Transvaginal Ultrasonography


This is a most useful tool for the diagnosis and management of female infertility. Within a matter of a few seconds it is possible to diagnose problems in the uterus such as a thin endometrium, intrauterine adhesions, endometrial polyp, submucous fibroid, uterine septum, arcuate or subseptate uterus. With the newly acquired 4-D machine (Samsung R7) we can reconstruct the entire womb (uterus) in a 3-D fashion to accurately diagnose problems with uterine structure and receptivity. Also, color Doppler would show the blood flow to the uterus and help in the timing of the embryo transfer and predict the chances of pregnancy. Also, TVS can diagnose problems with the fallopian tube if a hydrosalpinx is seen (indicative of a blocked tube) and diagnose ovarian conditions such as ovarian simple cyst, endometriosis (chocolate cyst) and other such pelvic pathologies. It is possible to predict the nature of the lesion as to whether it is benign or malignant in nature and whether any surgical correction is required for the same.

With this kind of detailed evaluation it is possible to avoid unnecessary hysteroscopies and laparoscopies before proceeding with IVF. The clinic tries to avoid unnecessary surgical procedures.

Furthermore, in most cases of tubal factor infertility such as blocked tubes it is mandatory to rule out the presence of a proximally patent hydrosalpinx (blocked tube which is filled with infected water which can still enter the uterus). This would imply drainage of potentially infected fluid draining into the uterine cavity thereby reducing IVF implantation rates from 40% to 5%. If we diagnose a hydrosalpinx on TVS ultrasonography we know that the patient needs an operative laparoscopy to first rectify this condition before embarking upon the IVF program.

TVS is also the main tool for interventional surgical work such as oocyte retrieval (egg recovery) for IVF and ICSI.

We also offer TVS ultrasonography for monitoring of early pregnancy, diagnosing twins, presence of a tubal pregnancy or complications such as ovarian enlargement, hyperstimulation, ascites and ovarian torsion for our pregnant patients.

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