Ultrasonographic Imaging in Infertility

Monitoring of Ovarian Follicular Development and Ovulation with Transvaginal Sonography (TVS) in Infertile Women in Eastern Region of Nepal

“…Infertility is not only the problem of Western countries, but also of developing countries [9] and is overly associated with sentiment and misinformation [5]. Ultrasound is an investigation of choice in infertile women [4] for evaluation of ovaries and monitoring ovarian follicular development.…”

“…Imaging plays an important role in evaluation of infertile women and ultrasonography is the first line investigation in these patients [3,4]. Ultrasound is readily available, safe (radiation free), easy to use, noninvasive and easily repeatable imaging modality for evaluation of ovaries and monitoring ovarian follicular development in infertile women and thus an essential and integral part of both the diagnostic and therapeutic steps in infertility management [4,5]. Even though both transvaginal and transabdominal approach can be used to visualize ovaries, monitor ovarian follicular development and detect ovulation; transvaginal approach allows more frequent and better detection and visualization of ovaries and ovarian follicles, and a serial ultrasonographic monitoring provides a reliable measure of follicular growth and detection of ovulation [6,7].…”

“…Even though both transvaginal and transabdominal approach can be used to visualize ovaries, monitor ovarian follicular development and detect ovulation; transvaginal approach allows more frequent and better detection and visualization of ovaries and ovarian follicles, and a serial ultrasonographic monitoring provides a reliable measure of follicular growth and detection of ovulation [6,7]. Ultrasonographic documentation of changes in ovaries during normal cycles and assisted reproductive technology has a great significance and role in infertility treatment which includes detection of ovarian follicles and development of dominant follicle, timing administration and adjustment of ovarian stimulatory drugs, document ovulation, provide guidance during oocyte retrival and predict and detect ovarian hyperstimulation syndrome [5,8]. This study was undertaken to evaluate the pattern of ovarian follicular growth and to predict and detect ovulation in infertile women seeking treatment in teaching hospital in eastern part of Nepal.…”