3D and 4D Ultrasounds During Pregnancy
Medical ultrasound (also known as diagnostic sonography or ultrasonography) is a diagnostic imaging technique based on the application of ultrasound, 3D Ultrasound and Sonography in Pregnancy, 3D Laprsocopic Surgery, Hysterectomy . It is used to see internal body structures.
Role of Ultrasound in Infertility
It is the most used and most informative technology to diagnose and monitoring in both male and female infertility. It is also the best technique after the pregnancy occurs.
For 3D Ultrasound and Sonography in Pregnancy, multiple two-dimensional images are taken at different angles and then pieced together to form a three-dimensional rendering. For instance, as an alternative of just seeing a profile view of your cutie’s face, in a 3D sonogram you can see the entire surface (it looks like a regular photo).
During the treatment of female partner it is used to do follicular tracking. The fertility medicine or injections are started on day 2 or day 3 of cycle after doing a transvaginal scan . During the course, frequent monitoring is done to measure the growth of the developing follicles which contain eggs and once the window of fertile days is reached the couple is advised to have natural sex or the IUI as the case may be.
Ultrasound is also very useful in diagnosing various pathologies like ovarian cyst, endometriosis, fibroids, adenomyosis and various other pathologies of reproductive tract responsible for female infertility.
Ultrasound is one of the most important for evaluation of male infertility in case of oligospermia (low sperm count) or Azoospermia ( no sperm count). Scrotal Doppler is cheap, non-invasive and easily available diagnostic tool.
Role of Ultrasound in IVF Treatment
Ultrasound is one of the major the pillar of the comprehensive treatment of IVF. It helps in knowing the number AFC (antra follicle count) and deciding the dose of hormonal injections to be started and tp rule out any pathology at the start of treatment cycle.
During the treatment cycle frequent ultrasound monitoring is done every 3 to 4 days to evaluate the response to the treatment and to measure the number and size of follicles. Once the desired size of lead follicle is reached the trigger injection is given. After 34 to 36 hours of the trigger injection all follicles are aspirated by trans vaginal ultrasound under short general anaesthesia. It is very safe, easy, non-invasive, short, effective and pain free procedure.
After the ovum pick up when embryo is ready procedure of embryo transfer is done under ultrasound guidance. It is proved beyond doubt that ultrasound guided embryo transfer gives better result than conventional clinical touch technique.
In nutshell Ultrasound plays a central role in the IVF treatment!
3D ultrasound for predicting endometrial receptivity in ARTs
With the advent of three-dimensional ultrasound it became possible to perform a reliable and reproducible sonographic endometrial volume calculations as well as an assessment of endometrial and sub endometrial vascularization. Therefore, some researchers have evaluated the role of endometrial volume as well as sub endometrial and endometrial vascularization for predicting uterine receptivity.
It also helps to diagnose intra cavity endometrial pathologies like sub mucous fibroid, endometrial polyp or septate uterus more effectively. It also gives a better idea about the state of endometrial cavity.