Transvaginal folliculometry

Transvaginal Folliculometry

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Transvaginal folliculometry is an ultrasound technique used to monitor the development and growth of ovarian follicles during the menstrual cycle. It involves the use of a specialized ultrasound probe that is inserted into the vagina to obtain detailed images of the ovaries and the developing follicles.

Principles and Applications

Folliculometry plays a crucial role in assessing ovarian function and is particularly valuable in the field of assisted reproductive technologies (ART), such as in vitro fertilization (IVF) and intrauterine insemination (IUI). By closely monitoring follicle development, healthcare professionals can determine the optimal timing for various procedures and interventions.

During the early follicular phase of the menstrual cycle, the ultrasound examination allows for the identification and measurement of the developing follicles within the ovaries. As the cycle progresses, the dominant follicle(s) can be tracked, and their growth can be monitored until they reach the appropriate size for ovulation or egg retrieval.

Table 1: Follicle Size and Maturity

Transvaginal folliculometry is an essential tool in the management of infertility treatments, as it enables healthcare professionals to monitor follicular development, predict ovulation timing, and optimize the timing of various interventions, such as ovulation induction or egg retrieval procedures.

The Role of Transvaginal Folliculometry

Transvaginal folliculometry is a diagnostic technique used to monitor the development and growth of ovarian follicles during the menstrual cycle. This procedure plays a crucial role in assessing ovarian function, fertility evaluation, and guiding assisted reproductive technologies (ART) such as in vitro fertilization (IVF).

Indications for Transvaginal Folliculometry

Transvaginal folliculometry is indicated in the following situations:

• Evaluation of ovarian reserve and fertility potential: This procedure helps assess the number and quality of ovarian follicles, which are indicators of a woman's remaining egg supply and reproductive potential.
• Monitoring of ovarian stimulation during ART cycles: During IVF or other fertility treatments involving ovarian stimulation, transvaginal folliculometry is used to track the growth and development of follicles, allowing for appropriate timing of egg retrieval.
• Diagnosis of ovarian disorders: Transvaginal folliculometry can aid in the diagnosis of conditions such as polycystic ovarian syndrome (PCOS), ovarian cysts, or other ovarian abnormalities.
• Evaluation of menstrual irregularities: This procedure can help identify the underlying causes of irregular menstrual cycles, such as anovulation or hormonal imbalances.

Preparation for Transvaginal Folliculometry

Transvaginal folliculometry is a minimally invasive procedure that does not require extensive preparation. However, there are a few recommendations to consider:

• Avoid sexual intercourse or the use of vaginal products for 24 hours before the procedure, as this can potentially affect the accuracy of the results.
• Drink plenty of fluids before the procedure to help ensure a full bladder, which can aid in the visualization of the ovaries during the ultrasound.
• Inform your healthcare provider about any medications you are taking, as some may affect the follicular development.
• Be prepared to provide information about your menstrual cycle, as this will help determine the optimal timing for the procedure.

The Procedure

Transvaginal folliculometry is typically performed by a healthcare professional using a specialized ultrasound probe. The procedure involves inserting the probe into the vagina to visualize the ovaries and monitor the development of follicles within them. It is generally well-tolerated and takes only a few minutes to complete.

Sources:

https://my.clevelandclinic.org/health/diagnostics/4993-transvaginal-ultrasound
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5532050/
https://radiopaedia.org/articles/follicular-monitoring
https://www.uptodate.com/contents/ultrasound-evaluation-of-the-normal-menstrual-cycle
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5531945/

IMPORTANT!

It is crucial to remember that the information in this section is not intended for self-diagnosis or self-treatment. If you experience any pain or exacerbation of a condition, it is essential to consult a healthcare professional for proper diagnostic testing and treatment. Only a qualified specialist can provide an accurate diagnosis and determine the appropriate course of treatment. To ensure the most accurate and consistent interpretation of test results, it is recommended to have them performed at the same laboratory. Different laboratories may use varying methods and units of measurement for similar tests.