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Chapter-18 Ultrasound in Infertility

BOOK TITLE: Manual of Genetics Fetal Medicine and Color Doppler

Author
1. Panchal Sonal
ISBN
9789352703746
DOI
10.5005/jp/books/18023_19
Edition
1/e
Publishing Year
2018
Pages
9
Author Affiliations
1. Rainbow Hospitals, Agra, Uttar Pradesh, India, Dubrovnik International University, Dubrovnik, Croatia; , Dr Nagori’s Institute for Infertility and IVF; Centre of Excellence for Ian, Donald School Inter-university of Medical, Ultrasound, Ahmedabad, Gujarat, India, Dr Nagori’s Institute for Infertility and IVF, Ahmedabad, India, Dr Nagori’s Institute for Infertility and IVF, Ahmedabad, Gujarat, India, Dr Nagori’s Institute for Infertility and IVF, Ahmedabad, Gujarat, India; Dubrovnik International University, Croatia, Ahmedabad, India, Dr Nagori’s Institute for Infertility and IVF, Ahmedabad, Gujarat, India; Dubrovnik International University, Croatia; Ian Donald School, India
Chapter keywords
Ultrasound, assisted-reproductive technology, ART, color Doppler, pulse Doppler, 3D ultrasound, 3D power Doppler, baseline scan, Pre-hCG scan, and luteal phase scan

Abstract

Ultrasound is the modality of choice for monitoring of patients on the assisted-reproductive technology (ART). Route of scan has to be transvaginal always. All scans are done using B-mode, color Doppler, pulse Doppler, 3D ultrasound and 3D power Doppler. Ultrasound monitoring can be divided into scans done during three phases of the menstrual cycle following as baseline scan, Pre-hCG scan, and luteal phase scan. Baseline scan is done on 2nd or 3rd day of the cycle. It is known as a baseline scan, because, at this time of the cycle, the ovaries have no active follicles, or residual active corpus luteum, and endometrium is thin like a single line. Estrogen and progesterone are at their baseline level. Corpus luteum is a cystic structure with thick shaggy walls and echogenicity in the lumen. But it is known to have variable appearances like ground glass echogenicity in lumen or lace like echogenicities.

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