preparation: We ask that you arrive with a comfortably full bladder, as this helps us obtain the highest quality ultrasound images.

● What to wear: Wear comfortable clothing that is easy to remove from the waist down. You will change into a gown provided by Conceptions Fertility Center.

● Bring a pad: Some women experience minor fluid leakage after the SIS. We recommend bringing a sanitary pad for your comfort after the procedure.

After Your Appointment Mild cramping or light spotting can occur following SIS. You may wish to plan for some rest time after your appointment. If you have any concerns or experience symptoms that are unusual for you, please contact your Conceptions care team.

At Conceptions Fertility Center, a Saline Infusion Sonography (SIS) ultrasound is a valuable diagnostic procedure that typically takes about 15 to 30 minutes to complete. During your SIS appointment, our experienced team will gently insert a thin catheter into your uterus and carefully infuse sterile saline to expand the uterine cavity. Using advanced transvaginal ultrasound technology, we are then able to capture highly detailed images of your uterine lining and overall structure.

This procedure allows our specialists at Conceptions Fertility Center to assess potential issues such as polyps, fibroids, adhesions, or other abnormalities that may affect fertility and reproductive health. While the imaging portion is relatively brief, our compassionate staff ensures you fully understand each step, and we take the time to answer any questions you may have before and after the procedure.

Most SIS ultrasounds at our center are completed within half an hour, though the exact duration may vary based on your individual anatomy and the complexity of your case. After your SIS, you’ll be able to rest for a few minutes in our comfortable recovery area, and most patients can resume their normal activities the same day.

We are committed to providing advanced diagnostic tools to help you on your fertility journey. One such tool is Saline Infusion Sonography (SIS), also known as sonohysterography. This specialized ultrasound technique offers significant advantages over traditional pelvic ultrasound, especially when evaluating the uterine cavity for conditions that may impact fertility.

During an SIS procedure, a gentle infusion of sterile saline into the uterus creates a clear contrast on ultrasound, allowing our fertility specialists to obtain highly detailed images of the endometrial lining. This enhanced visualization helps us detect structural abnormalities such as uterine polyps, submucosal fibroids, adhesions (scar tissue), and congenital uterine anomalies—conditions that can often be missed with standard transvaginal ultrasound and that may affect your ability to conceive or maintain a pregnancy.

SIS is a minimally invasive, safe, and generally well-tolerated procedure. It does not involve exposure to ionizing radiation or the use of iodinated contrast agents, making it a safe option for women who are trying to conceive. At Conceptions Fertility Center, we frequently use SIS to evaluate patients with abnormal uterine bleeding, unexplained infertility, or a history of recurrent miscarriage, as it provides our specialists with the precise information needed for accurate diagnosis and personalized treatment planning. Reach out to us today to learn more about our services.

Many patients want to know if SIS is covered by their insurance. Coverage typically depends on your individual insurance plan and whether the procedure is considered medically necessary. In most cases, SIS is covered when your physician determines it is essential to your care—for example, if you are undergoing an infertility evaluation or have symptoms that need further investigation.

Before your SIS procedure, your physician will document the medical reason for the test and, if needed, provide this information to your insurance company. Please keep in mind that coverage may also depend on whether Conceptions Fertility Center and our imaging partners are considered in-network for your specific plan.

To avoid unexpected expenses, we recommend that you contact your insurance provider before your SIS appointment. Ask if Saline Infusion Sonography is a covered benefit under your policy, and inquire about any required preauthorization, co-pays, or deductibles. Our administrative team is also here to help—if you’d like, we can assist you with pre-approval or in verifying your insurance benefits.

If you do not have insurance coverage for SIS, or if your plan does not cover the procedure, please let us know. We offer self-pay options and can provide information about potential financial assistance programs to make your care as accessible as possible.

At Conceptions Fertility Center, Dr. Andrew K. Moore, MD, utilizes advanced diagnostic technologies, including Saline Infusion Sonography (SIS), to provide comprehensive fertility evaluations and personalized treatment plans for our patients. SIS, also known as a saline sonogram or sonohysterogram, is a specialized ultrasound procedure in which a gentle infusion of sterile saline is introduced into the uterine cavity during a transvaginal ultrasound. This technique offers exceptionally clear images of the endometrial lining and uterine cavity, allowing Dr. Moore and our team to detect subtle abnormalities that may impact fertility.

With the enhanced visualization provided by SIS, Dr. Moore can accurately diagnose conditions such as uterine polyps, fibroids, intrauterine adhesions, or congenital anomalies—factors that can interfere with successful implantation or pregnancy. For patients considering or undergoing fertility treatments like in vitro fertilization (IVF) or intrauterine insemination (IUI), identifying and addressing these issues is critical for optimizing the uterine environment and improving the chances of conception.

If SIS reveals any uterine abnormalities, Dr. Moore can recommend targeted interventions, such as minimally invasive surgical procedures to remove polyps or fibroids, thereby enhancing the likelihood of achieving a healthy pregnancy. Additionally, SIS provides valuable information about the thickness and quality of the endometrial lining, helping guide the timing and approach of fertility treatments for the best possible outcomes. For more information, contact us or schedule an appointment online. We are conveniently located at 1900 N State St #105, Provo, UT 84604. We serve patients from Provo UT, Orem UT, Mapleton UT, Vineyard UT, Highland UT, North Logan UT, Hyde Park UT, Smithfield UT, Benson UT, Logan UT, and surrounding areas.