The female reproductive system is one of the most difficult in our body. To preserve the health of a woman, in time to diagnose and prescribe adequate treatment, you need high-quality equipment. Today, one of the safest and most informative diagnostic methods is ultrasound. With it, you can easily detect pathology and monitor its development, as well as evaluate the results of the treatment. Today we will talk about which day of the cycle to do an ultrasound scan of the uterus is best to get the most reliable data on its condition.
What is the ultrasound of the female reproductive system
Although the end result of any of these examinations is the diagnosis of a woman’s health, it can be done in several different ways. And how to choose a method, and to determine on which day of the cycle to do an ultrasound of the uterus, should the doctor, based on the intended diagnosis and clinical picture. Transabdominal ultrasound is an examination of internal organs through the abdominal wall. Usually, they inspect girls who are not sexually active, as well as pregnant women. During the examination, which lasts no more than 30 minutes, the doctor can determine the condition of the uterus and ovaries, detect the inflammatory process. Let's take a little deeper look at how ultrasound of the uterus and appendages are done. Preparation begins in the evening, you need to exclude from the diet drinks containing gas, as well as spicy and fried foods.
Before the procedure, you will need to drink a liter of water. An hour later, your bladder will create optimal conditions for examination. Immediately before the examination you will need to bare the stomach and remove all the jewelry. The doctor will apply a special gel on the stomach and begin scanning.
This is a slightly different type of examination, which allows in the smallest detail to study the structure and structure of the uterus, as well as other organs of the reproductive system. In this case, a special sensor is inserted directly into the vagina. And again the question arises on what day of the cycle to do an ultrasound of the uterus. This method is diagnostic at any time, except for the menstruation days. However, if you need to confirm or refute the diagnosis of uterine fibroids, the examination is scheduled immediately after the end of menstruation. However, if the doctor has certain doubts about the diagnosis, he can choose the most appropriate phase of the cycle in order to analyze the compliance of the structure of the ovaries and the thickness of the endometrial layer.
This method allows you to diagnose and assess the effects of abortion and surgical operations. Using this method, you can see not removed remnants of the ovum or detect the cause of prolonged bleeding, determine the ovarian dysfunction. It is from the task and it will depend on which day of the cycle to do ultrasound of the uterus. This method is very useful during pregnancy planning. That it allows you to track ovulation and follicle growth process.
This procedure is done quite rarely, according to the special recommendations of the doctor. The procedure is quite complicated. The patient undresses, as with a routine gynecological examination. A gynecological mirror is inserted into the vagina, and with it a catheter. Then the mirror is replaced with a vaginal sensor, which is inserted into the uterine cavity. Through the catheter allow saline to expand the uterus. When you want to assess the patency of the fallopian tubes, saline is allowed to go with the air. This procedure takes about 30 minutes.
How examination depends on the menstrual cycle
At first glance, really, what's the difference when to conduct an ultrasound of the uterus, on which day of the cycle to make an appointment with a specialist? In fact, the difference is quite large. Ultrasound of the female reproductive system is considered the most accurate and informative method, but its accuracy depends on the selected day of the cycle. The fact is that female reproductive organs are hormone-dependent, their structure and functions change throughout the entire menstrual cycle. If you are being tested for the first time, any day will do. However, if the doctor already represents the condition of your body and needs to confirm some guesses or evaluate the effectiveness of therapy, then he will have to think carefully on what day the uterus ultrasound needs to be done. Let's look at how the diagnosis may vary depending on the intended diagnosis.
If the doctor has suspected the presence of fibroids, then you must pass an ultrasound of the uterus and ovaries. When it is better to do - the attending physician will decide. However, it is best to do this right after the end of the month. During the cycle, the nodes grow, and the endometrial layer grows. As a result, fibroids can hide, but immediately after the menstrual period it is much easier to diagnose, even at the initial stage.
Or pathological growth of the endometrium. A common disease that occurs in almost one third of all women, according to gynecological statistics. On which day of the cycle is better to do a pelvic ultrasound to make such a diagnosis? It is easiest to determine it on the last day of the cycle, just before the monthly periods. At this time, the foci of endometrial growth are greatly enlarged, they are much easier to diagnose.
But if we are talking about endometrial hyperplasia, studies are carried out several times, for the first time before menstruation, the second time immediately after it. At the first examination, the thickness and structure of the endometrium is determined, at the second, the effectiveness of its detachment.
Tumors, cysts and polyps
These are the most dangerous diseases for which gynecological ultrasound is necessary. On which day of the cycle and when it is better to do it, let's find out together. As in the case of myomas, the first phase of the cycle, during which the endometrium is most subtle, is much better suited for the diagnosis of such tumors. It is easier to identify tumors. The sooner they are detected, the more effective the treatment will be.
A whole range of different diseases can lead to malfunction of the ovaries. The result may be a failure of the menstrual cycle, up to the complete absence of menstruation and the impossibility of conception. It is rather difficult to find the reason for this, so it is very important to know on which day of the menstrual period it is recommended to do an ultrasound scan. Examination of the uterus to determine the adequacy of the ovaries is carried out in series. The first is prescribed a few days before the ovulation period to determine the number of follicles. Then the doctor will invite for an examination again before ovulation. This will give a more reliable picture and allow you to explore the dominant follicle. The next examination will be at the time of ovulation, it will fix the release of the egg. The final spend a few days to confirm the formation of the corpus luteum.
Inflammatory and adhesions
These are the most common problems that women seek in gynecology. Diagnosis of inflammatory diseases does not depend on the day of the cycle, so immediately after treatment, the doctor may refer you for an examination. However, it is very important to present a reliable picture to the doctor by telling you when your monthly periods were last. It is important that the doctor can correlate the fixed size of organs with normal ones. However, in such cases, it is recommended to re-ultrasound after menstruation. This event is held and for the purpose of prevention in order to notice any disease in time. In this case, for the survey is best to choose the first half of the cycle.
If examination is to be done
We have already described in some detail how ultrasound of the pelvic organs in women passes. How to prepare, mentioned only in passing, so now let's deal with this issue closely. Often, having given a referral, the doctor does not waste time trying to explain all the nuances of the upcoming procedure. Therefore, a person may come unprepared. Preparation is needed in case of appointment of any type of ultrasound, it will allow the patient to experience the least discomfort, and the doctor - to get the most reliable result.
