Infertility diagnosis by ultrasound

Ultrasound is of value in the investigation and management of infertility in males and females. Monitoring of follicle growth and follicle aspiration is well accepted and commonly used. Defects of ovulation such as polycystic ovary disease or luteinized unruptured follicle syndrome may be recognized. Problems related to the union of the sperm and ova may also be seen. Obstructing lesions such as endometriosis and fibroids may be investigated by ultrasound. In males the principle use of ultrasound lies in the examination of the seminal vesicles, vas deferens, and ejaculatory ducts to see whether they are intact and unobstructed. Defective sperm motility may be due to varicoceles which are easily detected by the use of ultrasound.