Basic Gynecologic Ultrasound Examination (Level I): DEGUM, ÖGUM, and SGUM Recommendations

Dieter Grab, E. Merz, Eberhard Merz, Karl-Heinz Eichhorn, Karl‐Heinz Eichhorn, B. Tutschek, Karl Oliver Kagan, Kai-Sven Heling, Kai‐Sven Heling, R Faber, Philipp Klaritsch, Andreas Rempen, A. Rempen, Christiane Kähler, Wolfgang Henrich, Gwendolin Manegold‐Brauer, Samir Helmy, S. Helmy, Markus Hoopmann
Ultraschall in der Medizin (Stuttgart, Germany : 1980) · 2022 · vol. 44(02) , pp. 151–161 · doi:10.1055/a-1851-5157 · PMID:35705173 · W4282983915
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents updated recommendations from DEGUM, ÖGUM, and SGUM for performing basic gynecologic ultrasound examinations, emphasizing standardized approaches for identifying normal anatomy and common pathologies.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-07 ⓘ

This paper presents updated DEGUM (Germany), ÖGUM (Austria), and SGUM (Switzerland) recommendations for performing a standardized basic gynecologic ultrasound examination (DEGUM level I), building on a multi-level training concept previously used in prenatal diagnostics. It outlines high-level requirements for equipment (e.g., transvaginal ultrasound with specified transducer characteristics and optional color Doppler), examination technique (including infection-control cleaning/disinfection steps), and core components such as imaging of uterus, adnexa, and pouch of Douglas, with differentiation of normal versus common pathologic findings and checks for IUD position. Key findings are the agreed quality requirements and the defined service content for basic versus further specialized diagnostics, based on national and international guidelines, with the explicit caveat that the recommendations are derived from published literature and guideline standards rather than reporting new clinical trial results. Relevance to endometriosis: endometriosis is explicitly listed among the example pathologies covered by the basic gynecologic ultrasound examination, though the paper’s main focus is overall ultrasound training/quality recommendations rather than endometriosis-specific findings.

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Abstract

Ultrasound has become an essential diagnostic tool in gynecology, and every practicing gynecologist must be able to differentiate normal from pathologic findings, such as benign or malignant pelvic masses, adnexal torsion, pelvic inflammation disease, endometriosis, ectopic pregnancies, and congenital uterine malformations at least on a basic level. A standardized approach to the correct settings of the ultrasound system, the indications for gynecologic ultrasound investigations, and the sonographic appearance of normal anatomy and common pathologic findings in the standard planes are important prerequisites for safe and confident clinical management of gynecologic patients. Based on current publications and different national and international guidelines, updated DEGUM, ÖGUM, and SGUM recommendations for the performance of basic gynecologic ultrasound examinations were established.

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endometriosis

MeSH descriptors

Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Adnexal Diseases Gynecology Gynecology

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