We begin to prepare for 4 days before the survey. You will need to follow a strict diet, eliminate everything that can cause gas formation. These are legumes and fruits, cabbage and black bread, sweets and soda. These days, you can take "Espumizan", and if you suffer from constipation, then do an enema on the eve of the study. It is very important to properly prepare the bladder. An hour or two before going for an ultrasound, just drink a half liter of water or tea. But from the compote or juice is better to refrain, since they can also cause bloating.
Minimal preparation requires the usual scanning of the uterus and appendages. To do this, simply go to the toilet and take a shower. And most of all preparation requires rectal ultrasound. In this case, you will need not only a diet, but also a cleansing enema in the evening, on the eve of the survey, and in the morning, directly in front of it.
Diagnosis of pregnancy with ultrasound
This is a very important examination that allows you to monitor the state of the mother and child throughout the entire period of pregnancy. The presence of the ovum in the uterus of an ultrasound scan will show as early as 3-4 weeks of pregnancy, after which the doctor will be able to evaluate the implantation of the embryo, that is, during ectopic pregnancy, it will be possible to perform a planned operation without waiting for the tubes to rupture.
Summing up, we can say that every woman should undergo ultrasound examination of the pelvic organs at least once a year. This will allow to diagnose any disease at the earliest possible time and to prevent its transition into the chronic phase.
Modern ultrasound machines
Technique does not stand still. More recently, doctors had to figure out the icons on the screen, behind which could be hidden a particular deviation. Today, the latest equipment allows for four-dimensional ultrasound, that is, a full look from the inside. The doctor now does not just receive a set of symbols, but calmly studies the structures of the internal organs and tissues within you, without any surgical intervention. Such technologies made it possible to step far forward, now you can track various pathologies at the very beginning of their inception, high-precision sensors can provide an excellent level of detail, and therefore accurate diagnostics.
On which day of menstruation is better to do an ultrasound of the uterus
Compliance with the timing of menstruation is important because in the first phase the uterine mucosa (endometrium) is thinner, which allows to investigate it in detail. Thanks to this, the doctor can detect mucosal modifications, fibroids, polyps, tumor neoplasms and other uterine pathologies at preclinical stages. If you make a diagnosis in the second half of the monthly cycle, the endometrium becomes thicker and visualizing the pathological changes of the mucous membranes becomes much more difficult. In addition, compliance with this rule is due to the course of cyclic changes that occur in the body. And on what day the survey was conducted, the results of the study will depend.
Taking into account on which day of the cycle the ultrasound scan of the uterus was performed, the following changes are indicated in the protocol:
- The regeneration phase (3-4 days) - the restoration of endometrial cells after the completion of menstruation,
- The proliferation phase (5-14 day) - gradual thickening of the uterine mucosa,
- The secretory phase of the cycle (starting from day 15) is the maximum development of the endometrial glands, which indicates that the uterus is being prepared for acceptance of the egg.
In any case, the time of the uterus ultrasound is determined by the doctor individually. This takes into account the age, characteristics and condition of the patient, as well as the purpose of the study and the presence of pathological symptoms.
Ultrasound of the uterus and appendages - on which day of the cycle to do the procedure for patients of different age categories
Gynecological pathologies can occur at any age, so an ultrasound scan of the uterus is performed on women of different age categories:
- For girls whose menstruation has not yet begun, an ultrasound examination of the uterus can be given any day. If the patient had a menstruation, the doctor should take into account the time of her start and perform an ultrasound scan in the normal time,
- For women who enter menopause, ultrasound is also performed at any time, because the endometrium does not change as often as in patients of reproductive age,
- In women with an irregular cycle of menstruation, the day of an ultrasound scan is determined by the doctor after examining complaints and anamnestic information.
- For pregnant women, an ultrasound examination is prescribed 3 times in each trimester (in the absence of carrying pathologies).
Patients of reproductive age ultrasound of the uterus is performed taking into account the day of the menstrual cycle. With the following indications, ultrasound diagnostics is performed in the first days after the completion of menstrual flow:
- Inflammatory processes of the uterine cavity,
- Tumor neoplasms of different stages of development, degree of malignancy and localization,
- Uterine fibroids,
- The onset of pregnancy
- Ovarian dysfunction,
- Cysts in the uterus.
In addition, an ultrasound scan of the uterus can be performed during menstruation. Conducting a study during this period allows reproduction specialists (when preparing for in vitro fertilization) to determine the number of follicles in the ovaries.
Some women for 3-5 days remain minor bleeding. On this occasion, patients can not worry. Their presence is not a limitation to the implementation of the study. In such a case, you need to have a tight lining with you.
Ultrasound of the uterus is a safe and painless diagnostic method that can be recommended to women on any day of the cycle. With the help of this technique it is possible at the early stages to detect various pathologies and carry out appropriate treatment. It is important for women not to ignore routine examinations and to regularly visit a gynecologist. When it is best to conduct a study can only tell the doctor after prior consultation and gynecological examination.
What can be seen in the diagnosis
If a woman was appointed after a gynecology ultrasound visit, she would definitely be interested to know what screening of the pelvic organs can show. The presented diagnostic method is often used to confirm or refute various diseases, as well as conditions of the body.
During the survey, the following can be identified:
- Type of pregnancy and localization of the ovum (in the uterus, fallopian tube or neck).
- Individual features of the reproductive organ and developmental anomalies (two-legged, saddle-shaped, double uterus).
- The progression of inflammatory diseases.
- Pathological proliferation of endometrial tissue.
- Determination of the presence in the fallopian tubes of purulent content, fluid or blood.
- The remains of the fetus after gynecological cleaning.
- The state of the reproductive organs after labor.
- Tumor neoplasms with an approximate determination of the degree of their malignancy.
- The presence on the endometrial layer of polyps.
- The number, size and localization of myomatous nodes.
- Determination of cystic formations, including the identification of torsion of the legs.
- The presence or absence of abnormal fluid in the pelvic organs.
In gynecology, ultrasound is also actively assigned to women who have to undergo the procedure of in vitro fertilization. Thanks to the research, it is possible to monitor the state of the ovaries in dynamics and determine the day of ovulation, subsequently monitor the quality of embryo attachment and its stage of development.
Ways to perform the procedure
Depending on the purpose for which the patient is prescribed ultrasound in gynecology, on which day of the cycle, what is her initial state of health, and the degree of complexity of the clinical case, specialists in the field of gynecology distinguish several types of diagnostics.
Ultrasonic screening can be performed by several methods:
- transvaginally - gives the most accurate information in case of suspected progression of the pathologies of the female reproductive system (the sensor is inserted into the vagina),
- transabdominal - is carried out to patients who have not yet had intimate intimacy, as well as for the diagnosis of pronounced diseases (the sensor is in contact with the front wall of the abdomen),
- transrectally - in rare cases, assigned to virgins, and informativity is not inferior to the first method (the sensor is inserted into the rectum).
