What if a simple test could change your entire fertility journey, saving you years of false hope and disappointment?
That’s why getting a saline sonogram before IVF is so highly recommended. This diagnostic tool could save you time, money, and emotional strain by revealing uterine abnormalities that might prevent successful implantation.
If you’ve been struggling with failed cycles, a saline sonogram could finally provide the answers you’ve been looking for.
And if those answers reveal that carrying a pregnancy may not be possible, you still have options. Fill out our form to learn how surrogacy can succeed where IVF may fail.
What Is a Saline Sonogram and Why Is It Done Before IVF?
A saline sonogram before IVF, also known as a saline infusion sonogram (SIS) or sonohysterography, is a specialized ultrasound that gives your doctor a clearer view of the uterus.
It’s often recommended before beginning IVF to check for hidden abnormalities that could interfere with embryo implantation.
Here’s how it works: a small amount of sterile saline (saltwater) is introduced into the uterus through a thin catheter. This saline expands the uterus slightly, giving the ultrasound waves a clearer field to reveal potential fertility obstacles.
This test can detect critical issues like:
- Uterine fibroids
- Polyps
- Scar tissue
- Abnormal shapes or cavities
Addressing these problems before IVF can dramatically improve your chances of success.
Getting a Saline Sonogram After Failed IVF: What It Can Reveal and What Comes Next
If IVF hasn’t worked for you, a saline sonogram after failed IVF can offer much-needed clarity. It’s often recommended to uncover uterine issues that may not show up on standard imaging but can prevent successful implantation.
If your saline sonogram reveals that carrying a pregnancy isn’t possible or safe, it can feel like a devastating setback but it doesn’t have to be the end of your journey.
If your uterus can’t support a pregnancy, a gestational surrogate can. You’ll be able to use your own embryo, created through IVF, which means your child will be biologically yours.
If your saline sonogram after failed IVF reveals challenges you didn’t expect, know that there is still a path forward. You still have options. Learn more about surrogacy after failed IVF.
What Does a Saline Sonogram Detect That Regular Ultrasounds Don’t?
Ordinary ultrasounds look at the uterus in its “collapsed” state, which is how it typically exists when not pregnant. But this makes it harder to spot internal abnormalities.
In contrast, a saline sonogram before IVF gently expands the uterus with sterile saline, offering a clearer, more detailed view of the uterine lining and structure.
This enhanced visibility makes it easier to detect potential barriers to implantation that standard ultrasounds often miss. .
How to Prepare for a Saline Sonogram
No major preparation is required for a saline sonogram before IVF, but it’s typically scheduled between days 5 and 9 of your menstrual cycle for the clearest view.
Some women experience light cramping or spotting after the test, so wearing a pad on the day of your appointment is a good idea. Your doctor may also recommend taking ibuprofen beforehand to reduce discomfort.
What to Expect During Your Saline Sonogram
The saline sonogram is a quick outpatient procedure that usually takes under 30 minutes. Many patients describe the experience as similar to a Pap smear, with some added cramping when the saline is introduced.
While the procedure is generally painless, it can be emotionally taxing. If you’ve been on a long fertility journey, discovering a uterine abnormality may feel like a setback. Conversely, finding nothing wrong can also be frustrating if you’re still searching for answers.
Remember: a SIS for IVF is a diagnostic tool, not a judgment. Whatever it reveals, you still have options.
Does a Saline Sonogram Hurt?
Most patients tolerate the procedure well. Some report mild discomfort or cramping, particularly when the uterus is expanded.
Many compare it to a longer-than-usual Pap smear. Taking a mild pain reliever before the test can help minimize any discomfort.
Common Saline Sonogram Side Effects
There are a few mild side effects from SIS, including:
Mild, short-term side effects are common and typically resolve within a few days. These may include:
- Watery discharge (from the saline)
- Light spotting
- Mild cramping
In rare cases, more serious symptoms, like fever, severe pain or unusual discharge can indicate infection. Contact your doctor if these occur.
What If My Saline Sonogram Reveals a Uterine Abnormality?
After your SIS for IVF, your results will be reviewed by your fertility doctor. You may not receive them the same day, but a follow-up consultation will be scheduled to discuss the next steps.
Outcomes can vary:
If no abnormalities are found, your IVF plan can proceed—or pivot to hormonal treatments if necessary.
- If fibroids or polyps are detected, a minor surgery may be scheduled to remove them before beginning IVF.
- If significant scar tissue or structural issues are found, your doctor may recommend exploring alternatives like gestational surrogacy.
- If signs of cancer are discovered, treatment becomes the priority, which may postpone or permanently alter your IVF plans.
No matter the result, the saline sonogram before IVF empowers you with the clarity to make informed decisions.
When IVF Isn’t an Option: How Surrogacy Can Help
Sometimes the results of a saline sonogram before IVF indicate that carrying a pregnancy may not be possible. That’s when surrogacy becomes a powerful option.
In gestational surrogacy, your embryo (created through IVF) is carried by another woman, a pre-screened surrogate who’s already proven she can have healthy pregnancies. Your baby is still biologically yours; the surrogate has no genetic link.
Many intended parents begin their surrogacy journey already having embryos ready. If your IVF journey has reached a crossroads, you may be closer to surrogacy than you think.
You can read some of their stories on our Instagram.
Transitioning from IVF to surrogacy can be an emotional experience. We recognize that, and we’re here for you. Surrogacy works on your own timeline; you’re in control.
How American Surrogacy Can Help
Just like IVF, surrogacy is an emotional and financial investment, but you’re not alone.
American Surrogacy maintains relationships with a network of emotionally and physically screened surrogates, many of whom are ready to match today.
If your saline sonogram before IVF revealed complications, we can help you take the next step toward building your family with speed, compassion and clarity.
You deserve answers. You deserve options. And above all, you deserve a family. Contact us today to learn more about what surrogacy could look like in your situation.