Ultrasonography in infertility management

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Ultrasound, also called sonography, uses high frequency sound waves to produce images of internal organs. It has many uses in the medical world; not only can it confirm a pregnancy, it can also diagnose particular illnesses and even guide doctors through detailed procedures. With regards to IVF, good ultrasound forms the foundation for a suitable fertility diagnosis and is key to monitoring throughout treatment. At Concept Fertility, we offer ultrasounds to help us understand why you might be struggling to conceive a child, and the most appropriate next steps.

There are many benefits to an ultrasound scan, some of which you will find listed below.

Painless

Since an ultrasound scan involves no needles, injections or incisions, it is usually an entirely painless procedure. The ovaries and internal organs can be visualised in a non-invasive way.

Safe

During an ultrasound, the patient isn’t exposed to any ionising radiation, making it far safer than an X-ray or CT scan. Furthermore, with regards to pregnancy, ultrasound scans have been used for decades and have never proven to be dangerous to the patient or the baby.

Accurate

Ultrasound scans can reveal a wealth of useful information to doctors. They are able to capture images of soft tissues that would show up poorly on an X-ray.

Inexpensive

Depending on the type of ultrasound you’re after, our scans are inexpensive. You can find out more about each option and how much they cost here. If you are interested in any of our scans or would like to discuss fertility treatments with a professional, please fill out our contact form or give us a call. We’re always more than happy to help with any of your queries.

Ultrasound became an important help for the diagnosis of infertility by demonstration of the pelvic organs, of growing ovarian follicles, of intrafollicular structures and of cyclic uterine endometrial changes. Ultrasonic particularities of ovaries and their landmarks such as the ovarian artery, are described. Average ovarian blood flow can be measured. In hormone stimulated cycles, the ultrasonic examination is repeated through ovulation, induction and even afterward. The average diameter of the growing follicle is measured. The results of more than 8000 scans allowed the deduction that ovulation induction would be successful if the preovulatory follicular diameter was between 18 and 24 mm. Where two or more follicles of that diameter are present, multiple pregnancy occurs. The risk of overstimulation can be assessed. The importance of ultrasound is even higher than estradiol because it is impossible to differentiate between one big, some medium or many small follicles with hormone assays. It is possible to see the cumulus oöphorus, but not earlier than 1–2 days before ovulation.

Following successful ovulation the mature follicle appears to have a more solid than cystic make-up. Signs of a failure of ovulation are given.

Cyclic changes in the histology of the endometrium are described and make it possible to predict ovulation within 12 hr. Ultrasound is an important aid in predicting the time of ovulation more accurately than the basal body temperature and faster and cheaper than hormone profiles. Ultrasound plays a role in egg collection and replacement of the embryo.

The detection of ovulation is very important in the treatment of infertility. This was only possible for a longtime by hormone profile. Nowadays ultrasound is an accepted method in the diagnostic procedures of this field. It permits the visualization of the position and size of the uterus, Fallopian tubes and ovaries, the exclusion of genital anomalies and the demonstration of physiological changes of these organs during the menstrual cycle. The main points of ultrasound in the diagnosis of infertility are as follows:

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