In gynecology, ultrasound is also prescribed to women when there is a need to assess the state of the ovaries. Такая процедура носит название фолликулометрии и делается трансвагинальным способом. При беременности всегда проводят три плановых скрининга. Если срок ранний (первый триместр), то датчик вводят во влагалище, в поздних периодах делают абдоминальную процедуру.
Когда рекомендуется проходить исследование
In gynecological practice, specialists identify a number of diseases and conditions in which the patient can be assigned the procedure in question.
The main indications include:
- Suspicion of pregnancy.
- Violation of the menstrual cycle.
- Determination of treatment tactics and control of drug therapy for endometriosis.
- Detection of tumor and other neoplasms.
- In preparation for the procedure and after scraping.
- Routine preventive examination.
- Identify the causes of infertility.
Presented evidence is the most common, but according to medical opinion the list may be extended.
Contraindications to the procedure
Even such a seemingly innocuous procedure as ultrasound screening of the pelvic organs has certain contraindications in gynecology:
- progression of acute inflammatory processes,
- performed operations on the rectum or in the uterine cavity (performed transvaginally or transrectally, that is, interchanged),
- pyoderma (purulent rash on the skin),
- progressive infectious pathologies.
A referral to the procedure must be issued by a leading specialist, since he preliminarily conducts a full examination of the patient and draws attention to the presence or absence of prohibitions on ultrasound.
How to prepare
When a patient is prescribed a pelvic ultrasound in gynecology, preparation for this procedure will not be difficult, but there are some nuances, and they have a direct relationship with the method by which the screening will be performed.
When conducting a transabdominal diagnosis, it is necessary to stop eating foods that cause fermentation in the intestines (fatty foods, sodas, beans, beans, cabbage, black bread) in about three days. On the eve of the study, in the evening, dinner should be no later than 19 hours; in the morning you can only drink clean water.
If transvaginal ultrasound is prescribed, then a diet must also be observed, before diagnosis it is necessary to refrain from eating for about 4 hours, and before entering the treatment room it is necessary to empty the bladder. In the case of transrectal examination, it will also be necessary to perform a cleansing enema.
When ultrasound is prescribed
Ultrasound diagnosis is a universal, fast, painless and highly informative method for examining the pelvic organs. It is used to determine the presence of pregnancy at the earliest periods, monitor its course, exclude the possibility of development of fetal pathologies, reveal various diseases of the genital organs, detect neoplasms, abnormal development of organs and much more.
The gynecologist always recommends making an ultrasound diagnosis of the pelvic organs when he finds the following symptoms:
- pain in the lower third of the abdomen,
- menstrual disorders: delay, unstable cycle, the number of days between bleeding is less than 21 or more than 35,
- bleeding or hemorrhage between menstruation,
- strong (breakthrough) bleeding in the days of menstruation,
- discharge of pus or other suspicious discharge from the genital tract,
- pain and discomfort during intercourse,
- enlarged uterus detected on a two-handed gynecological examination,
- painful menstruation.
On ultrasound, the doctor determines the location, structure, size and volume of the uterus, examines the contours, cavity and mucosa. During the ultrasound of the ovaries, their location, size, structure of tissues are taken into account, the absence or presence of tumors is determined, the location and stage of follicle development are determined. The entire pelvic cavity is examined for excess fluid and tumors.
When is the best to conduct a survey
The lining of the uterus - the endometrium, under the influence of sex hormones varies greatly throughout the menstrual cycle. At the very beginning, in the first days of bleeding, the old layer of mucous membrane is rejected. Further, gradually, by the day of ovulation, this layer grows to 10-18 mm, preparing for the implantation of the embryo. If this does not happen, with the onset of bleeding the basal layer is rejected again.
Consider the walls of the uterus with a large thickness of the endometrium is very difficult. Therefore, to the question: "On which day of the cycle is it better to do an ultrasound of the uterus?"
According to the standards, gynecologists recommend doing ultrasound on the 5-7 day of the cycle, starting from the first day of bleeding. However, it should be noted that in women with prolonged bleeding during menstruation, these periods should be slightly shifted. In this case, the study should be done in two to four days after the complete bleeding - on the 8-10 day of the cycle.
Usually, when uterus ultrasounds are done, then the examination of the fallopian tubes and ovaries is performed. What it will be the day of the cycle we reviewed earlier. However, sometimes there is a need to assess the condition and health of appendages. In this case, several ultrasound diagnostics are performed on different days of the cycle:
- a standardized study on the fifth day of the menstrual cycle allows for a complete assessment of the morphology and measurement of reserves while they are at rest,
- the second ultrasound is performed on the 8-10th day of the cycle - during the late follicular phase,
- then during the early ovulatory phase, 14-16,
- and last, during the luteal phase, on the 22-24 day of the cycle.
This integrated approach allows you to track the development of follicles and the formation of the yellow body, that is, to determine the ability of women to conceive. Whatever the result of the ultrasound, the doctor will definitely help and prescribe a treatment to stimulate the work of the appendages.
Which day of the cycle is better to choose for endometrial ultrasound
During the study of the mucous layer of the uterus, its thickness is assessed depending on the day of the cycle:
- during bleeding (the first two days of menstruation) the endometrium is heterogeneous with increased density. The average thickness is 0.5 cm
- by 5-7 days of the cycle, the growth of the endometrium (up to 0.6-0.9 cm) and a decrease in its density are observed,
- by day 10, there is a clear structure and enhanced density that persists until the end of the cycle. Thickness is 0.8-1 cm,
- on the 15-27th day of the cycle, the thickness of the uterine mucous layer will be maximum, and will be 1.0-1.3 cm.
The examination of the endometrium always occurs with a conventional ultrasound scan of the uterus and ovaries. However, if you suspect endometriosis, it is recommended to undergo a re-examination. Make it better in the second half of the cycle, when possible pathologies will be best seen. At the end of the cycle, the thickness of the endometrium will be maximal, the pathological areas will grow most, and the cysts and endometrial nodules will swell.
Ultrasound to determine ovulation
A common and best method for determining the day of ovulation, with difficulties in conception, preparation for in vitro fertilization or diagnosis of infertility, is ultrasound screening of the follicle. Usually, such a study is carried out several times, since it is not always possible to immediately identify the dominant follicle.
With a stable menstrual cycle, it can be determined on average 8-13 days from the beginning of the last bleeding, when its size is about 15 mm. By ovulation, which ideally takes place on days 14-15, its size is 20 mm, then it bursts and disappears completely.
