Ultrasound was introduced into clinical medicine in the late 1950's. We currently use equipment called real-time scanners, which provide a continuous moving picture. A transducer emits very high Frequency sound waves, which are reflected back from surfaces (Figure 4.1). The reflected beam is detected and can be seen on a monitor screen. Ultrasound is safe, cost effective, non-invasive and an accurate technique for evaluating the internal reproductive organs in gynaecology and the fetus during pregnancy. Many gynaecological and early pregnancy ultrasound examinations are undertaken with a small vaginal transducer, which can be placed close to the uterus and ovaries: this is known as a transvaginal or internal scan.Pelvic Ultrasound in Gynaecology

Pelvic Ultrasound examination can demonstrate structural abnormalities such as fibroids and ovarian cysts. For patients with infertility problems, ultrasound provides information on oocyte (egg) development and in IVF the eggs are collected under direct ultrasound visualisation (24). Ultrasound may provide reassurance about the endometrium in patients with postmenopausal bleeding reducing the requirement for invasive investigation of the uterus (17). Breast ultrasound examination has a role to play in screening women under the age of 40 and also supplements mammography (Q32.35).

 

 

In pregnancy, ultrasound provides:Ultrasound in Pregnancy - Obstetrics

  •  essential information on the dating of the pregnancy.
  •  assessment of bleeding in early pregnancy.
  •  detection of ectopic pregnancy.
  •  early detection of multiple pregnancy.

 assistance in the diagnosis of some congenital foetal abnormalities including:

  • Down syndrome.
  • The spina bifida group.
  • Heart.
  • Skeleton.
  • an indication of the site of the placenta and the growth rate of the fetus in later pregnancy.

Forty years of experience with ultrasound in pregnancy has shown that it is remarkably safe.

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This is the personal website of David A Viniker MD FRCOG, retired Consultant Obstetrician and Gynaecologist - Specialist Interests - Reproductive Medicine including Infertility, PCOS, PMS, Menopause and HRT.
I do hope that you find the answers to your women's health questions in the patient information and medical advice provided.

I do hope that you find the answers to your women's health questions in the patient information and medical advice provided. If you still have unanswered questions, please consider entering them into one of our forums and I will try to assist you.



The aim of this web site is to provide a general guide and it is not intended as a substitute for a consultation with an appropriate specialist in respect of individual care and treatment.

David Viniker retired from active clinical practice in 2012.
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