Are You Having Infertility ?

1. · To look for any disease in uterus, ovaries, tubes and pelvis. Which may
cause Infertility.
· Done to asses uterus for size position Anteverted (anterior tilting)/
Retroverted (posterior tilting)
Endometrial thickness (thickness of the uterine lining), Myometrium, cervix.
· In Ovaries to look for size, volume and follicular number.
· To look for any uid in the pelvis (lower abdomen) which indicates
infection or pelvic tuberculosis.
· It is done by two methods
TAS (Transabdominal scan)
TVS (Transvaginal scan)
· TAS is done with full bladder abdominally;
It is preferred in patients who have vaginismis, enlarged uterus or other pelvic masses.
· TVS is done after emptying bladder by inserting probe gently inside vagina
It is mostly preferred over TAS as it provides a clear view of the uterus, ovaries and other pelvic structure
Q- Why is ultrasound done ?
Q- How is it done?
Q- When it is done
Scan Series – 1
· It is done usually with respect to fertility assessment on D2, D9 and D21.
nd
· D2 USG(2 day of the menstrual cycle ) is done to look for Antral Follicular Count (AFC)
which predicts the fertility potential of the ovary and its response to treatment. Normal
Antral Follicular Count (AFC) is 5-10 in each ovary of the size 2-9mm.
· To look for any cysts (follicular, corpus luteal) from the previous menstrual cycle, endometrioma,
dermoid cyst.
th
· D9 USG(9 day of the menstrual cycle ) is done to look for Endometrial lining which is usually triple
layered with good blood ow on using color Doppler, which indicates adequate Endometrial receptivity.
st
· D21 USG(21 day of the menstrual cycle ) to look for secretory changes in Endometrium
and rule out uterine anomalies.
Ultrasound Basics for YouUltrasound Basics for You
Are You Having Infertility ?
Know Your Ultrasound
For Infertility Related Queries, Contact
Director - Dr (Col) Pankaj Talwar, VSM
i - Consult, a Subsidary of ARTech
+91 9810790063 +91 8287883005 pankaj_1310@yahoo.co. in
www.drpankajtalwar.comManipal Hospital - Palam Vihar, Sector 6 Dwarka, New Delhi - 110075
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