How long does a transvaginal ultrasound examination for endometriosis take in comparison to a routine transvaginal ultrasound examination?

2021 ◽  
Author(s):  
Alison Deslandes ◽  
Nayana Parange ◽  
Jessie T. Childs ◽  
Brooke Osborne ◽  
Catrina Panuccio ◽  
...  
Keyword(s):  
Ultrasound Examination ◽  
Transvaginal Ultrasound

Variation in Cervical Length over Time during a Single Transvaginal Ultrasound Examination

2018 ◽  
Vol 36 (08) ◽  
pp. 781-784
Author(s):  
Katherine A. Connolly ◽  
Luciana Vieira ◽  
Elizabeth M. Yoselevsky ◽  
Stephanie Pan ◽  
Joanne L. Stone
Keyword(s):  
Correlation Coefficient ◽  
Intraclass Correlation Coefficient ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Intraclass Correlation ◽  
Cervical Length ◽  
Linear Mixed Effect Model ◽  
Mixed Effect ◽  
Time Points ◽  
Significant Difference

Objective To quantify the degree of change in cervical length (CL) over a 3-minute transvaginal ultrasound. Study Design We conducted a prospective observational study of nulliparous patients who underwent routine transvaginal CL screening at the time of their second-trimester ultrasound. We recorded CL at four time points (0, 1, 2, 3 minutes) and compared these values to determine the minute-to-minute change within a single patient. Results A total of 771 patients were included. The mean gestational age was 20.8 weeks (±0.84). We used a linear mixed effect model to assess if each minute during the ultrasound is associated with a change in CL. The intraclass correlation coefficient between minute 0 to minute 3 was 0.82 (95% confidence interval: 0.80, 0.84). This indicates that there is a relatively high within-patient correlation in CL during their ultrasound. Additionally, we stratified patients based on their starting CL; the intraclass correlation coefficient remained high for all groups. We additionally compared CL at each minute. Although there is a statistically significant difference between several time points, the actual difference is small and not clinically meaningful. Conclusion The variation in CL over a 3-minute transvaginal ultrasound examination is not clinically significant. It may be reasonable to conduct this examination over a shorter period.

scholarly journals KEHAMILAN ANEMBRIONIK PADA PRIMIGRAVIDA : SEBUAH TINJAUAN KASUS

2018 ◽  
Vol 18 (2) ◽  
pp. 110-114
Author(s):  
Cut Meurah Yeni ◽  
Muhammad Bayu Z Hutagalung ◽  
Dwinka S. Eljatin ◽  
Alyani A. Basar
Keyword(s):  
Vaginal Bleeding ◽  
Genetic Factors ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Clinical Manifestations ◽  
Dilation And Curettage ◽  
Hormonal Dysfunction ◽  
History Of ◽  
Gestational Sac ◽  
Anembryonic Pregnancy

Abstrak. Sebuah kasus, wanita berusia 22 tahun hamil 8-9 minggu dengan keluhan perdarahan pervaginam sejak 1 sebelum masuk rumas sakit (RS). Pemeriksaan ultrasonografi menunjukkan gambaran kantung gestasi tanpa pertumbuhan embrio dengan usia kehamilan 8 minggu. Terminasi kehamilan pada kasus ini dilakukan dengan metode dilatasi dan kuretase. Kehamilan anemebrionik merupakan salah satu bentuk kegagalan dalam kehamilan. Diperkirakan 10-15% hasil konsepsi tidak viabel dan akan mengalami abortus dan 3% diantaranya merupakan kehamilan anembrionik. Manifestasi klinis pada kasus ini meliputi riwayat amenorea, tanda-tanda kehamilan muda serta perdarahan pervaginam pada tahap akhir perjalananya. Berbagai faktor secara teoritis dikaitkan dengan kehamilan embrionik meliputi; faktor genetik paternal dan maternal, disfungsi hormonal serta infeksi dan kelainan imunologi. Kehamilan embrionik dapat ditegakkan melalui pemeriksaan ultrasonografi transabdominal maupun transvaginal dengan ditemukannnya kantung gestasi tanpa perkembangan embrio pada minggu 6-10 kehamilan. Kata Kunci: Kehamilan anembrionik, kuretaseAbstract. A case, 22-year-old woman with 8-9 weeks gestational aged with complaints of vaginal bleeding one day before hospital admission. Ultrasound examination showed a picture of gestational sac without embryo growth correspondent to 8 weeks gestational aged. Termination of pregnancy in this case was done by the method of dilation and curettage. Anembryonic Pregnancy is one form of failure in pregnancy. An estimated 10-15% of the pregnancy is not viable and will undergo abortion and 3% of it is anembryonic pregnancy. Clinical manifestations in this case includes a history of amenorrhea, signs of early pregnancy and vaginal bleeding at the final stage perjalananya. Various factors are theoretically associated with embryonic pregnancy include; paternal and maternal genetic factors, hormonal dysfunction, as well as infectious and immunological disorders. Embryonic Pregnancy can be enforced through a transabdominal or transvaginal ultrasound examination with detection of gestational sac without embryo development at 6-10 weeks gestation.Key words: Anembryonic pregnancy, curettage

