3D-4D Sonography in Infertility

Trans vaginal, Abdominal, linear, Volume (probe for 3D and 4D) probes, Colour Doppler and Pulsed wave Doppler facility and facility for Interventional sonography. We have five state of the art ultrasonography units. USG is must with clinical findings to monitor and understand ovulation physiology and pathology. It is non invasive, reproducible, and does not interfere with physiological process TVS has excellent resolution and is easily available, and is a must to diagnose all sorts of pathologies.

Trans vaginal ultrasound image of a midcycle triple line healthy endometrium with adequate thickness.

Uterine cavity volume by 3D 4D sonography, a volume of 3 – 5 cc in midcycle phase is optimum for good receptivity.

Image of a thickened endometrium (by 3D) as in secretary phase of menstrual cycle.

This image shows follicular volume in pre-ovulatory phase (by 3D – 4D)

Good Myometrial and endometrial vascularity as seen by colour Doppler in a periovulatory Endometrium.

Good perifollicular blood flow as seen by power Doppler.

3D image of thickened endometrium.

Perifollicular blood flow around the time of ovulation

• Pulse wave doppler shows RI of 0.50-0.58 during early proliferative phase.
• Pulse wave doppler shows RI of 0.40-0.48 just before ovulation.

Myometrial blood flow as seen by power doppler internal to the arcuate vessels.)

2D and 3D images of a lady with intra uterine adhesions (Asherman syndrome)

2D, 3D and 4D images of broken IUCD in uterine cavity.

Benign endometrial polyps within uterine cavity.

2D and 3D images of different types of fibromyomas of uterus (intramural and subserosal)

Image of an adenomyotic uterus

Images show Congenital malformations of uterus - bicornuate uterus

2D and 3D image showing septate uterus

3D images of a unicornuate uterus.

Enlarged polycystic ovaries with multiple small follicles an increased ovarian volume, a common cause of irregular periods and infertility.

Ovarian endometriomas, the classical chocolate cyst, responsible for dysmenorrhoea and infertility in many women today.