Wednesday, 29 May 2019

Pelvic Ultrasound: Basal Scan-& Findings at Basal endocrine evaluations & treatment thereof Pelvic Ultrasound.

 First do abdominal scan even you are very expert in TVS. The reason is as follows :-When first scanning the pelvis, many radiographers and radiologists suggest per¬forming a transabdominal scan to first obtain an overview of the pelvic organs, and second to assess the kidneys and renal tract if indicated. Subsequently, a transvaginal ultrasound examination of the pelvic organs is preferred to the transab¬dominal approach as it not only obviates the need for a full bladder with its associated Discomfort but also allows high-frequency probes (5-7.5 MHz) to be used so that higher resolution and greater precision in measurements or measurements of the pelvic structures, follicular diameters and endometrial thickness be achieved. It is especially advantageous in patients who are undergoing assisted conception as they commonly have lower abdom¬inal scars that impair the penetration of ultrasound; furthermore, periadnexal adhe¬sions may tether the ovaries deep in the pelvis and limit the elevation of these structures that normally occurs when the bladder is filled for a transabdominal scan. A study the follicles were more sharply defined in 90% of cases when the transvaginal approach was used compared with only 41% with a transabdominal approach [21]. The same study found that the numbers and sizes of the dominant follicles correlated better with the serum oestradiol concentrations when transvaginal scanning was used.
An ultrasound assessment of ovarian volume and AFC in the early follicular phase has been used as a predictor for ovarian response before IVF treatment, with small-volume ovaries indicating reduced ovarian reserve

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