Imaging Approach to Infertility
This review highlights the role of imaging in the evaluation of female infertility. The multifactorial origin, role of different imaging modalities, and key imaging findings are emphasized. It features all the tubal, uterine, cervical, vaginal, and ovarian pathologies accounting for female infertili...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
|
| Series: | Journal of Gastrointestinal and Abdominal Radiology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1809653 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | This review highlights the role of imaging in the evaluation of female infertility. The multifactorial origin, role of different imaging modalities, and key imaging findings are emphasized. It features all the tubal, uterine, cervical, vaginal, and ovarian pathologies accounting for female infertility and detected by imaging. The role of hysterosalpingography (HSG), pelvic ultrasound (USG), sono-HSG, and magnetic resonance imaging (MRI) of the female reproductive tract is discussed. In addition, the advances in imaging, including contrast-enhanced sono-HSG, sonoelastography, and MR HSG are reviewed. Though hysterolaparoscopy is the gold standard, USG is usually the first-line investigation, and MRI expands the frontiers of knowledge due to its enhanced soft-tissue resolution and multiplanar imaging capabilities. Though the initial clinical evaluation of infertility lays stress on serum hormonal evaluation and detecting ovulation, imaging plays a pivotal role in evaluating certain causes confined to the uterus or ovaries. The need of the hour is to develop an all-inclusive, integrated imaging strategy for the evaluation of female infertility. The current proposal is to combine Fertiliscan, a combination of high-quality 3D USG and assessment of tubal patency by sono-HSG and MR HSG, to look for detailed anatomy in one go. Nevertheless, exhaustive research is needed to establish their reliability, safety, and cost-effectiveness, especially in the resource-limited settings of Southeast Asia. |
|---|---|
| ISSN: | 2581-9178 |