
Ultrasound is perhaps the most important tool for female fertility testing and has numerous applications. Vaginal probe ultrasound involves inserting the probe directly into the vagina allowing visualization of the ovaries, uterus, and other structures. Contrast media may be added, as in the sonohysterogram, to increase the visibility of abnormal structures such as polyps and fibroids.
The ultrasound is an indispensable part of advanced reproductive technology cycles. It is used to monitor the development of the follicles on the ovaries and to measure the width of the endometrium. Data from ultrasound and estradiol measurements are used to adjust FSH doses for optimal follicular development and to reduce side effects. Ultrasound is also used to guide the aspiration needle in the egg retrieval.