When it is better to do ultrasound during pregnancy
During the normal course of pregnancy, a woman undergoes three standard ultrasound examinations:
- at the end of the first trimester - at 11-13 weeks inclusive,
- in the second trimester for a period of 18-22 weeks,
- in the third trimester - from 30 to 34 weeks.
These examinations are planned and are carried out in order to determine the condition of the fetus, monitor its physiological development, and also to determine the state of health of the woman.
Today, gynecologists before registering a pregnant woman, I recommend to undergo a transvaginal ultrasound. This study helps to get ahead of pregnancy as much as possible (it will be very important when the time comes to order the first screening study), to exclude the development of an ectopic pregnancy, to determine the viability of the embryo and to exclude a vesicle skid.
Ultrasound of the pelvis allows women to quickly and painlessly learn about the condition of their genitals. Gynecologists say that through the use of this method of research, erroneous diagnoses in gynecology have become much less, and examination and treatment is faster and easier.
How do uteri ultrasounds?
Ultrasound examination of the uterus and ovaries can be done in two ways:
- transabdominal ultrasounds are done like this: a sensor of the usual size, which emits ultrasound, the doctor drives the skin in the lower abdomen, smearing it with a special gel,
- Transvaginal ultrasound of the uterus requires the insertion of a special small sensor in the vagina - such a study will be more accurate.
In both cases, when the examination takes place, the patient is lying down. Both methods of examination are completely safe and painless. With the help of ultrasound waves reflected by the organs, their structure and dimensions are visualized on the device screen. Preparation for ultrasound examination of the uterus and appendages depends on the method chosen.
How to prepare for the examination?
It is better to come to the examination with a transabdominal method to obtain accurate indicators with a filled bladder, that is, after drinking liquid. The fact is that ultrasonic waves perfectly pass through the liquid, but they are actively absorbed by the air medium. A full bladder can make the picture clearer and provides a convenient position for the examination of the pelvic organs.
To prepare, one and a half to two hours before the procedure on the day of transabdominal ultrasound, you need to drink about a liter of water or some other liquid. It is important that this liquid is not carbonated.
A moderate desire to visit the toilet means that fluid has already entered from the stomach into the bladder. In this state, you need to go to the uterus ultrasound and only then you can go to the ladies' room.
If the examination is performed by a transvaginal method, on the contrary, it is required that the bladder be emptied. It is better not to drink any liquids before the examination and go to the toilet in front of him.
Also, to obtain more accurate data, about three days before the examination by any method it is better to follow a special diet. It is necessary to avoid the use of foods and drinks that contribute to constipation and active gas formation in the intestine.
Before ultrasound of the ovaries will be useful enzyme preparations: festal, panzinorm, enzistal, etc. You can also take activated charcoal, dill water or espumizan. You should not put enemas, because they can increase gas formation. The last time to eat before the examination can be 8-12 hours. That is, an ultrasound should come on an empty stomach and after emptying the bowel.
In which period of the female cycle need to carry out ultrasound?
To choose the best time for an ultrasound scan of the uterus, it is important to determine the purpose of the examination. In women who are capable of reproduction, the uterus and ovaries in normal conditions constantly experience changes repeating each cycle. Each time the body prepares for a possible pregnancy, and if it does not happen, menstruation passes, and the cycle repeats from the beginning. Each time after menstruation, follicles begin to appear in the ovaries, among them the largest in size is revealed - the dominant one, from which the egg cell subsequently leaves. The endometrium (the inner mucous layer of the uterus) at this time changes its structure, becomes thicker and is preparing to support the development of the fetus if the egg cell is fertilized.
In order to monitor ovarian functionality and observe whether the increase in the size of the dominant follicle is normal, sometimes several ultrasound examinations are performed at different periods of the same menstrual cycle. This series of examinations is called ultrasound folliculometry.
What parameters are examined during an ultrasound examination of the uterus?
- The position of the uterus is determined. In a normal, healthy state, she deviates forward, her deviation back is fraught with problems during the child's bearing, therefore this position is noted as abnormal.
- What are the outer limits of the uterus? If everything is good, there are no irregularities in them, the contours are clearly visible, the lumpy boundaries of the organ indicate the presence of a tumor or fibroids, if the boundaries are blurry, this may mean that the tissues nearby are inflamed.
- The size of the body. In length and width, it should be about 70 to 60 mm., Anteroposterior size - 40 mm. If the uterus is smaller than these parameters, then it can be assumed that it is underdeveloped, if it is larger than the norm, this result means the patient’s pregnancy or the presence of a tumor.
- The echogenicity of the walls is checked. It is better if the ultrasound is reflected the same way everywhere, if hyperechoic formations are detected, this may indicate the presence of a tumor.
- Endometrial structure is measured., including the thickness of this layer. This parameter is usually called M-echo uterus. This is the ratio of the development of the endometrium with the period of the female cycle.
Ultrasound examination of the endometrium
In the course of 28 days (this is how long the menstrual cycle usually lasts), the state of the inner layer of the uterus constantly undergoes changes, so the following descriptions can be found in the data on the endometrial ultrasound:
- Regeneration phase (from the 3rd to the 4th day of the cycle). At this time, the endometrium is restored after menstruation.
- The proliferation phase (from the 5th-7th to the 14th and 15th day of the cycle). During this time, the endometrium becomes thicker. By the 15th day, its thickness increases to 8 mm., And it happens that up to 15 mm.
- Secretory phase. During her endometrial glands develop and begin to secrete substances to support the development of the fetus, it will be needed when pregnancy occurs. The endometrium continues to thicken to 10–20 mm. At the end of the phase, the endometrium is decidualized - positive conditions are created for the fetus, which may appear.
It should look structurally homogeneous. Contours - without irregularities and well visible. Their blurring with ultrasound of the uterus may mean that there is an inflammatory process. Detection of hyperechoic formations during the decoding of data indicates the presence of such problems as polyps, fibroids, and possibly uterine cancer, which can be seen on ultrasound. May be split uterus into two sections. This phenomenon is called the two-horned uterus. Below we look at it in detail.
Recall the average size of a healthy uterus:
According to healthy indicators, it should be from 20 to 40 mm. in length, the anterior-posterior size should be 25-30 mm. When ultrasound of the cervix of the cervix its echostructure should be uniform.
Visual differences in healthy and inflamed cervical tissue
The cervical canal usually has a diameter of up to 2-3 mm. and filled with mucus. If, with an ultrasound scan of the cervix, she or her canal is dilated, it is possible that the inflammatory process is underway.
