Answers before treatment.
We perform advanced diagnostic evaluations in our office, including pelvic ultrasound, SIS, and hysteroscopy, and we coordinate HSG imaging through hospital radiology, so your plan is built on real answers, with care for you as a whole person.
In-Office Tools
Accurate treatment starts with accurate diagnosis. Doing these evaluations in our own office means fewer appointments, faster answers, and a plan built on what we actually see rather than on assumptions.
Each evaluation is chosen to fit your history and your goals, and we review the results with you in plain language before recommending anything.
Diagnostic evaluations
Advanced pelvic ultrasound
Transvaginal and transabdominal ultrasound lets us evaluate the uterus, ovaries, and follicle development directly, identifying fibroids, ovarian cysts, endometrial thickness, and signs of adenomyosis or PCOS. It is a foundational, non-invasive first step for most fertility and gynecologic evaluations, and is often repeated across a cycle to track ovulation.
Saline infusion sonogram (SIS)
During an SIS, a small amount of sterile saline is gently placed in the uterine cavity while an ultrasound is performed. The fluid separates the uterine walls, making polyps, fibroids, and scar tissue easier to see than with standard ultrasound. It is often used to evaluate abnormal bleeding, recurrent miscarriage, or before fertility treatment.
Hysterosalpingogram (HSG)
An HSG uses contrast dye and X-ray imaging to evaluate the shape of the uterine cavity and confirm whether the fallopian tubes are open or blocked, a key piece of information in most infertility evaluations. If a blockage is found, it helps determine whether a minimally invasive treatment such as tube recanalization may be an option. At this time, HSG is performed in hospital radiology rather than in our office. Our team helps you arrange it and reviews the results with you.
Office hysteroscopy
A thin, lighted scope is passed through the cervix to look directly inside the uterine cavity, the most precise way to evaluate for polyps, fibroids, scar tissue, or an isthmocele. Some findings, such as small polyps, can be addressed in the same visit, which may reduce the need for a separate surgical procedure.
What to expect
These evaluations are brief, and your provider will explain preparation, what you may feel, and when results will be reviewed with you. Some, such as SIS and HSG, are scheduled at a specific point in your cycle, so it helps to call early in a cycle when you're ready to begin.
Why diagnosis comes first
Treating without knowing the cause can mean years of trial and error. We start with the evaluation that fits your history, combine it with cycle charting where helpful, and only then recommend treatment, so each step is based on what we actually find in your body.