TVS -- The relevance of Transvagianl sonography ??

 

 TVS   -- The relevance  of Transvagianl sonography ?? Like to have some informations on Ultrasound : Any non-emergent  pelvic scan (elective scan ) à with the idea to diagnose any pelvic tumour, small ovarian endometriomata, TO mass should be done  following  principle which may be of help : Please correct me if I am wrong because I too have no training  in sonology :Here we go : How to do Basal Scan-& what to record the findings at Basal scan. Then taken together along with endocrine evaluations in subfertility problem one can plan the treatment of subfertility: - Here we go on ABC of Pelvic Ultrasound.

 

Point 1: Abdomen first : When first scanning the pelvis, many radiologists suggest per­forming a transabdominal scan  first  to obtain an overview of the pelvic organs, and second to assess the kidneys and renal tract if indicated.

Point 2: She is requested to void urine and then , a transvaginal ultrasound examination of the pelvic is systemically done.    To visualize the pelvic  organs TVS is preferred to the transab­dominal 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(AFC in particular)  and endometrial thickness be achieved. It is especially advantageous in patients who are undergoing assisted conception as they commonly have lower abdom­inal scars that impair the penetration of ultrasound.

 

Furthermore, periadnexal adhe­sions 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. If only TAS done then such adhesive lesions May be missed so aso difficult to visualize ovaries.

 

In  a recent study it was observed that  the follicles were more sharply defined in 90% of cases when the transvaginal approach was used compared with only 41% with a transabdominal approach . 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.