Free fluid inside the pelvis
Immediately after ovulation (approximately 15 days after the start of the last menstrual period, approximately mid-cycle), a few milliliters of fluid can be found behind the uterus. This is normal. On other days of the cycle, fluid found behind the uterus means inflammation of the appendages and nearby organs. It can be caused by sexually transmitted infections.
The healthy size of the ovaries averages 25x30x15 mm. The volume of one ovary is from 5 to 8 cubic meters. see If going beyond these parameters in deciphering the data occurs in a big way, we can conclude that polycystic ovary syndrome or oophoritis.
When doing an ultrasound, the boundaries of the ovaries should be clearly visible. It is not scary if they are hilly, the reason for this is the developing follicles. The homogeneity of the ovarian echostructure may be disturbed by small (literally several mm.) Areas of fibrosis in the capsule.
In healthy organs, several follicles with a diameter of 4-6 mm can be seen. and one follicle, the diameter of which can be up to 25 mm. (this is the so-called dominant follicle). If the diameter of the follicle reaches more than 25 mm., Speak of a follicular cyst (this is the cavity with the liquid inside).
In the healthy ovaries, several follicles can be seen, the largest of which is dominant
The fallopian tubes
If a uterus ultrasound is done to a healthy woman, they should be invisible, at least - barely visible. The fallopian tubes become visible during ultrasound examination only when they are compacted, and this is usually a consequence of the inflammatory process. Also, the fallopian tubes can be seen on ultrasound of the uterus, if an ectopic pregnancy develops in them. Directly ultrasound of the fallopian tubes is carried out in order to check their patency and the appointment of therapy in the case of infertility.
Ultrasound after menstruation - when to spend, why there are restrictions
Ultrasound after menstruation is carried out in order to diagnose pathologies in the pelvic organs, to determine the structure, shape, position of the uterus, the condition of the ovaries, appendages and other organs of the urogenital system. There are no contraindications to the use of the diagnostic method, however, there is a restriction on the days of the monthly cycle. На какой день после месячных следует делать ультразвуковое обследование, чтобы получить максимально точный диагноз? Первое УЗИ проводят в любой день менструального цикла, кроме месячных.Subsequent gynecological examination is recommended on the 5th day of the cycle after the end of menstruation, or on the 7th day from the beginning of menstruation. Experts recommend doing an ultrasound scan of the reproductive system no later than the 10th day of the monthly cycle. What is the reason for the restrictions?
Ultrasound examination of the uterus is carried out for the prevention of gynecological diseases associated with endometrial disorders, with suspected pathology in the genital organ.
The indication for ultrasound is:
- violation of the menstrual cycle,
- absence of menstruation for a long time
- copious menstruation,
- the appearance of blood between menstruation,
- the presence of pain in the abdomen.
As a result of the survey, experts identify:
- uterine myoma,
- polycystic ovaries,
- inflammation of the genitals
- pathology on the cervix,
- benign tumor on the ovaries.
Gynecological diagnosis is carried out using several types of ultrasound.
Reasons for limiting
Experts prescribe an ultrasound of the uterus in the first phase of the menstrual cycle. The reason is commonplace. During this period, the endometrial layer that covers the inner part of the uterus is as thin as possible. You can well view the state of the body, note the pathology, establish the trend of endometrial development. In the second phase of the cycle, the endometrial layer of the uterus reaches an impressive thickness. Consider a cyst, other tumors is simply impossible, as they are hidden behind a layer of the endometrium.
The second reason for gynecological ultrasound on certain days of the cycle - the maturation of the egg. A follicle in the form of a cyst is formed on one of the ovaries. It reaches the size of 3 cm. It is a normal natural process, which is not a pathology. But behind this may be health problems. Because it is difficult to distinguish a pathological cyst from the normal maturation of an egg in the follicle. The field of monthly natural cyst disappears, the pathological remains. Therefore, at the beginning of the next cycle it is very easy to diagnose.
Indications for conducting gynecological ultrasound in the middle of the cycle, at the end is to monitor the maturation of the egg, ovulation, in order to identify the causes of infertility, problems with conception.
Diagnosis of the uterus, other genital organs is carried out in 3 ways, selected on the basis of age, indications, the condition of the woman.
- Transabdominal external scan
Gynecological ultrasound that every woman has to go through throughout her life. It is used for general gynecological examination. Ultrasound does not require special training. But in some cases, experts insist on filling the bladder. A study is conducted according to standard requirements on the 5th day of the cycle after the end of the menstrual period, on the 7th day after the onset of menstruation. Helps to identify pathology, diagnose pregnancy. In special cases, make external ultrasound during menstruation to determine the causes of heavy discharge. The specialist uses a special lubricant that is applied to the lower part of the abdominal cavity. Using the sensor receives the image on the monitor screen. Ultrasound should be done on the 5–7 day of the cycle.
- Transvaginal Internal Scan
It is an indispensable method for identifying pathologies and diseases. The specialist inserts the sensor into the vagina. The woman does not feel painful sensations, but there is a feeling of discomfort. Transvaginal sensor is located in close proximity to the uterus, ovaries, other genitals, allows you to get a clear image on the screen. Internal ultrasound is carried out by specialists to detect early pregnancy, when other methods do not allow to consider its presence. It is recommended to do an ultrasound examination on the 5–7 day of the cycle. Transvaginal scanning is not performed for virgins, women with uterine bleeding, heavy menstruation.
This examination method is extremely rare when transvaginal examination is not possible. Specialist specialist inserts into the rectum. Ultrasound of the pelvic organs, the uterus is done on any day of the cycle according to indications.
For a clear diagnosis, a specialist may recommend other methods of examination: hysterography, Doppler.
Diagnosis is based on a special substance in the vagina. Then conventional external ultrasound is performed. It is recommended to do an examination in case of suspected cancer, uterine myoma.
The diagnostic method allows you to set the speed of blood flow in the vessels, the direction of cell movement. Doppler sonography gives a clear picture of blood flow to the pelvic organs. The specialist clearly sees the state of the endometrium, pathological changes in the uterus, and other components of the reproductive system. Conducted in parallel with gynecological ultrasound.
Diagnostic with the help of ultrasound does not require special preparatory measures. But some actions can improve the quality of the picture on the monitor screen, which will make diagnostics easier.
- 3 days before the date of the ultrasound is recommended to exclude from the diet foods that cause increased gas formation. Swollen intestine is an obstacle to the conduct of a full-fledged diagnosis for external examination of the uterus and other genital organs.
