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In the context of gynaecology and infertility, ultrasound plays a crucial role in assessing reproductive health, diagnosing potential problems, and guiding treatment, including monitoring follicular development and assessing uterine conditions.
Here's a breakdown of how ultrasound is used in gynaecology and infertility:
Initial Assessment:
A pelvic ultrasound is often the first step in evaluating female infertility, helping to identify the presence and condition of the uterus, ovaries, and other pelvic structures.
Evaluating Uterine Conditions:
Ultrasound can detect abnormalities like fibroids, uterine malformations, and hydrosalpinges (fluid-filled fallopian tubes).
Assessing Ovarian Function:
Ultrasound helps assess ovarian reserve (the number and quality of eggs), identify ovarian cysts, and monitor follicular development during ovulation induction.
Monitoring Follicular Development:
During fertility treatments, ultrasound is used to track the growth and development of follicles, which contain eggs, and assess the endometrial lining.
Guiding Procedures:
Ultrasound guidance is used for various procedures, including intrauterine insemination (IUI), embryo transfer, endometrial biopsies, and hysteroscopic procedures.
Saline Infusion Sonography (SIS):
This technique uses saline to assess the uterine cavity and can be used to evaluate tubal patency (whether the fallopian tubes are open).
3D Ultrasound:
Advanced ultrasound techniques, including 3D and Doppler imaging, enhance the understanding of ovarian function, follicular maturity, and endometrial receptivity.
Diagnosis of PCOS:
Ultrasound can help in the diagnosis of Polycystic Ovary Syndrome (PCOS) by assessing ovarian morphology and identifying characteristic features.
Evaluating Endometrial Receptivity:
Ultrasound can assess the thickness and appearance of the endometrial lining, which is important for successful implantation of an embryo.
Abdominal Ultrasound:
In some cases, abdominal ultrasound may be used to assess pelvic structures that are not fully visible with transvaginal scanning, or to guide procedures in certain situations.