Demystifying Female Infertility Ultrasound leads the door to fertility

Mondo Health Updated on 2024-01-31

Many couples are eager to have a baby of their own.

The prevalence of infertility is increasing.

For women with infertility.

Ultrasonography is one of the most important forms of evaluation.

So. What does ultrasonography do?

This article has you covered.

Some couples have been married for many years and have never been able to conceive a baby. Infertility is a difficult problem for couples, especially female infertility, and its diagnosis and ** need a more accurate approach. Ultrasonography plays an irreplaceable role as a key tool for infertility testing.

Definition of infertility.

Infertility is defined as the failure of a woman under the age of 35 to become pregnant for 12 months after unprotected or sexually assisted insemination, or a woman over the age of 35 to become pregnant within 6 months of trying to conceive. According to statistics, the incidence of infertility in China has been as high as 15%. In the examination of infertility, ultrasound examination plays an important role.

The key role of ultrasonography.

The evaluation of female infertility involves a comprehensive history review, a physical examination, and a series of tests. Among them, ultrasonography has become the core of infertility examination because of its non-invasive, real-time monitoring and comprehensive evaluation.

Ultrasound assesses the importance of the endometrium.

Ultrasound plays a key role in identifying the different endometrial and uterine factors that affect embryo implantation. Exponential growth of the endometrium was observed in women undergoing gonadotropin-stimulated cycles, while the endometrium decreased with age and the use of clomiphene citrate (CC). Clomiphene citrate is a selective estrogen receptor modulator that affects endometrial development. The endometrium reaches 6 before ovulation5 to 7 mm or thicker. In addition, uterine abnormalities such as polyps, effusions, adenomyosis, and leiomyomas can affect endometrial receptivity and negatively affect implantation and early embryonic development.

Ultrasound assesses ovarian health.

Depending on the stage of development, the ovaries have primordial follicles, primary follicles, secondary follicles, ** follicles, or sinus follicles. The number of primordial follicles determines the true ovarian reserve. The original follicle is small and difficult to see by ultrasound. The ovaries have 6-7 million primordial follicles at about five months of gestational age, which gradually decreases to about 1,000 during menopause. With the onset of menarche, a batch of dormant primordial follicles is recruited on each day of the menstrual cycle, and the size of these follicles increases steadily. These primordial follicles develop into primary, secondary, and sinus-like follicles. In a normal cycle, one follicle matures and is destined to ovulate, while the other follicles degenerate and eventually disappear through a process called apoptosis or programmed cell death. Ultrasonography provides a detailed understanding of the structure and function of the ovaries. Ovarian health is essential for women to have children. By observing the number and size of follicles, doctors can assess the reproductive potential of the ovaries. Serological tests combined with ultrasonography provide comprehensive information to determine ovarian health.

Critical Perspective - Ultrasound assesses the ovulation cycle.

Ovulatory dysfunction is one of the leading causes of female infertility. Ultrasonography helps to observe the activity of the ovaries and assess the maturity of the follicles and the normality of ovulation. Follicle monitoring ultrasound is used to track maturing follicles and measure endometrial thickness, and to record the consistency of the endometrium. The antral follicle count (AFC) is one of the standard measurements of ovarian reserve, calculated as the sum of all follicles within both ovaries and ranges from 2 to 10 mm, and the preferred time to measure AFC is on day 2 to 4 of the cycle. The dominant follicle is a follicle "10 mm. By day 8 to 12, dominant follicles usually form until they reach an average diameter of 20 to 24 mm at the time of ovulation. This is essential to identify ovulation problems, especially in patients with irregular menstruation. Ultrasound provides real-time, intuitive data to help doctors better understand a patient's fertility.

Bright lookout of patency—ultrasound assesses tubal patency.

Tubal patency is essential for successful fertilization and embryo implantation. Ultrasonography, especially hysterosalpingocontrast ultrasonography, provides a non-invasive, real-time way to see if the fallopian tubes are open. This helps to detect problems such as blockages, adhesions, and inflammation of the fallopian tubes, and provides strong support for doctors to develop ** protocols.

Ultrasound evaluates uterine structure.

The structure of the uterus is essential for the implantation of a fertilized egg. Through contrast-enhanced hysterine ultrasonography, doctors can clearly observe the presence of polyps, fibroids or uterine cavity malformations in the uterus, detect and solve problems early.

The unique advantages of ultrasound.

1.Non-invasive: Patients do not need to endure pain or discomfort.

2.Real-time monitoring: Provide real-time, intuitive monitoring to help doctors make timely decisions.

3.Comprehensive assessment: an in-depth understanding of the structure and function of the reproductive system to support the development of an individualized** plan.

The diagnosis and development of female infertility requires a comprehensive perspective, and ultrasonography is one of the key tools to provide this perspective. With ultrasound, doctors are able to gain insight into the patient's reproductive system and address underlying problems, thereby improving the chances of pregnancy. Early check-ups and ** can help infertility patients realize their dreams of having children.

Contributed by: Fu Can, Li Xia |First Judge: Li Xia.

Text editor: Wang Xiaoyu |Proofreading Editor: Li Longhao.

Review: Shi Jiaping |Approved and released: Chen Guanlin.

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