Ultrasound

Why do I need an ultrasound for infertility?

Ultrasounds help assess reproductive organs such as the uterus, ovaries, and fallopian tubes. They provide information about follicle development, ovulation, uterine abnormalities, and overall reproductive health, which is crucial for diagnosing fertility issues.

What kind of ultrasound is used for infertility testing?

A transvaginal ultrasound is the most common type used for infertility evaluation. It provides a clearer image of the reproductive organs than an abdominal ultrasound.

Is a transvaginal ultrasound painful?

Most women experience only mild discomfort, but it generally isn’t painful. The probe is inserted into the vagina, but the procedure is usually quick and well-tolerated.

When during my cycle will the ultrasound be done?

It depends on what the doctor is looking for. Typically, an ultrasound is done early in the menstrual cycle (around day 2 to day 5) to assess the ovaries and uterus. It may also be done mid-cycle to monitor ovulation.

What can the ultrasound detect?

It can help identify:

• The number and size of ovarian follicles (which may indicate egg quantity).
• Uterine abnormalities like fibroids, polyps, or structural issues.
• Ovarian cysts.
• Endometrial thickness (lining of the uterus) to evaluate if it’s conducive for implantation.
• Any fluid in the pelvis, which could indicate infection or other issues.

Will the ultrasound confirm if I’m ovulating?

Yes, the ultrasound can track the growth of follicles and confirm whether ovulation has occurred by identifying the presence of a dominant follicle or signs of a released egg (such as the collapse of a follicle).

How long does the ultrasound procedure take?

A transvaginal ultrasound typically takes about 15–30 minutes. The actual scan is usually quite quick.

Do I need to prepare for the ultrasound?

For a transvaginal ultrasound, no specific preparation is usually needed, though some doctors may ask you to empty your bladder before the procedure. For an abdominal ultrasound, you might be asked to drink water beforehand to fill your bladder.

Can the ultrasound detect blocked fallopian tubes?

While a standard ultrasound cannot detect blocked fallopian tubes, an HSG (hysterosalpingogram) or saline infusion sonohysterography (SSG) can provide more information about tubal patency.

How often will I need ultrasounds during infertility treatment?

During treatments like IVF or ovulation induction, multiple ultrasounds may be required to monitor follicle development and ensure optimal timing for procedures like egg retrieval or insemination.

Are there any risks associated with the ultrasound?

Ultrasound is a safe and non-invasive procedure with no known risks to fertility or reproductive health.

Will the ultrasound tell me if I have enough eggs?

An ultrasound can provide an estimate of your antral follicle count (AFC), which gives a rough idea of your ovarian reserve. Combined with other tests (like AMH), this helps evaluate egg quantity.

Typical Ultrasound Schedule for Follicle Monitoring:

1. First Ultrasound (Cycle Day 2-5):
   • This initial scan is done early in the menstrual cycle to check for baseline follicle size, assess the uterus and ovaries, and ensure there are no ovarian cysts. It provides a starting point for monitoring.
2. Subsequent Ultrasounds (Cycle Day 8-12):
   • After the initial scan, additional ultrasounds are done every 2 to 3 days to monitor follicle growth. The goal is to track the size and number of developing follicles.
   • The number of scans during this phase depends on the rate of follicle growth, which can vary among women.
3. Pre-Ovulation Ultrasound:
   • Once a dominant follicle (typically 18-22 mm in size) is seen, a final ultrasound is done to confirm it is ready for ovulation. This is often when ovulation-inducing medications like a trigger shot (hCG) are given, or natural ovulation is timed for intercourse or intrauterine insemination (IUI).
4. Optional Post-Ovulation Ultrasound (Optional):
   • Some clinics may perform a follow-up ultrasound to confirm that ovulation has occurred by checking if the follicle has ruptured. This is not always necessary but can be done in certain cases.

Total Number of Ultrasounds:

• Typically, 3 to 5 ultrasounds are done during a single cycle for follicle monitoring. The number can vary based on:
• How quickly follicles grow.
• Whether fertility medications are used (e.g., Clomid, Letrozole, or gonadotropins).
• Whether procedures like IUI or IVF are being coordinated.

The exact schedule will be tailored to your specific fertility treatment plan and how your body responds during the cycle.