This
is a most useful tool for the diagnosis and management of female
infertility. Thanks to this tool, pathologies such as cervicitis,
uterine fibroids, submucous endometrial polyps or fibroids, uterine
septae, intrauterine adhesions, tubal masses, hydrosalpinges in
cases of blocked tubes and ovarian masses can be diagnosed. It
is possible today to evaluate the intricate structure of any ovarian
mass and with color Doppler added, predict the nature of the lesion
as to whether it is benign or malignant in nature. Today in most
cases of tubal factor infertility such as blocked tubes it is
mandatory to rule out the presence of a proximally patent hydrosalpinx.
This would imply drainage of potentially infected fluid draining
into the uterine cavity thereby reducing IVF implantation rates
from 40% to 5%. If we diagnose a hydrosalpinx on TVS ultrasonography
we know that the patient needs an operative laparoscopy to first
rectify this condition before embarking upon the IVF program.
TVS
also is the main tool for interventional surgical work such as
oocyte retrieval ie egg pick up for IVF and ICSI as well as for
selective fetal reduction in case of high order multiple pregnancy
such as triplets or more, in case the couple should opt for only
a twin pregnancy.
Unnecessary
laparoscopy and hysteroscopy can be avoided if a proper TVS ultrasound
examination has been done at a reputed IVF centre such as ours.
We
also offer TVS ultrasonography for monitoring of early pregnancy
and its problems, diagnosing twins, some congenital defects in
the child, presence of a tubal pregnancy or complications such
as ovarian enlargement and ovarian torsion.