Transvaginal Ultrasound Findings Among the Women Presenting with Infertility

Nafeesa Binti Hussain, Rinku Das
In: Chattagram Maa-O-Shishu Hospital Medical College Journal · 2018 · vol. 16(2) , pp. 31–34 · doi:10.3329/cmoshmcj.v16i2.37290 · W2810333248
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⚙ AI-generated summary by claude@2026-06, 2026-06-09 ⓘ

This study documented transvaginal ultrasound findings in 100 infertile women, identifying polycystic ovaries as the most frequent abnormality.

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This study documented transvaginal ultrasound (TVS) findings among 100 women of reproductive age presenting with infertility at a teaching hospital in Bangladesh over one year, with TVS performed by the researcher and checked by a second observer and analyzed using SPSS 20. The mean participant age was 28 ± 6.7 years, and infertility was primarily in 75% with 25% secondary infertility; comorbidities included PID (11%), thyroid problems (14%), diabetes (6%), and hypertension (4%). TVS identified polycystic ovaries in 69% of cases as the most common finding, followed by endometrial/cervical polyps (18%), chronic pelvic inflammatory disease (14%), anatomical problems (19%), and free pelvic/abdominal fluid (7%), with smaller proportions including endometriosis (4%) and adenomyosis (5%) as well as a range of other structural and inflammatory findings. The paper’s limitation is that it is purely descriptive of TVS findings in this hospital-based infertility cohort without detailing diagnostic criteria accuracy or linking findings to outcomes beyond the scan results. This paper includes explicit TVS-identified cases of endometriosis (4%) and adenomyosis (5%) within an infertility-focused cohort, making it relevant to both conditions in the context of imaging findings.

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Abstract

Introduction: Infertility is a difficult conditions for the obstetricians to dealwith. Transvaginal ultrasound (TVS) is a investigation that is primarily done to evaluate the cases of infertility cases. The objective of the present study was to document the Transvaginal Scan (TVS) findings in women presenting with infertility in a teaching hospital of Bangladesh.Methods: Subjects were women of reproductive age presenting at the teaching hospital with infertility over a one year period. As part of their management, transvaginal scans was done. TVS was done by the researcher herself and was checked by a second observer. Data was complied and analyzed by SPSS 20.Results: Among the 100 cases regarding anthropometric variables where mean ± SD of age was found 28 ± 6.7 years, weight was 56 ± 12.5 kg, height 1.57 ± 0.76 m and BMI was 24.5 ± 3.6 Kg/m2. Type of infertility revealed 75% cases were primarily infertile and 25% having secondary infertility. Comorbid diseases revealed 6% cases had DM, 4% cases had HTN, 11% cases had PID, 14% patients had thyroid problems. All the 100 cases undergone TVS study where PCO was found among 69(69%) cases, chronic pelvic inflammatory disease 14(14%) fibroids 6(6%) anatomical problems 19(19%) endometrial/cervical polyp 18(18%) free fluid in pelvic/abdominal cavity 7(7%) endometritis 5(5%) endometriosis 4(4%) adenomyosis 5(5%) chocolate cyst 8(8%) tubo-ovarian mass 2(2%) intrauterine and intra pelvic adhesions 2(2%) septate uterus 292%) pelvic abscess 1(1%) and ectopic pregnancy 1(1%).Conclusions: Polycystic Ovaries (PCO) is the major finding in women with infertility in our study. This hitherto poorly recorded pathology should be actively investigated in women representing with these symptoms by the use of TVS.Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 31-34
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Introduction

Infertility is a difficult conditions for the obstetricians to dealwith. Transvaginal ultrasound (TVS) is a investigation that is primarily done to evaluate the cases of infertility cases. The objective of the present study was to document the Transvaginal Scan (TVS) findings in women presenting with infertility in a teaching hospital of Bangladesh.

Methods

Subjects were women of reproductive age presenting at the teaching hospital with infertility over a one year period. As part of their management, transvaginal scans was done. TVS was done by the researcher herself and was checked by a second observer. Data was complied and analyzed by SPSS 20.

Results

Among the 100 cases regarding anthropometric variables where mean ± SD of age was found 28 ± 6.7 years, weight was 56 ± 12.5 kg, height 1.57 ± 0.76 m and BMI was 24.5 ± 3.6 Kg/m2. Type of infertility revealed 75% cases were primarily infertile and 25% having secondary infertility. Comorbid diseases revealed 6% cases had DM, 4% cases had HTN, 11% cases had PID, 14% patients had thyroid problems. All the 100 cases undergone TVS study where PCO was found among 69(69%) cases, chronic pelvic inflammatory disease 14(14%) fibroids 6(6%) anatomical problems 19(19%) endometrial/cervical polyp 18(18%) free fluid in pelvic/abdominal cavity 7(7%) endometritis 5(5%) endometriosis 4(4%) adenomyosis 5(5%) chocolate cyst 8(8%) tubo-ovarian mass 2(2%) intrauterine and intra pelvic adhesions 2(2%) septate uterus 292%) pelvic abscess 1(1%) and ectopic pregnancy 1(1%).

Conclusions

Polycystic Ovaries (PCO) is the major finding in women with infertility in our study. This hitherto poorly recorded pathology should be actively investigated in women representing with these symptoms by the use of TVS. Chatt Maa Shi Hosp Med Coll J; Vol.16 (2); July 2017; Page 31-34 Downloads 421 269 Downloads Published How to Cite Issue Section License Authors of articles published in CMOSHMC Journal retain the copyright of their articles and are free to reproduce and disseminate their work. A Copyright and License Agreement -signed and dated by the corresponding author on behalf of all authors -must be submitted with each manuscript submission.

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endometriosisadenomyosisinfertility

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