Role of Transvaginal Ultrasound in Infertility: Experience at a Tertiary Care Hospital in Dhaka City

Abstract

Background: Infertility problem is a global problem and now infertile couples are more aware for the treatment of infertility. Transvaginal sonography since 1995 has expanded the scope of use of ultrasonography in assessment of endometrial thickness, ovarian volume, follicular development in response to hormone in different phase of menstrual cycle in relation to infertility management. In this study it may be assumed that present study may help to establish transvaginal sonography as a new and reliable diagnostic method by which we will be able to proceed accurately with more confidence in diagnosing infertility.

Objectives: The purpose of the present study was to assess the role of TVS in diagnosing& evaluating causes of infertility and the comparison between clinical correlation and TVS findings in infertility.

Methodology: It is a Hospital based cross sectional study conducted in outdoor department of Obstetrics and Gynecology in Sir Salimullah Medical College (SSMC) and Mitford Hospital, Dhaka, Bangladesh and in a infertility clinic in Dhaka, from March 2009 to August 2009. Sample size was 98 cases of infertile women.

Result: Amongst 98 women, 64 cases were represented with primary infertility and 34 patients came with secondary infertility; common age group is 29-35 years; most frequent TVS finding is PCOD with its various presentation and ovarian volume.

Conclusion: Transvaginal sonography is painless, quicker, costeffective and can be done as a out door patient in the department. It can be used as a first-line diagnostic procedure for infertility in Bangladesh.But it demands costly equipments, special TVS probe as well as expertise of the operator. At present there are few number of IVF centres in some districts of Bangladesh where transvaginal sonography is the most useful procedure and they play an important role in the diagnosis of causes of infertility.

Journal of Science Foundation, July 2017;15(2):41-47