A saline sonogram is a specialized ultrasound exam designed to provide a clearer view of the uterine cavity. This is helpful when evaluating potential irregularities that may contribsaline sonogramute to infertility, abnormal bleeding, or repeated pregnancy loss. Unlike a standard ultrasound, which simply images the organs, a saline sonogram uses sterile saline solution to gently expand the uterine cavity so that the inner lining and shape can be seen more clearly.

The procedure begins with you lying comfortably on an exam table, similar to the position used during a pelvic exam. After cleaning the cervix and surrounding area, a thin catheter is inserted through the cervical canal and into the uterine cavity. Sterile saline solution is then infused through the catheter. As the saline fills the uterus, it creates contrast that allows the sonographer to clearly see the shape and contour of the uterine lining on the ultrasound monitor.

As the saline separates the uterine walls, abnormalities such as polyps, fibroids, scar tissue (synechiae), or congenital uterine anomalies become more visible. This additional detail helps your fertility specialist evaluate whether structural issues may be impacting implantation or contributing to menstrual irregularities.

A saline sonogram is a relatively quick diagnostic exam, typically completed within 15 to 30 minutes. The setup and positioning take only a few additional minutes before the actual imaging begins. Because the procedure is performed in real time, your provider can immediately observe how the uterine cavity responds as the saline is infused.

After the imaging is complete, there may be a brief discussion with your care team to review initial findings and address any questions you have right away. In many cases, the full visit — including check-in, procedure, and follow-up discussion — can be accommodated within an hour, minimizing disruption to your day.

While modern ultrasound technology makes the process efficient, it is important to allow time for preparation, answering questions, and ensuring your comfort throughout. This comprehensive approach ensures a thorough diagnostic assessment rather than a rushed procedure.

Most patients tolerate a saline sonogram well, although some discomfort or cramping is common — and typically mild and short-lived. Many people compare the sensation to menstrual cramps or mild pressure.

Discomfort can occur when the cervix is gently dilated to insert the catheter and as the saline flows into the uterine cavity. Because the procedure involves the uterus expanding slightly with fluid, some women experience cramping during the infusion. For most patients, this lasts only a few moments and subsides quickly once the saline has been infused and the catheter is removed.

At Conceptions Fertility Center, your comfort is a priority. Our clinical team explains each step of the procedure before it begins, monitors your response throughout, and provides support to help you relax. Some providers may offer recommendations such as taking an over-the-counter pain reliever before the procedure to reduce discomfort. Be sure to follow any pre-procedure instructions provided by your clinician.

Preparation for a saline sonogram is generally simple but important for obtaining the most accurate results and minimizing discomfort. Your provider will give you specific instructions, but typical preparation includes:

● Timing the exam appropriately: Because the procedure provides the best view of the uterine lining when it is thinner, it is often scheduled shortly after your menstrual period ends. Your provider will help determine the optimal timing based on your cycle and clinical needs.


● Arriving with a moderately full bladder: Depending on the clinic’s protocol, a slightly full bladder can help improve visualization during ultrasound imaging. Your provider will clarify this detail beforehand.


● Avoiding intercourse, douching, or use of vaginal medications prior to the exam: These activities can interfere with the procedure and are typically restricted for a day or two beforehand.


● Taking an over-the-counter pain reliever if recommended: Some clinicians advise an ibuprofen dose prior to the exam to help reduce discomfort.


● Reviewing your medical history and current medications: Inform the clinic of any allergies, bleeding disorders, or conditions that might affect the procedure.


Most importantly, bring any questions or concerns you have to your consultation. Understanding what will happen and why the procedure is being done helps reduce anxiety and ensures you are informed every step of the way.

At Conceptions Fertility Center in North Logan, UT, Dr. Andrew K. Moore provides saline sonograms as part of a comprehensive approach to fertility diagnostics and reproductive health. Our clinic is dedicated to helping individuals and couples understand the factors that may affect fertility, pregnancy outcomes, and overall reproductive well-being. A saline sonogram offers a detailed view of the uterine cavity that goes beyond what standard imaging can reveal — making it an invaluable tool in many fertility evaluations.

Under the guidance of experienced clinicians, your saline sonogram is performed in a respectful, supportive environment that prioritizes your comfort and dignity. We review your imaging results with you, explaining what we see and how it may relate to your fertility journey or reproductive goals. Based on the findings, we work with you to develop a personalized plan that may include further diagnostics, fertility treatments, or supportive therapies. At Conceptions, you are not just a number — you are a partner in your care. Our team guides you through every stage of assessment and treatment with clarity, compassion, and clinical excellence. For more information, contact us or book an appointment online. We are conveniently located at 2245 N 400 E Suite 201, North Logan, UT 84341. 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.