- If you can not go on a special diet, in order to bring the intestines in order, 2 days before the ultrasound diagnosis drink 3 tablets of activated carbon per day, or take Espumizan according to the instructions.
- On the eve of the diagnosis should be clear intestines - go to the toilet. If you have to do rectal ultrasound diagnosis, you need to do an enema.
- It is necessary to do external ultrasound with a full bladder. It is necessary to drink tea, coffee, mineral water half an hour before the diagnosis. Such drinks are diuretic, quickly fill the bladder. If transvaginal diagnosis is to be done, the bladder, on the contrary, should be empty. Before performing an ultrasound examination, simply perform the washing procedure.
No other preparatory procedures are needed. The entire diagnostic procedure takes from 5 minutes to half an hour. In the process of taking pictures, the computer provides information about possible pathologies of the uterus, endometrium, other organs of the reproductive system, etc. After the diagnosis, no events need to be carried out.
The basic rule of a full-fledged study is a specific day of the cycle, a correctly chosen method. The rest depends on the qualifications of the doctor, the quality of the equipment. If you have any health problems, you should not wait until the appropriate day of the cycle comes, you should immediately go to an appointment with a gynecologist. All further actions will be monitored by a doctor.
WHAT TO DO IF YOU HAVE DETECTED MYOMO, CYST, INFERTILITY, OR OTHER DISEASE?
- You are worried about sudden abdominal pain.
- And long, chaotic and painful periods are already pretty tired.
- You have insufficient endometrium to get pregnant.
- Highlight brown, green or yellow.
- And the recommended drugs for some reason are not effective in your case.
- In addition, constant weakness and ailments have already firmly entered your life.
There is an effective treatment for endometriosis, cysts, fibroids, unstable menstrual cycle and other gynecological diseases.. Follow the link and find out what the chief gynecologist of Russia recommends.
(function (w, d, o, t) Urogenital system> On which day of the cycle do gynecological ultrasound?
On which day of the cycle do gynecological ultrasound?
Consider what shows the ultrasound of the small pelvis on the 10th and 20th day of the cycle.
Ultrasound research appeared not so long ago. But the benefits of its use are invaluable. Thanks to him, obstetricians and gynecologists can monitor the state of health of not only pregnant women and babies in the womb, but also ordinary patients who come to the appointment daily. The study of the pelvic organs has its own characteristics, and therefore it is worth knowing which day of the cycle is best suited for this procedure.
Ultrasound of the pelvic organs
The doctor may prescribe such a procedure for various reasons:
- Lower abdominal discomfort,
- Unplanned or re-bleeding from the vagina,
- Inflammatory processes.
What can be determined by such a procedure:
- Uterine or ectopic pregnancy
- Determine the size and shape of the uterus or ovaries,
- See the presence of uterine fibroids, cysts, fibroids, tumors.
Diagnosis is done in several ways. Which one to choose depends on your diagnosis and the decision your doctor will make. There are three options here:
- Transabdominal ultrasound is a common option for all, when a sensor smeared with gel is guided across the surface of the abdomen. In such a case, you should know that this procedure is done on a full bladder. Due to this, the result of the study of the pelvic organs will be carried out as accurately and efficiently as possible.
- Transrectal ultrasound is a fairly rare version of the study, although it is quite applicable depending on your problem. Most often it is used for men
- Transvaginal ultrasound is a commonly used diagnostic option. Here, an absolutely opposite picture is formed for the first variant - the procedure is done on an empty bladder. Therefore, try not to drink liquids a few hours before the study. And do not forget to tell your doctor if you have an allergic reaction to latex products.
Whatever diagnostic option your doctor chooses, you should remember that for all sorts of gynecological examinations there is an appropriate day of the menstrual cycle. Let's talk about this in more detail.
Which day to choose
Universal time in order to carry out various manipulations with respect to a pelvic organ is considered the first five days after the end of menstruation. Or it is the first 10 days of the general menstrual cycle. At 5-7 days of the menstrual cycle, it is possible and recommended to conduct studies of the ovaries, uterus and fallopian tubes. Diagnosis of the ovaries is carried out several times throughout the cycle for more accurate and reliable results.
If there is no delay in menstruation, fever, but the test shows a negative result, also see a doctor immediately. At the beginning of the cycle, it is easy to detect the formation of a cyst.
Why the first phase of the cycle
There are reasons for doing research in the early days.
If you want to do an ultrasound examination of the uterus, then you should know that during this period its mucous membrane is the thinnest. If a tumor, an obscure formation or any other kind of pathology is present inside this organ, then it is possible to discern them with maximum accuracy and reliability during this period. Starting from the second phase of the cycle, the mucous becomes much thicker and the visibility through it is not so clear. It is important to know on which day of the cycle to prescribe an ultrasound of the uterus, so that the medical diagnosis is 100% accurate.
Ovarian research will also be the best at this time. This will make it possible to accurately determine the presence of a cyst, and not the follicle, which is formed immediately before the beginning of the monthly and is very similar to it. In the first half of the cycle, the diagnosis of this pelvic organ will show a 100% result. In addition, you should know that cysts are divided into several types. This may be a formation that is natural and is associated with the normal functioning of the ovary or it is a pathology. In the middle of the cycle, it is quite difficult to answer this question precisely, which means you cannot be sure whether surgery will be necessary or you can do without it. Agree that this is a rather serious decision and doubts are unacceptable here. In this case, you will have to wait for the start of the next cycle, and valuable time will be lost.
In the best way all researches pass after full completion of the monthly. During this process, an ultrasound scan of the uterus is not recommended. The fact is that the bleeding will not allow for qualitative research and your doctor may miss something important. If you are not sure when to go for this procedure, contact your doctor and he will tell you the day of the cycle that is most favorable. But in the event that you have problems with the ovaries, the menstrual flow will not be an obstacle at all. Here it is already a matter of the patient's personal sensations — in many ultrasounds during menstruation, especially transvaginal, or when a full bladder is necessary, causes discomfort — and in aesthetic considerations.
In order for everything to be successful, it is necessary to competently do an ultrasound examination of one or another organ of the small pelvis. Vigilance and awareness should not only a doctor, but also the patient. The attending physicians repeat their instructions a day several dozen times and cannot always remember who was told about the features of the ultrasound and who was not. If you do not know the details, do not hesitate to ask the doctor yourself or read about it in the relevant literature. Such knowledge will help you not to waste time because sometimes such minutes can be worth its weight in gold. If you know what needs to be done, the ultrasound scan will always be 100% efficient for you.
