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Fertility Tests-Ultrasound, Hysteroscopy, Sonohysterogram |
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Ultrasound
Ultrasound is perhaps the most important tool for female fertility testing and has numerous applications. Vaginal probe ultrasound involves inserting the probe directly into the vagina allowing visualization of the ovaries, uterus, and other structures. Contrast media may be added, as in the sonohysterogram, to increase the visibility of abnormal structures such as polyps and fibroids.
The ultrasound is an indispensable part of advanced reproductive technology cycles. It is used to monitor the development of the follicles on the ovaries and to measure the width of the endometrium. Data from ultrasound and estradiol measurements are used to adjust FSH doses for optimal follicular development and to reduce side effects. Ultrasound is also used to guide the aspiration needle in the egg retrieval.
Hysteroscopy
The hysteroscope is a small “telescope like” devise that allows Dr. Allon to visualize the inside of the uterus. The uterus is filled with saline causing it to expand making uterine fibroids and polyps visible. Oftentimes, these obstructions can be removed using the hysteroscope. This test is conducted in our office and an anesthesiologist will provide intravenous sedation so that the patient will typically neither feel nor remember any part of the procedure.
Sonohysterogram
The sonohysterogram allows Dr. Allon to visualize the inside of the uterus using ultrasound. The uterus is filled with saline solution causing it to expand and the vaginal probe ultrasound is inserted. The 3-D ultrasound outlines abnormalities, such as fibroids and polyps, which appear as “shadows” in the uterus on the ultrasound monitor. The advantage of the 3-D ultrasound is that it allows us to map any questionable area in the uterus.
Fertility Tests
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