Patients can have an examination performed at the time of their appointment and be informed of the findings and given a management plan immediately. This will not only reduce costs and the number of appointments required but also reduce stress and anxiety.
Ultrasound is used extensively in gynaecological and fertility practice. This can be performed using both the transabdominal and transvaginal routes:
- to assess pelvic organs,
- to diagnose and manage gynaecological problems including endometriosis, leiomyoma (fibroids), adenomyosis, hydrosalpinges, ovarian cysts and other lesions,
- to identify adnexal masses, including ectopic pregnancy,
- to identify early pregnancies and miscarriages,
- to diagnose menstrual problems, irregular vaginal bleeding, endometrial polyps etc,
- to diagnose gynaecological cancer
- in fertility treatments to track the response of ovarian follicles to fertility medication (i.e. Clomifene and FSH).
Ultrasound can also be used to aspirate ovarian cysts. This technique is also used in transvaginal egg collection to obtain human eggs (oocytes) through sonographic directed transvaginal puncture of ovarian follicles in IVF.
Sonohysterography is a specialized procedure in which fluid, usually sterile saline, is instilled into the uterine cavity. At the same time an ultrasound scan is performed. The procedure delineates intrauterine pathology such as polyps, Asherman’s Syndrome, uterine malformations or submucous leiomyoma (fibroids).
Hysterofoamsalpingography (HyFoSy) is a similar technique to that described above. However this technique uses a special foam which under low pressure should pass down the Fallopian tubes if they are patent. This can be seen in real time on ultrasound. This test is an alternative to a hysterosalpingogram which uses X rays instead of ultrasound.