scholarly journals Prediction of chronic endometritis using 2D and 3D transvaginal ultrasound examination in infertile women

2021 ◽  
Vol 10 (3) ◽  
pp. 865
Author(s):  
Tamer H. Said
Keyword(s):  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Uterine Cavity ◽  
Reproductive Age ◽  
University Hospital ◽  
Transvaginal Sonography ◽  
Chronic Endometritis ◽  
Infertile Women ◽  
3D Ultrasonography ◽  
2D And 3D

Background: Chronic endometritis is a pathology of continuous and hidden inflammatory process characterized by the infiltration of plasma cells into the endometrial stroma. Transvaginal bi-dimensional ultrasonography is in need to be evaluated in prediction of chronic endometritis in women with delayed pregnancy or infertility as a non-invasive, cheap, acceptable, and safe tool of diagnosis. Previously, 3D ultrasonography had been described as a novel for diagnosis of chronic endometritis and correlation of the images with hysteroscopic view results. Objectives were to predict the presence of chronic endometritis in infertile women during their reproductive age through examination of the uterine cavity by 2D and 3D transvaginal sonography to elicit proposed ultrasonographic signs of endometritis.Methods: This observational prospective study took place at Shatby university hospital, Alexanderia universtiy and was done on two hundred infertile women. Women were assigned for ultrasonographic evaluation as a part of pre-treatment assessment. Detailed history was taken from all the patients included in the study. General examination and routine laboratory investigations were done according to hospital protocol. All patients were asked to do ultrasound examination immediately postmenstrual and at the time of ovulation. We used 2D transvaginal ultrasound to predict chronic endometritis, we searched for 1) presence of persistent endometrial focal or diffuse thickening postmenstrual, 2) presence of focal echogenic foci in the triple line endometrium during ovulation. The 3D ultrasonography was done as confirmatory examination. Office hysteroscopy as the main method for diagnosis of endometritis was performed to all patients either after menses if the first sign was detected or at the time of ovulation if the second sign was detected.Results: The combination of persistent endometrial shreds and/or endometrial focal thickening or echogenicity can significantly predict presence of endometritis as the sensitivity and specificity of the combination were 94.90 and 81.37, respectively.Conclusions: Bi-dimensional ultrasonography done to infertile women at 2 phases of the menstrual period can predict the presence of chronic endometritis as a subtle cause of infertility and might be an indication for hysteroscopic evaluation for these patients.

scholarly journals Basal Temperature, Cervical Mucous, and Both Combination as Diagnostic Tools to Detect Ovulation

2018 ◽  
pp. 162
Author(s):  
Eka R Gunardi ◽  
Alexander Mukti ◽  
 Herbert Situmorang
Keyword(s):  
Body Temperature ◽  
Basal Body ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Cross Sectional Study ◽  
Cervical Mucus ◽  
Diagnostic Tools ◽  
Basal Body Temperature ◽  
Cross Sectional ◽  
Accurate Comparison

