Sonographic Evaluation of the Pelvic Causes of Female Infertility

Abstract

The present study was designed to determine the role of ultrasound in the diagnosis of female pelvic causes of infertility. The results of this research support the idea that, transabdominal 2D ultrasound is the least supportive method of investigating the entire pelvic organs. However, it is the most widely available and easiest way to perform practically as an initial diagnostic procedure. Furthermore, it can increase accuracy and serve as a valuable screening tool if used in conjunction with TV sonography and SHG, to provide an additional visualisation plan and increase the ability toevaluate cases of infertility. If these techniques are not available or not generally practiced then HSG can be used as a supplementary method to investigate the fallopian tube and to clacify the uterine abnormality. Infertile women should undergo ovulation testing, assessment of ovarian reserve, and ultrasound imaging procedures to evaluate the tubal and uterine factors before the final diagnosis of infertility is made. These examinations can be completed within one menstrual cycle. This work can determine the expectant treatment and management. Ultrasonography can easily be used for the diagnoses of the possible causes of women infertility, such as uterine anomalies, the presence of tubal obstructions or ovarian abnormality. Developed ultrasound procedures could make infertility examinations more cost-effective and as minimally invasive as possible than other procedures, Moreover, an ultrasound investigation of infertility assessment is normally time-saving as compared to the other traditional approaches, which can help in reducing the risk of age-related infertility for women waiting for treatment by incompetent procedures. The present study was designed to determine the incidence of female pelvic causes of infertility and compare the incidence with global norms. Although the current study is based on relatively small sample of participants, the result suggests that PCO is the major ultrasound finding, which looks comparable with the previous results which describe this condition as a greater noticeable factor in most countries. It was again similar to what has been already recorded by previous studies this was followed by uterine in approximately 10% which is very low percentage for the global infertility factor.