Online ISSN: 2515-8260

EVALUATION OF ROLE OF TRANSABDOMINAL ULTRASOUND IN UTERINE AND ADNEXAL FACTORS IN INFERTILITY

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Dr Poonam Ohri1 , Dr Niveditha Basappa2 , Dr Kulwinder Kaur3 , Dr Manasi Kohli4 , Parushi Kohli5 , Dr Prabnoor Kaur

Abstract

Background: The desire to procreate is universal phenomenon. Childlessness is considered as a curse in many societies and is one of the causes of marital breakups. WHO has defined infertility as ‘Failure to conceive over 12 months of uninterrupted sexual practice. USG has become a well-established technique for imaging ovarian and uterine pathologies. Methods: This is a hospital based cross sectional, observation study,included total of 51 cases. The patients with chief complaints of infertility presenting to gynaecology OPDs were referred to the department of Radiodiagnosis,Guru Nanak Dev Hospital, Amritsar and all patients were subjected to transabdominal ultrasonography using 3.5 MHz sector transducer. Results: Out of 51 cases studied, 35 were of primary infertility and 16 were of secondary infertility. Duration of infertility varied from 1.75- 17 years in patients with primary infertility and 2-10 years in patients with secondary infertility,maximum cases between 2-4 years.. Nonspecific enlargement of uterus on one case, 3 with fibroid, 3 with endometrial calcification, one with infantile uterus and one bicornuate uterus. Ovaries were normal in 37 cases, abnormal in 9 cases, not visualized in 3 cases on left and 1 on right side. Left ovary enlarged in one case. Ovarian cyst in 3 cases, T.O masses in 5 cases and PCOD in one case. Fluid in POD in 4 cases.Conclusion: It is concluded that ultrasound is very helpful in assessment of uterus and adnexal pathologies. USG is non-invasive, cheap, acceptable, easily available modality. It can diagnose structural abnormality and helps in making diagnosis of etiologic factor in patients of infertility and also in management and follow up of patients of infertility.

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