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At which point in the menstrual cycle is hysterosonography typically performed?

  1. Within the first 10 days from the onset of the menstrual cycle

  2. During the ovulation period

  3. In the last week of the cycle

  4. Immediately after menstruation ends

The correct answer is: Within the first 10 days from the onset of the menstrual cycle

Hysterosonography, also known as saline infusion sonography, is best performed within the first 10 days from the onset of the menstrual cycle. This timing is ideal because it allows for an optimal visualization of the endometrial lining and uterine cavity when it's relatively thin, following menstruation. At this early stage, there is less interference from menstrual blood or any retained products of conception that could obscure imaging. Performing the procedure during this timeframe ensures that the risk of pregnancy is minimized since it typically occurs before ovulation. This not only enhances the safety of the procedure but also provides clearer diagnostic information for identifying any abnormalities, such as polyps, fibroids, or intrauterine adhesions. Thus, conducting hysterosonography early in the menstrual cycle maximizes both diagnostic accuracy and patient safety.