Specialized Gynecological Ultrasound

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Detailed Gynecological Ultrasound

In addition to routine ultrasounds, we offer specialized gynecological ultrasounds for the diagnosis and monitoring of specific conditions, such as infertility, hormonal treatment follow-up, or ovarian reserve evaluation.

How is the gynecological ultrasound performed? 

The gynecological ultrasound is a non-invasive diagnostic procedure that uses high-frequency sound waves to create images of the pelvic organs. The ultrasound probe is moved over the lower abdomen with a conductive gel applied to the skin. This method provides a general view of the pelvic region and is normally used for general evaluations. 

Method of conducting the process 

Gynecological ultrasounds can be performed transabdominally (through the abdomen) or transvaginally, depending on the case. The exam is safe, quick, and painless or minimally uncomfortable. In both methods, we guarantee total respect for the patient's privacy and comfort, creating a welcoming and trustworthy environment. This format of gynecological ultrasound allows for comprehensive monitoring of pelvic and reproductive health, promoting accurate diagnoses and personalized care.     

Indications

Who should have this exam?

The specialized gynecological ultrasound is especially indicated for:
  • ✔
    Women undergoing infertility study or treatment, for ovarian reserve evaluation and antral follicle count
  • ✔
    ​​
    Women undergoing medically assisted reproduction treatments, for monitoring ovarian response
  • ✔
    Women with suspected or diagnosed endometriosis, for detailed characterization of lesions
  • ✔
    Women with uterine fibroids already identified, for precise mapping of location and size
  • ✔
    Women with suspected uterine malformations or congenital anomalies of the reproductive system
  • ✔
    Cases referred by another specialist that require a more detailed second evaluation
When is it indicated

This type of exam is indicated when a general evaluation is not sufficient and a more in-depth study of a particular structure or condition is necessary.

Routine vs. Specialized

What is the difference between this exam and a routine ultrasound?

While a routine ultrasound provides a general view of the pelvic organs, the specialized ultrasound focuses on a directed and in-depth analysis, with a longer examination time and the use of additional techniques, such as Doppler for evaluating ovarian and uterine blood flow, or detailed follicular count in the context of fertility. 

It is an exam designed to answer specific clinical questions, and not just for general screening, so it is usually requested by the attending physician after an initial evaluation, or directly in a specialized gynecology or infertility consultation.

Routine ultrasound

General evaluation of the pelvic organs, indicated for annual check-ups or initial investigation of symptoms.

Specialized ultrasound

Directed and in-depth analysis of a specific structure or condition, using Doppler and follicular count.

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The procedure

How is the exam performed?

The exam can be performed transabdominally or transvaginally, depending on the structure being evaluated and the clinical indication. It is safe, quick, and painless or, at most, associated with mild discomfort. 

Unlike the routine ultrasound, this exam tends to have a longer duration, as it involves a more detailed analysis of specific structures — for example, individual follicle count or detailed measurement of a fibroid in different planes. 

At all times, we guarantee total respect for the patient's privacy and comfort, in a welcoming and discreet environment.
2 ways

Transabdominal or transvaginal, depending on the indication

+ time

Longer duration than routine ultrasound, due to detailed analysis

Why is it important

Benefits of specialized gynecological ultrasound

Accurate diagnosis

Facilitates the diagnosis of complex conditions with more detailed images than a general ultrasound would allow.

Continuous monitoring

Helps to monitor the progress of specific gynecological treatments or conditions over time.

Guide for effective treatments

Provides essential information for planning the most appropriate treatment for each patient, avoiding unnecessary approaches.

Fertility support

Provides an objective answer about ovarian reserve and response to treatments, key information in medically assisted reproduction processes.

Clinical evaluation

Aspects evaluated during the exam

01

Analysis of specific conditions

The doctor adapts the ultrasound to the patient's symptoms and medical history, focusing on the relevant areas for the case.

02

Detailed evaluation of ovarian follicles

In cases of infertility, the ultrasound evaluates the quantity and development of follicles, indicating ovarian reserve.

03

Monitoring of hormonal treatments

For patients undergoing hormonal treatments, the ultrasound helps to control the impact and effectiveness of the treatment.

04

Transvaginal ultrasound

In specific cases, a transvaginal ultrasound is performed, which allows for a more detailed view of the pelvic organs.

05

Doppler study of blood flow

When indicated, the ovarian and uterine blood flow is evaluated, relevant data in cases of infertility or suspected vascular changes.

Preparation

How should I prepare for the exam?

Transabdominal

It is recommended to present with a relatively full bladder.

Transvaginal

The exam is more comfortable with an empty bladder.

Note on fertility

It is not necessary to fast. If the exam is being done as part of a fertility study, the doctor may indicate a specific day of the menstrual cycle for its realization, in order to obtain the most relevant information.

Frequent questions

Common doubts about the exam

Does specialized ultrasound replace routine ultrasound?

No. They are complementary exams: routine gives a general view, specialized deepens a specific aspect previously identified or requested by clinical indication.

Do I need a medical referral to schedule this exam?

In Aeger Prima, the exam can be scheduled as part of a gynecology consultation, where the doctor assesses whether this is the most suitable modality for your case.

Is this exam used in fertility treatments?

Yes. It is one of the most used tools in the evaluation of ovarian reserve and in monitoring the response to medically assisted reproduction treatments.

How long does the exam take?

It usually takes longer than a routine ultrasound, since it involves a more detailed analysis of specific structures, but the doctor always informs the expected duration before starting the exam.

How and when do I receive the results?

In most cases, the doctor analyzes the images and discusses the results with the patient during the same consultation, explaining the findings and, if necessary, proposing the next steps of the treatment plan. In situations that require a second opinion or more in-depth analysis, the doctor may schedule a return consultation dedicated to discussing the results.

Aspects evaluated:

01.

Analysis of specific conditions:

The doctor adapts the ultrasound to the symptoms and medical history of the patient, focusing on the relevant areas.

02.

Detailed evaluation of ovarian follicles:

In cases of infertility, ultrasound evaluates the quantity and development of follicles, indicating ovarian reserve.

03.

Monitoring of hormonal treatments:

For patients undergoing hormonal treatments, ultrasound helps control the impact and effectiveness of treatment.

04.

Transvaginal ultrasound:

In specific cases, a transvaginal ultrasound is performed, which allows a more detailed view of the pelvic organs.

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