Gynecological transvaginal ultrasound of the pelvic organs is done on the 5-7 day of the cycle to detect the presence of fibroids or cysts.
Dates of ultrasound
Which way, and also on what day, gynecology ultrasound will be prescribed, is determined by a leading specialist. If the procedure is scheduled, then the optimal time will be the first half of the menstrual cycle.
At this time, the endometrial layer is quite thin, so it lends itself well to visualization on a monitor, and the doctor can easily identify pathological abnormalities. On the mucous membrane will be clearly marked polyps, warts, small size of the tumor. If you clearly answer on what day ultrasound is done in gynecology, it is 3-5 days after the completion of menstrual bleeding.
It is also worth noting that starting from the second phase of the cycle, a yellow body is formed on the ovary, which can be mistaken for pathological cystic formation. In addition, there may be a question as to when it is better to do ultrasound in gynecology, if there are complaints about the deterioration of reproductive health.
When a woman noticed that she had lost her menstrual cycle, there was pain in the lower abdomen, there are atypical vaginal discharges with a characteristic unpleasant smell, then the procedure can be performed on any convenient day. If there is a delay, the diagnosis is made on the 5-10th day.
How to perform the procedure
If the patient suspects that she develops any pathological condition, then the day of the cycle does not matter. Ultrasound in gynecology is initially necessary for the diagnosis of diseases, so a woman should go to the doctor’s office as soon as possible, where she will give him all the complaints.
Depending on the methodology of the procedure, it will be carried out in different ways:
- Transvaginally. A woman needs to undress from the bottom to the waist, lie down on the couch, bend at the knees. After that, the sensor is inserted into the vagina, which is pre-put on a condom. The patient does not feel pain, but there is discomfort.
- Transrectally. This research method is carried out identical to the previous one. The only differences are that the sensor is used thinner and it is introduced into the rectum.
- Abdominal. When carrying out such a procedure, the girl exposes her stomach, lies on her side or back on the couch. The anterior abdominal wall is smeared with conductor gel, after which the sensor is guided through the desired zones.
The procedure of ultrasound diagnosis, regardless of the method of its implementation, should not be accompanied by painful sensations. If they are present, then this must be reported to the doctor.
What indicators are evaluated
Without special medical education, it is unlikely that it will be possible to understand what the results of the ultrasound screening show.
When decrypted, the specialist receives the following information:
- form of reproductive organ
- uterus size,
- endometrial thickness
- the presence or absence of tumors of a different nature.
In most clinical cases, according to the ultrasound results, the gynecologist confirms the diagnosis that was initially made.
Opinion of patients about the diagnosis
Those women who, according to certain indications, were prescribed an ultrasound scan in gynecology, leave positive feedback. This is due to the fact that the procedure is not associated with painful sensations, and also does not require serious preliminary preparation.
The cost of diagnosis depends on the diagnosis, as well as the level of the selected medical institution. When conducting research on modern equipment, the level of performance is quite high. Depending on the clinic and the completeness of the examination, the price for a pelvic ultrasound may vary from 1,500 to 22,000 rubles.
Двурогая матка возникает при неправильном внутриутробном развитии. Бывает, что при двурогой матке находится и двойная шейка. В вагине может присутствовать неполная перегородка. One department in the two-horned uterus may be underdeveloped.
To confirm the conclusion about the two-horned uterus, additional examinations are carried out: ultrasound hysterosalpingoscopy, laparoscopy and others. Surgery on the two-horned uterus is recommended to be done in special circumstances: if there were miscarriages one by one or the inability to become pregnant is confirmed. If there is a need, then on the two-horned uterus the surgeon can restore a single cavity. Two-horned uterus is fraught with uterine bleeding, miscarriages, and inability to become pregnant. Sometimes, along with the two-horned uterus, there are other anomalies. They are usually associated with a urine excretion system. It is possible to get pregnant, bear and give birth to a child with a two-horned uterus, but the risk in this situation is quite high.
Indications for diagnosis of the uterus
Ultrasound diagnosis of the endometrium is recommended for the purpose of prevention. It helps to prevent the development of various gynecological diseases.
Ultrasound of the uterus, ovarian specialists do in cases where patients have the following symptoms, indicating the presence of diseases of the sexual sphere:
- Lack of menstruation,
- Irregular menstruation,
- Menstruation, characterized by profusion, soreness, considerable duration,
- The presence of pulling pain in the lower abdomen,
- The appearance of blood discharge between menstruation.
Ultrasound diagnostic results
Examination of the endometrium by ultrasound waves gives doctors the opportunity to assess the performance of the female reproductive system. After ultrasound, you can detect (if available) the following diseases:
- Mucous hyperplasia,
- Uterine fibroids,
- Inflammation in various organs of the female reproductive system,
- Polycystic ovary,
- Pathology on the neck
- Ovarian cyst
- Confirmation / denial of pregnancy,
- Ovarian tumor.
Types of diagnostics
The following types of diagnostics are used to obtain information about the condition of the uterus, all organs of the reproductive system of a woman in gynecology:
- Transvaginal examination
- Transvaginal study.
To obtain a clearer picture, the specialist recommends to carry out such diagnostic methods as doppler sonography, hysterography.
This diagnostic method is done with the aim of measuring cell movement as well as blood flow velocity inside the vessels. It is prescribed in parallel with ultrasound diagnosis in the presence of suspected possible neoplasms. These studies contribute to the scheduling of blood flow in the direction of the pelvic organs. Doppler mapping, Doppler sonography allows the doctor to better examine the endometrium of the uterus, detect all sorts of pathological changes, visualize ovarian function.
Provides doctors with a clear image of organs from the urogenital system. A contrast agent is used for its implementation. It is inserted into the vagina. The method is used mainly in the presence of a specialist suspicion of the presence of a woman with a malignant gynecological disease (cancer, fibroids).
When is it best to perform a uterus ultrasound?
Why is it better to perform the examination during this period of time? Because the endometrium in these days of the cycle becomes as thin as possible. If there are any pathologies inside the organ, the specialist will determine their presence by means of ultrasound. In thin epithelium, it is better to consider the following anomalies:
On which day of the cycle does the endometrium thicken? Endometrial thickening is noted in the second part of the cycle. Gynecological ultrasound examination is not recommended these days, its information will be very low in the same way as accuracy. After thickening of the mucous membrane, the sonologist may not notice the small polyps that hide in the thickness of the epithelium.
