Vaginal ultrasound has made undeniable progress, it remains licit in certain situations to supplement the examination by a suprapubic.ultrasound
Indications
-Ovarian disease: Ultrasound especially allows us to visualize the ovaries, and because they are located deeply inside the pelvis, are difficult to investigate clinically. Any ovarian pathology will therefore be a potential indication for ultrasound.We can use ultrasound for the assessment of pelvic tumor to recognize the nature of the mass:-fluid,, it will evoke an ovarian cyst;-solid, evoke an ovarian tumor (sometimes malignant) or uterine fibroids.Ultrasound is indispensable during ovarian stimulation and in case of IVF, to monitor follicular growth and aspiration of mature follicles: one uses a vaginal probe.-Uterine pathology: The uterus is also seen well on ultrasound, endometrial clear separation between the myometrium.Ultrasound is the first examination to propose in the evaluation of malformations of the female genital tract, pathology of the myometrium. This is the gold standard in diagnosing fibroids it enables a precise mapping It is less effective for the diagnosis of adenomyosis and endometrial pathologies (polyps, submucous myomas, hyperplasia and atrophy).The injection of liquid into the uterine cavity is the hysterosonography and improves the accuracy of ultrasonography in the evaluation of intra-cavitary disease.
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Victor Hugo