Specialized gynecological ultrasound
In addition to routine ultrasounds, Aeger Prima offers specialized gynecological ultrasounds for the diagnosis and monitoring of specific conditions, such as infertility, hormonal treatment follow-up, or assessment of ovarian reserve.
Who should have this exam?
Specialized gynecological ultrasound is particularly recommended for:
- ✓Women undergoing infertility investigation or treatment, for assessment of ovarian reserve and antral follicle count
- ✓Women undergoing medically assisted reproduction treatments, for monitoring of ovarian response
- ✓Women with suspected or diagnosed endometriosis, for detailed characterization of lesions
- ✓Women with already identified uterine fibroids, for precise mapping of location and size
- ✓Women with suspected uterine malformations or congenital anomalies of the reproductive system
- ✓Cases referred by another specialist requiring a more detailed second assessment
This type of exam is indicated when a general assessment is not enough and a more in-depth study of a particular structure or condition is required.
How is this exam different from a routine ultrasound?
While the routine ultrasound offers a general overview of the pelvic organs, the specialized ultrasound focuses on a targeted, in-depth analysis, with a longer exam time and additional techniques, such as Doppler for assessing ovarian and uterine blood flow, or detailed follicle counting in a fertility context.
It is an exam designed to answer specific clinical questions, rather than serve as a general screening, so it is usually requested by the referring doctor after an initial assessment, or directly during a specialized gynecology or infertility consultation.
Routine ultrasound
General assessment of the pelvic organs, recommended for annual check-ups or a first investigation of symptoms.
Specialized ultrasound
Targeted, in-depth analysis of a specific structure or condition, using Doppler and follicle counting.
How is the exam performed?
The exam can be performed transabdominally or transvaginally, depending on the structure being assessed 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 take longer, since it involves a more thorough analysis of specific structures — for example, the individual count of ovarian follicles or the detailed measurement of a fibroid from different angles.
At every stage, the patient's privacy and comfort are fully respected, in a welcoming and discreet environment.
Benefits of specialized gynecological ultrasound
Precise diagnosis
Supports the diagnosis of complex conditions with more detailed images than a general ultrasound would allow.
Continuous monitoring
Helps track the progress of treatments or specific gynecological conditions over time.
Guidance for effective treatment
Provides essential information for planning the most appropriate treatment for each patient, avoiding unnecessary approaches.
Fertility support
Gives an objective answer on ovarian reserve and response to treatment, key information in medically assisted reproduction processes.
Aspects assessed during the exam
Analysis of specific conditions
The doctor tailors the ultrasound to the patient's symptoms and medical history, focusing on the areas relevant to the case.
Detailed assessment of ovarian follicles
In cases of infertility, the ultrasound assesses the number and development of follicles, indicating ovarian reserve.
Monitoring of hormonal treatments
For patients undergoing hormonal treatments, the ultrasound helps track the impact and effectiveness of the treatment.
Transvaginal ultrasound
In specific cases, a transvaginal ultrasound is performed, providing a more detailed view of the pelvic organs.
Doppler blood flow study
When indicated, ovarian and uterine blood flow is assessed, relevant data in cases of infertility or suspected vascular changes.
How should I prepare for the exam?
Preparation varies depending on the approach indicated.
Transabdominal approach
It is recommended to arrive with a relatively full bladder.
Transvaginal approach
The exam is more comfortable with an empty bladder.
Fasting is not required. If the exam is being performed as part of a fertility work-up, the doctor may indicate a specific day of the menstrual cycle for it to be carried out, in order to obtain the most relevant information.
Common questions about the exam
Does the specialized ultrasound replace the routine ultrasound?+
No. They are complementary exams: the routine ultrasound gives a general overview, while the specialized ultrasound looks in depth at a specific aspect previously identified or requested based on clinical indication.
Do I need a medical referral to book this exam?+
At Aeger Prima, the exam can be booked as part of a gynecology appointment, where the doctor assesses whether this is the most appropriate type of exam for your case.
Is this exam used in fertility treatments?+
Yes. It is one of the most widely used tools for assessing ovarian reserve and monitoring the response to medically assisted reproduction treatments.
How long does the exam take?+
It tends to take 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 reviews the images and discusses the results with the patient during the same appointment, explaining the findings and, if necessary, proposing the next steps of the treatment plan. In situations requiring a second opinion or further analysis, the doctor may schedule a follow-up appointment dedicated to discussing the results.
Book your specialized ultrasound
Detailed diagnosis, treatment monitoring and fertility support, in a welcoming and discreet environment in the heart of Lisbon.
