FemVue Procedure for Fertility Evaluation

Hi, I’m Dr. Lauren Roth, and today I’m going to talk about the FemVue procedure.

We have two methods of looking at the uterine cavity and Fallopian tubes for women undergoing a fertility evaluation. First is a hysterosalpingogram (HSG), which is done under X-ray and the second is the FemVue, also known as a sono-hysterosalpingogram, which is done under ultrasound in the office.

One aspect of the fertility evaluation is to look at the uterine cavity, which is the inside of the uterus where the pregnancy implants, as well as the Fallopian tubes to make sure they are open.

When we do the FemVue (sono-hysterosalpingogram) in the office, I recommend that people take ibuprofen before coming in. First we do a traditional vaginal ultrasound to measure the uterus, look at the muscles of the uterus, measure the ovaries and make sure the ovaries appear normal.

Then a speculum is placed in the vagina, the cervix is cleaned and a thin plastic catheter is placed through the cervix into the uterus. Then while watching with ultrasound, a small amount of saline is injected into the uterine cavity so we can see where a pregnancy implants and see if there’s anything inside of the uterus that could prevent the pregnancy from occurring. We can also instill some bubbles into the uterine cavity and the Fallopian tubes so we can see if the Fallopian tubes are open.

This procedure is approximately 15 minutes long. The main side effect is cramping, and there is a very rare risk of infection. The best part is that you get the results right away.

If you have more questions, please meet with one of us to go over the procedure and to see if you are a candidate for it.