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There are many interventional uses of transvaginal sonography [ 2 , 6 ]. Transvaginal Sonography. Ideally TVS is performed with the patient placed on a gynaecological table. The list is not exhaustive and newer indications are continuously being added. The advent of the transvaginal sonography in has had a tremendous impact on the practice of obstetrics and gynaecology. Some of the more common ones are given below. Author information Article notes Copyright and License information Disclaimer.

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Ideally TVS is performed with the patient placed on a gynaecological table. In the absence of adhesions, the organs move freely past each other and the pelvic wall in response to pressure by the TVS probe tip. First is the need to use lower frequencies for imaging due to the longer distance between the transducer and the pelvic organs. Probe Preparation To prevent cross contamination between patients a disposable cover, usually a latex condom, should be placed over the probe and secured by rubber bands or other suitable means. Patient Preparation An adequate explanation of the procedure to the patient is essential.

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Transvaginal sonography in infertility. Transvaginal sonography TVS produces greatly improved resolution as compared to TAS, primarily due to the higher frequencies employed and also due to the absence of beam deformation by the anterior abdominal wall. The sonologist must wear gloves when preparing the probe and performing the examination. There are many interventional uses of transvaginal sonography [ 2 , 6 ].

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Description: During infertility work-up it is prudent to use glycerine or normal saline as a lubricant especially in the peri-ovulatory period. Ultrasound and infertility. These specialists rely heavily upon this technology to make major decisions about management of their patients. Proper selection of frame averaging is also important. To avoid the need of a full bladder it has been suggested that a TVS examination may be followed by a TAS scan with bladder empty. Once the probe has been disinfected and wiped clean, a small amount of coupling gel should be placed inside the tip of the condom and the condom pulled over the shaft of the probe. In mechanical sector fixed focus probes the organ of interest is brought in the focal zone by changing the depth of insertion of the probe.
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