Ultrasound technology provides a nonsurgical way of viewing a
woman's pelvic organs during various
infertility tests and procedures. It uses
high-frequency sound waves that travel at different speeds through body organs
and tissues. The waves are then reflected back to a detector where they are
converted into pictures. The probe (transducer) that is used to assess and help
treat infertility-related conditions is placed within the vagina
A hysterosonogram is done to evaluate the
inside of the uterus (endometrial cavity) by filling the uterus with fluid
during a transvaginal ultrasound. This procedure is also known as a
Irregular or abnormal ovulation accounts for 30% to 40% of all cases of infertility. Having irregular periods, no periods, or abnormal bleeding often indicates that you aren't ovulating, a condition known clinically as anovulation.
Although anovulation can usually be treated with fertility drugs, it is important to be evaluated for other conditions that could interfere with ovulation, such as thyroid conditions or abnormalities of the adrenal or pituitary glands.
Ultrasound used for monitoring of ovarian
follicle development can provide information about the
number and size of developing follicles, the reaction of the uterine
lining (endometrium) to follicle growth, and when to schedule artificial or intrauterine insemination just before you ovulate. Transvaginal ultrasound is better than
transabdominal ultrasound for monitoring follicle growth, counting the number
of follicles, and evaluating the thickness and pattern of growth of the uterine
Ultrasound is a rapid, vaginally invasive procedure, is usually not
painful, and requires no special dietary preparations. It is performed on an
outpatient basis. Results are interpreted by a radiologist or a gynecologist.
Testing requires that you empty your bladder and takes about 20 minutes.
The uterus, fallopian tubes, and ovaries are of normal size and
shape with no visible growths or scar tissue or injury site (abnormal
attachments to the wall of the abdomen). Follicle number and development appear