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Chapter-34 Transvaginal Ultrasound and Doppler in Infertility

BOOK TITLE: Principles and Practice of Assisted Reproductive Technology

Author
1. Panchal Sonal
2. Nagori CB
ISBN
9789352705030
DOI
10.5005/jp/books/18020_35
Edition
2/e
Publishing Year
2019
Pages
31
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
2. Dr Nagori’s Institute for Infertility and IVF, Ahmedabad, Gujarat, India, Ahmedabad, Dr. Nagori’s Institute for Infertility and IVF, Ahmedabad, India
Chapter keywords
Transvaginal ultrasound, US, Doppler, infertility, cycle assessment, endometrium, luteal phase defect, luteinized unruptured follicle, uterine abnormality, ovarian abnormality, tubal lesion

Abstract

Transvaginal ultrasound (US) is a modality of choice for assessment of female genital tract and management of infertile female. Doppler further increases its value as it assesses vascular changes which are representatives of hormonal changes occurring throughout the menstrual cycle. Applications of transvaginal US and Doppler in an infertile female can be divided under two main headings following as diagnosis of abnormalities causing subfertility and cycle assessment. Incidence of congenital uterine abnormalities is 0.1 to 3.8 percent in normal fertile females but reaches 6.7 percent in infertile patients. Cycle assessment consists of baseline scan, preovulatory scan and secretory scan. Hormonal changes occurring during the menstrual cycle are reflected as vascular changes and therefore color Doppler in this assessment is mandatory. 3D US is especially useful for volume measurements.

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