The role of transvaginal ultrasound in assessing ovarian function and guiding treatment in infertility management
DOI:
https://doi.org/10.18203/2320-6012.ijrms20250992Keywords:
Assisted reproductive technology, Endometrial assessment, Female infertility, Ovarian reserve, Polycystic ovary syndrome, Structural abnormalities, Transvaginal sonographyAbstract
This study investigates the role of transvaginal sonography (TVS) in diagnosing and managing female infertility. It highlights TVS's effectiveness in detecting ovulatory disorders, structural abnormalities and age-related fertility issues. Results revealed 85% accuracy in diagnosing polycystic ovary syndrome (PCOS) and a 92% accuracy in identifying uterine anomalies, significantly aiding treatment planning. TVS also contributed to the evaluation of endometrial issues and ovarian reserve in women over 35, revealing diminished reserves in 68% of cases. Compared to hysterosalpingography (HSG) and laparoscopy, TVS offered a non-invasive, cost-effective and comfortable alternative for structural evaluations. The findings underscore the value of TVS in personalizing fertility treatments, particularly in assisted reproductive technologies (ART).
Metrics
References
Mascilini F, Quagliozzi L, Moro F. Role of transvaginal ultrasound-guided biopsy in gynecology. Int J of Gynecol Cancer. 2020;30(1):34-9. DOI: https://doi.org/10.1136/ijgc-2019-000734
Leonardi M, Espada M, Choi S, Chou D, Chang T, Smith C, et al. Transvaginal ultrasound can accurately predict the American society of reproductive medicine stage of endometriosis assigned at laparoscopy. J Minim Invasive Gynecol. 2020;27(7):1581-7. DOI: https://doi.org/10.1016/j.jmig.2020.02.014
Irani S, Ahmadi F, Javam M. Evaluation of the uterine causes of female infertility by ultrasound: A literature review. J Midwif and Reproduc Health. 2017;5(2):919-26.
Mohammed A, Maysa SE. Ultrasound role in management of female infertility. The Medical J of Cairo University. 2020;88(3):1523-30. DOI: https://doi.org/10.21608/mjcu.2020.116243
Ooi R, Ooi S, Wilson D, Griffiths A. Reaudit of transvaginal ultrasound practice in a general gynecology clinic. J of Clin Ultrasound. 2020;48(6):312-4. DOI: https://doi.org/10.1002/jcu.22833
Lee C, Ben‐Nagi J, Ofili‐Yebovi D, Yazbek J, Davies A, Jurkovic D. A new method of transvaginal ultrasound‐guided polypectomy: a feasibility study. Ultrasound in Obstetrics and Gynecology: The Official J International Society of Ultra in Obstetrics and Gynecol. 2006;27(2):198-201. DOI: https://doi.org/10.1002/uog.2668
Deslandes A, Parange N, Childs JT, Osborne B, Bezak E. Current status of transvaginal ultrasound accuracy in the diagnosis of deep infiltrating endometriosis before surgery: a systematic review of the literature. J of Ultrasound in Med. 2020;39(8):1477-90. DOI: https://doi.org/10.1002/jum.15246
Thaker N, Dhande R, Parihar P. Role of Transvaginal Sonography in the Diagnosis of Female Infertility: A Comprehensive Review. Cureus. 2023;15(12):50048. DOI: https://doi.org/10.7759/cureus.50048
Nahlawi S, Gari N. Sonography Transvaginal Assessment, Protocols and Interpretation. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2022: 34283450.
Jarrett BY, Vanden Brink H, Oldfield AL, Lujan ME. Ultrasound Characterization of Disordered Antral Follicle Development in Women with Polycystic Ovary Syndrome. J Clin Endocrinol Metab. 2020;105(11):3847–61.
Jung SI. Ultrasonography of ovarian masses using a pattern recognition approach. Ultrasonography. 2015;34(3):173-82. DOI: https://doi.org/10.14366/usg.15003
Jarrett BY, Vanden Brink H, Oldfield AL, Lujan ME. Ultrasound characterization of disordered antral follicle development in women with polycystic ovary syndrome. J Clin Endocrinol Metab. 2020;105(11):3847–61. DOI: https://doi.org/10.1210/clinem/dgaa515
Debnath J, Satija L, Rastogi V, Dhagat PK, Sharma RK, Singh H, et al. Transvaginal sonographic study of follicular dynamics in spontaneous and clomiphene citrate cycles. Med J Armed Forces India. 2000;56(3):184-7. DOI: https://doi.org/10.1016/S0377-1237(17)30161-2
Ambildhuke K, Pajai S, Chimegave A, Mundhada R, Kabra P. A Review of Tubal Factors Affecting Fertility and its Management. Cureus. 2022;14(11):30990. DOI: https://doi.org/10.7759/cureus.30990
Arezzo F, Loizzi V, La Forgia D, Abdulwakil Kawosha A, Silvestris E, Cataldo V, et al. The role of ultrasound guided sampling procedures in the diagnosis of pelvic masses: a narrative review of the literature. Diagnostics. 2021;11(12):2204. DOI: https://doi.org/10.3390/diagnostics11122204
Lubner MG, Mankowski Gettle L, Kim DH, Ziemlewicz TJ, Dahiya N, et al. Diagnostic and procedural intraoperative ultrasound: technique, tips and tricks for optimizing results. The British J Adiol. 2021;94(1121):20201406. DOI: https://doi.org/10.1259/bjr.20201406
Aas-Eng MK, Montanari E, Lieng M, Keckstein J, Hudelist G. Transvaginal sonographic imaging and associated techniques for diagnosis of ovarian, deep endometriosis, and adenomyosis: a comprehensive review. In Seminars in Reproductive Med. 2020;38(2):216-26. DOI: https://doi.org/10.1055/s-0040-1718740
Downloads
Published
How to Cite
Issue
Section
