Ultrasound and Infertility

Ultrasound plays an important role in the diagnosis and treatment of infertility. Congenital uterine anomalies are associated with infertility and habitual spontaneous abortion. Disease of the tubes is the cause of infertility in most cases. A normal Fallopian tube cannot be visualized by ultrasound, except in the presence of ascites. The tubes are most often affected by infection, and in such cases they can be visualized. The role of sonography in chronic pelvic inflammatory disease is to document the appearance of sequelae, to gauge the effectiveness of therapy, and to help to elucidate the causes of infertility. The association of infertility and endometriosis is well documented. Many attempts have been made to diagnose the extent of endometriosis. In conclusion, ultrasound monitoring of follicular growth and ovulation has become an important method in the management of female infertility. In approximately 50 percent of patients after transabdominal-transvesical follicle puncture, small blood clots can be found in the urine after bladder catherization.