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Operative Ultrasound for IVF

Operative ultrasound, also known as intraoperative ultrasound, can be utilized during certain stages of in vitro fertilization (IVF) procedures to enhance the accuracy and success of the treatment. While not as common as diagnostic ultrasound in IVF, operative ultrasound can play a valuable role in specific situations.

Here’s how it may be used:

  • Follicle Aspiration Guidance:
  • Operative ultrasound can be used during the egg retrieval (follicle aspiration) procedure in IVF. A transvaginal ultrasound probe is inserted into the vagina to visualize the ovaries and follicles in real-time. This allows the fertility specialist to precisely guide the needle used to aspirate the mature follicles containing eggs. By visualizing the follicles directly, the specialist can ensure that all mature eggs are retrieved accurately and efficiently.

  • Evaluation of Uterine Abnormalities:
  • In cases where there are suspected uterine abnormalities that may affect embryo implantation, operative ultrasound can be used during the embryo transfer procedure. This allows the fertility specialist to assess the uterine cavity in real-time and ensure that the embryo is transferred to the optimal location within the uterus for implantation.

  • Assessment of Endometrial Thickness and Pattern:
  • Operative ultrasound may also be used to assess the thickness and pattern of the endometrium (the lining of the uterus) before embryo transfer. A thick, appropriately patterned endometrium is conducive to embryo implantation, so ultrasound helps ensure that the endometrium is favorable for successful embryo transfer.

  • Guidance for Minimally Invasive Procedures:
  • In some cases, operative ultrasound may be used to guide minimally invasive procedures during IVF, such as embryo biopsy for preimplantation genetic testing (PGT). Real-time ultrasound imaging can help ensure that the biopsy is performed accurately and that the appropriate cells are collected for genetic testing without causing harm to the embryo.

    Overall, operative ultrasound can be a valuable adjunct to traditional IVF procedures, providing real-time visualization and guidance to enhance the accuracy and success of treatment. Its use may be indicated in specific situations where precise imaging is required to optimize outcomes for both patients and embryos.

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