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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
pol-yps 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 implanta-tion 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.
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