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IVF Appointment Dr. Pankaj Talwar

Normal Tubes on Ultrasound – Fallopian tubes are on either side of the uterus attached to it near cornua and the other end is free located adjacent to ovaries.

  • It has interstitial, isthmic, ampullary, and fimbrial parts. The interstitial end is attached to the uterus and the fimbrial end is free.
  • Fallopian tubes vary in length from 7-12cm.
  • Normal tubes are usually not visualized by ultrasound.
  • If there is a tubal pathology like hydrosalpinx in which tubes are blocked with an accumulation of fluid in them, they can be visualized on USG.
  • Cervix as seen on USG with a clear layer of mucus in the cervical canal is a favorable sign reflecting the good level of estrogen production.
  • The presence of free fluid in the pelvic cavity also can make the tubes visible.
  • As tubes are not normally seen on ultrasound hysterosalpingography (HSG) or Hystrerosalpingo contrast sonography (HyCoSy) is used to know the tubal patency.
  • Tubes are assessed during a basic USG scan on 2 days or 9 days of the menstrual cycle.
  • Few cysts like Paraovarian, para tubal cysts (cysts of Morgagni) and those adjacent to uterus, vagina & superior to hymen like Gartner’s duct cyst can be seen on routine scan in some patients.