uterus – Women's Health by Dr Lee Say Fatt

Saline infusion sonohysterography (SIS)

January 27, 2022January 1, 2022 by Dr Lee Say Fatt

Saline infusion sonohysterography (SIS) is also sometimes called saline infusion hysterogram (SHG). It is an investigative procedure to assess the uterus cavity to ascertain the shape and look for any abnormalities within it. It incorporates an ultrasound scan and instillation of sterile fluid into the uterus to show the uterine cavity and endometrial layers. With the use of an ultrasound scan, the uterine wall and the ovaries can be visualized as well.

Uterine Prolapse (pelvic organ prolapse)

May 9, 2021April 22, 2021 by Dr Lee Say Fatt

This refers to the descend of the uterus into the lower half of the vagina and beyond. In its most severe form, the whole uterus may be outside the vagina. Besides the uterus, other pelvic organ may descend as well such as bladder (cystocoele), rectum (rectocoele) and the small intestines (enterocoele).

Symptoms and signs

A lump is seen or felt at the opening of the vagina. It may be seen protruding outside of the vagina.
Vague discomfort or pressure in the pelvic region.
Backache that worsens with lifting.
Urination problems such as frequent and painful urination, difficulty in urination. occasional stress incontinence (urine leakage when laughing, sneezing or coughing), inability to control urination (uncontrollable urine leakage).
Difficulty in defecation.
Pain during or difficulty with sexual intercourse.
Abnormal per vaginal bleeding, usually arising from the exposed vagina wall and cervix.