    Objective: To make basal body temperature examination andcervical mucus as an alternative examination in detectingovulation, especially in health facilities that do not have ultrasound.   Methods: This cross-sectional study was conducted at the outpatientclinic of RSUPN Dr. Cipto Mangunkusumo in the year2016-2017. A total of 49 infertile female patients who had normalmenstrual cycles were asked to participate and performedbasal body temperature measurements, cervical mucussampling and transvaginal ultrasound examination, the dataare subsequently grouped into 3 Days Estimated Ovulation(DEO); DEO-2 days, DEO and DEO+ 2 days. Diagnostic testswere performed and accurate comparison between basal bodytemperature, cervical mucus and a combination of both werelater assessed.   Results: The best accuracy was found on cervical mucus andcombination of both with 65% in detecting ovulation, whilstthe lowest was basal body temperature (59%) with sensitivity46.7%, and specificity 78.9%. Cervical mucus in diagnosingovulation has a sensitivity of 70% and specificity 57.8%. Thecombination of temperature-cervical mucus in diagnosing ovulationhas sensitivity of 46.67% and specificity of 94.73%.   Conclusion: Cervical mucus examination has better accuracy comparedwith basal body temperature examination in detecting ovulation.Further research for validating these diagnostic tools to thewider community and not only in patients with infertility is needed.   Keywords: basal body temperature, cervical mucus, infertility, ovulationdetection, ultrasound

scholarly journals Methods of Transvaginal Ultrasound Examination in Endometriosis

2018 ◽  
Vol 25 (3) ◽  
pp. 111-116
Author(s):  
Alexandra Bruja Bruja ◽  
◽  
Lacramioara Brinduse ◽  
Ovidiu Gabriel Bratu ◽  
Camelia Cristina Diaconu ◽  
...  
Keyword(s):  
Ultrasound Examination ◽  
Transvaginal Ultrasound

Ultrasound features of polypoid endometriosis: a case report and a short review of Literature

2021 ◽  
pp. 228402652110530
Author(s):  
Matteo Mancarella ◽  
Luca Giuseppe Sgro ◽  
Luca Fuso ◽  
Paola Campisi ◽  
Nicoletta Biglia ◽  
...  
Keyword(s):  
Ultrasound Examination ◽  
Transvaginal Ultrasound ◽  
Pelvic Mass ◽  
Recurrent Abdominal Pain ◽  
Short Review ◽  
Pathological Examination ◽  
Surgical Removal ◽  
Histopathological Diagnosis ◽  
Histological Architecture ◽  
Polypoid Endometriosis

Introduction: Polypoid endometriosis is a rare variant of endometriosis characterized by histological features resembling an endometrial polyp. Lesions frequently affect the ovaries presenting as adnexal masses which may mimic malignancy, with an extremely complex differential diagnosis due to the poor evidence reported in Literature. Case description: In this report, we describe the case of a 43 years old woman referred to pelvic transvaginal ultrasound examination for recurrent abdominal pain, in whom sonography revealed a pelvic mass with features highly suspicious for ovarian carcinoma. Surgical removal allowed histopathological diagnosis of polypoid endometriosis, with no signs of malignancy. At ultrasound examination, the lesion appeared as a multilocular-solid mass, with low-level echogenicity of cystic content, multiple papillary projections, and solid areas with high vascularization and apparent infiltration of the uterus. At retrospective review of the sonographic images after pathological examination, some features mirroring the histological architecture of polypoid endometriosis could be identified in the solid components of the mass: these included the hyperechoic appearance, the rounded outline of the intracystic projections, and the vascularization pattern with a single central vessel with branching. Conclusions: To date, this is the first work providing a detailed ultrasonographic description of polypoid endometriosis using shared terms and definitions and relating these findings with available evidence about radiologic and histopathologic features. The report shows how this condition could strongly mimick ovarian malignancy, though several sonographic features can be identified reflecting the histopathological patterns of those lesions.

scholarly journals OC59: A single transvaginal ultrasound examination as a test for ectopic pregnancy

2007 ◽  
Vol 30 (4) ◽  
pp. 385-385
Author(s):  
E. Kirk ◽  
A. T. Papageorghiou ◽  
G. Condous ◽  
L. Tan ◽  
S. Bora ◽  
...  
Keyword(s):  
Ectopic Pregnancy ◽  
Ultrasound Examination ◽  
Transvaginal Ultrasound
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