Also, the second half of the cycle is characterized by the process of maturation of the follicle. Therefore, during this period, the diagnosis reveals cysts, the diameter of which is 2–3 cm. Such a cyst is a normal physiological structure. It is a follicle, which will soon ovulate, as well as a cyst of the yellow body.
Also inside the uterus can be found small cysts, whose sizes reach 7 to 12 mm. Their presence is determined at the end of the menstrual cycle, in the first days after the start of menstruation (3 - 5). It is impossible to distinguish such cysts from pathological ones.
In order for the specialist to appoint an ultrasound in the middle, the second part of the cycle should be a definite necessity. It can be a specialist's observation of the process of maturation of the follicle to confirm ovulation. Such surveys are carried out by women who are observed by an obstetrician-gynecologist due to infertility.
In the period of monthly gynecological ultrasound does not (only after it). Blood is present inside the uterus, which does not allow a specialist to examine its internal cavity these days. But the walls of the uterus and ovaries to diagnose at this time is quite appropriate.
This diagnosis is carried out before the 10th day of the cycle, in the case when the menstrual cycle is 28 days. Through this study, the patency of the fallopian tubes is checked. The examination consists in the introduction of liquid inside the fallopian tubes under insignificant pressure. At normal permeability, the fluid freely penetrates inside the pore space.
- Preparation is similar to preparation for a transvaginal type of ultrasound.
Carry out also on 5 - 7 day of a cycle. Diagnosis is performed through the abdominal wall. The bladder must be full, the patient may feel a slight desire to urinate.
- You need to follow the appropriate diet, eliminate foods that cause the formation of gases inside the intestines. It is necessary to adhere to it within 2 days before the procedure.
- It is necessary to carry out a cleansing enema in the absence of a chair on the eve of the examination.
- The bladder before the ultrasound should be filled.
Stages of ultrasound examination in gynecology
Gynecological ultrasound can be performed as a self-diagnosis, as well as when viewed by an obstetrician-gynecologist. Examination is performed transvaginally for a more thorough examination of the condition of the uterus. The procedure consists of several stages:
- Emptying the bladder before performing a diagnosis. It is necessary to remove the clothes worn below the belt.
- To carry out the examination with the vaginal sensor (abdominal), it is necessary to put a special condom on it, then apply the gel to facilitate the passage of ultrasonic waves. The sensor has the appearance of an elongated cylinder with a diameter of 2 - 2.5 cm.
- After inserting the sensor inside the vagina, a scan is performed, which takes about 10 to 20 minutes.
- In the process of diagnosis, the doctor takes pictures that other specialists will be able to familiarize themselves with the patient’s medical history.
After the diagnosis, the specialist receives data on the state of the uterus, all organs of the female reproductive system. Decoding results are performed by an obstetrician-gynecologist.
When is prescribed?
Ultrasound examination of the uterus, the doctor will advise you to undergo, if during the gynecological examination, the woman noted:
- pain of unknown origin,
- excessively abundant or prolonged periods,
- bleeding outside of menstruation.
This type of diagnosis is also widely used during gestation in order to confirm the fact of physiological pregnancy and the elimination of serious deviations, among which the attachment of an egg outside the uterine cavity and a vesicle skid are the most dangerous.
In addition, ultrasound allows you to think about the possibilities and ways to eliminate the detected pathologies.
What does the survey show?
During an ultrasound examination of the female reproductive system, the doctor examines the characteristics of the uterus and cervical canal, the ovaries and adjacent organs, such as the urea and the adjacent segments of the intestine and enlarged fallopian tubes (which are not normally detected by ultrasound). During the procedure, it is necessary to determine the parameters of these organs, their compliance with the norms and the presence of tumors.
Whether the prolapse of the uterus is visible, its inflammation - all these questions and many others get an answer during the diagnosis.
The mandatory part of the procedure is measurement of the thickness of the inner mucosa. In addition, an important role is assigned to the search for changes that may hinder the conception or development of pregnancy.
Many women are interested in the question: is it necessary to drink water before the procedure?
When transabdominal examination (through the anterior wall of the peritoneum), the woman must pre-fill the bladder. The rest of the training is not difficult: half an hour before the procedure you need to drink at least 0.5 liters. water, compote or tea.
This is done in order to fill the bladder allowed to gently move the intestinal wall, and the doctor was able to study in detail the organs of the small pelvis of the patient. If this condition is not observed, the accuracy of the study cannot be guaranteed, of course.
Is it possible to have an uterus ultrasound?
If there are problems with the bowels (ie, constipation, gas formation, bloating or dysbiosis), the ultrasound correctness may also suffer. therefore two days before going on an ultrasound of the uterus and appendages, it is worth switching to a diet that improves digestion and discard some products. On the recommendation of a doctor, it is possible to take laxatives or simethicone-containing drugs.
If it is known that the uterus is to be examined by the transrectal method, pre-intestinal cleansing required (6 hours before the procedure). To do this, you can use a traditional enema, or use pharmacy microclysters (“Norgalax”, “Microlax”) or laxative preparations (glycerin suppositories, “Gutalax”, “Fitolizin”).
When are they diagnosed?
Is it possible to do ultrasound of the uterus during menstruation? How often can uterine ultrasound be done at all?
The optimal time for an ultrasound scan of the uterus is 5–7 days of the cycle, and this time was not chosen randomly. The fact is that the endometrium after menstruation is thinning and this makes it possible to assess the presence of some specific pathologies, for example, hyperplasia of the inner layer of the uterus. BUT endometrium, which thickens during hormonal changes, may hide minor defects and newly emerged neoplasms.
In addition, normally from the second half of the cycle in one of the ovaries should form a follicle (cyst of the corpus luteum). Therefore, if a patient has cystic formations, it is very difficult for a specialist to assess their parameters, as it is difficult to determine their nature. Normally, minor cystic formations may be present in the uterus for up to 5-7 days of the cycle.
If it is required to evaluate the functioning of the ovaries, then an ultrasound scan should be performed three times on the 8th - 10th day of the cycle, 14 - 16 and 23 - 24 days. If in the absence of pregnancy, the basal temperature (it is measured in the rectum) has an increased value for more than two weeks, then the patient requires examination to rule out the development of cysts.
Ultrasound is indispensable during pregnancy - today all patients who are expecting a child must undergo three screening ultrasound examinations without fail. They are key to assessing the condition of the fetus and uterus.
The survey has no age restrictions or other contraindications. It allows not only to obtain information about the status of the female genital organs, but also to make the correct diagnosis, as well as to select the optimal treatment regimen. Especially the issue of therapy is relevant when it is found that the uterus is not visible on ultrasound, which can not be absolutely ignored.