Dr.sathya balasubramanyam

MD DNB MRCOG (UK) FNB(Reprod med)

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Ultrasound has revolutionised the various treatments of infertility, in both men and women. It plays a very important role in not just the diagnosis of abnormalities but also in the treatment for subfertility. An ultrasound scan involves a medical test which involves capturing the live images of the internal organs in our body with the help of high-frequency sound waves.

ultrasound in infertility

How is it performed?

Although it sounds a bit intimidating, it is a fast and painless procedure that helps in analysing the functions of the reproductive system. As mentioned earlier, ultrasound scanning is performed with the help of high-frequency sound waves. These are produced by the ultrasound machine and transmitted into the body through transducers or probes placed near the area to be scanned.

When it comes in contact with the tissues and organs, these waves are bounced back and converted to images that can be viewed on a monitor. They help the doctor in getting a better picture about the state of our reproductive system.

Scope of ultrasound in subfertility cases

Ultrasound has a profound use at different stages of subfertility treatments. Transvaginal ultrasound tests help in detecting various conditions in women such as endometriosis, PCOS, the presence of fibroids or cysts, evaluation of the health of fallopian tubes, uterus and cervix and so on. Abdominal ultrasound acts as a useful adjunct to transvaginal ultrasound in the treatment of subfertility. They are an important part of ART (Artificial Reproduction Technique) as well improving the chances of successful conception.

The baseline ultrasound is highly useful in detecting the condition of uterus, ovaries and associated organs. They help in ascertaining the dimensions of the uterus as well as to check for the presence of Adenomyosis or fibroids.

Ultrasound done on day 2 or 3 is used for a measure of AFC (Antral Follicle Count) which is a useful marker for ovarian reserve. Ultrasound scanning, conducted by the 10th day of menstrual cycle, helps in the analysis of endometrium. A triple line obtained during analysis shows a normal functioning. In cases where the triple line is absent, further assessment of the uterine cavity with the help of saline sonography is performed.

Endometriotic cysts can be aspirated with the assistance of ultrasound. Embryo transfer done under close monitoring with the help of ultrasound has brought about considerable improvement in the rate of successful pregnancies. The technology has contributed greatly to improving the treatment in various stages of pregnancies as well. With the help of ultrasound, it is now easier to diagnose the stage of pregnancy, its viability and the number of sacs. It greatly helps in the identification of ectopic pregnancy as well.

Ultrasound has become a valuable component in the evaluation, assessment and treatment of various reproductive tract disorders in men. The various clinical application of ultrasound has brought about a considerable ease and speed in subfertility treatments

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Dr. Sathya Balasubramanyam

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