The Role of Doppler-Ultrasonography in Reproductive Medicine
Color Doppler and pulsed-wave Doppler ultrasonography noninvasively evaluate the female pelvis, aiding follicular monitoring, predicting ovulation, and assessing perfusion in reproductive medicine.
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This chapter reviews how newly developed transvaginal color Doppler and pulsed-wave Doppler modalities evaluate intraovarian and uterine perfusion as a noninvasive extension of pelvic examination, including their use for follicular monitoring and for replacing laparoscopy in some IVF procedures. It reports that transvaginal color flow offers superior accuracy and reproducibility, enabling visualization of small vessels under physiologic conditions and supporting prediction of ovulation or detection of ovulatory and luteal phase disorders, with Doppler changes potentially relevant to infertility and early pregnancy loss. A key limitation acknowledged is that it remains unclear whether observed blood flow changes play a causal role in infertility versus reflecting inadequate perfusion outcomes. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.
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