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Ultrasound Procedures: Steps, Techniques, and Benefits

Dr. Prof (Col) Pankaj Talwar, VSM, MD, PhD

Medical Council Registration Number: HMC-HN 16822

In the field of reproductive medicine, ultrasound is the most fundamental diagnostic tool. It allows us to visualize the uterus, ovaries, and other pelvic structures with high precision. Depending on the clinical requirement, ultrasound is performed using two primary methods:

1. TAS (Transabdominal Scan)

Requirement: The bladder should be almost full, so the patient needs to drink plenty of water before the scan.

Steps of the Procedure:

  • The patient is made to lie down on her back.
  • The abdomen is exposed, while a bedsheet covers the legs for privacy.
  • A transabdominal probe is used after applying a specialized jelly on the lower abdomen.

2. TVS (Transvaginal Scan)

Requirement: The bladder should be completely empty for a clear view.

Steps of the Procedure:

  • The patient lies down on her back with legs flexed at the knee and hip joints (lithotomy position).
  • A slim transvaginal probe, covered with a sterile sheath and jelly, is gently inserted into the vagina.
  • TVS provides a much more detailed and closer view of the pelvic organs compared to TAS.

Clinical Benefits of Fertility Ultrasound

Ultrasound helps in the comprehensive evaluation of the reproductive system to detect any underlying issues:

  • Uterus: We assess the size, shape, mobility, and position. We look for the Endometrial Thickness (ET) and use Color Doppler to predict uterine receptivity. It also helps detect fibroids, polyps, or adenomyosis.
  • Ovaries: We measure ovarian volume and the Antral Follicle Count (AFC). It helps in identifying cysts (follicular, dermoid, or endometriotic) and tumors. Color Doppler of a dominant follicle helps assess oocyte quality.
  • Fallopian Tubes: While normal tubes aren’t usually visible, conditions like Hydrosalpinx (fluid-filled tubes) are easily detected on USG.
  • Adnexa: Identifying other pelvic masses, such as pedunculated fibroids or paraovarian cysts.

Consult for Accurate Fertility Mapping

Precise diagnosis is the first step toward a successful pregnancy. Consult with Dr. Pankaj Talwar for advanced ultrasound assessment.

📍 3118, 3rd Floor, Sector 46, Near Ambedkar Chowk, Gurugram, Haryana

Visit: www.drpankajtalwar.com