Important examinations in case of unfulfilled fertility

If couples wish to have a child but pregnancy does not occur despite regular unprotected sexual intercourse, ultrasound/fallopian tube diagnostics can provide important information about possible causes of the unwanted childlessness.

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What is ultrasound/fallopian tube diagnostics?

Ultrasound/fallopian tube diagnostics is a non-invasive examination method that uses ultrasound waves to provide an image of the fallopian tubes, uterus and surrounding organs. The examination is usually performed on an outpatient basis and is painless.

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When is ultrasound/fallopian tube diagnostics performed?

Ultrasound/fallopian tube diagnosis is performed in couples who have been trying unsuccessfully to get pregnant for more than a year. There may be various causes of involuntary childlessness, such as:

Adhesions in the area of the fallopian tubes

Inflammation in the area of the ovaries or fallopian tubes

Myomas or polyps in the uterusEndometriosis

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How is ultrasound/fallopian tube diagnostics performed?

Ultrasound/fallopian tube diagnostics are usually performed transvaginally. Here, an ultrasound probe is inserted into the vagina to allow the most accurate imaging of the fallopian tubes and uterus. In some cases, a transabdominal ultrasound examination can also be performed, in which the ultrasound probe is placed via the abdominal wall.

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During ultrasound/fallopian tube diagnostics, various parameters can be assessed, such as:

Thickness of the endometrium

Size and structure of the ovaries

Number and size of fibroids or polyps in the uterus

Tubal patency

Changes in the area of the ovaries or fallopian tubes

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How is the patency of the fallopian tubes checked?

Checking the patency of the fallopian tubes is an important part of ultrasound/fallopian tube diagnostics. There are various options for this:

Hysterosalpingography (HSG): In this procedure, a contrast medium is injected through the vagina into the uterus and fallopian tubes, and X-rays are used to see if the contrast medium flows through the fallopian tubes.

Sonohysterosalpingography (SHG): This involves injecting a saline solution into the uterus and using ultrasound to see if the fluid is flowing through the fallopian tubes.Laparoscopy:

Laparoscopy: This is a surgical examination in which a small incision is made in the abdomen under general anesthesia and a camera is inserted into the abdomen. This allows the fallopian tubes to be examined directly and their patency to be checked.

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What are the advantages of ultrasound/fallopian tube diagnostics?

Ultrasound/fallopian tube diagnostics offers several advantages, such as:

Painless examination methodNo radiation exposure for the patient

Accurate visualization of the fallopian tubes, uterus and surrounding organs

Possibility of tubal patency testing

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What are the risks of ultrasound/fallopian tube diagnostics?

Ultrasound/fallopian tube diagnostics is a low-risk examination method. However, in rare cases, complications such as injuries in the area of the fallopian tubes or uterus may occur.

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Conclusion

Ultrasound/fallopian tube diagnostics can play an important role in clarifying the causes of unwanted childlessness. The examination method is painless and non-invasive, provides accurate visualization of the fallopian tubes, uterus and surrounding organs, and allows the patency of the fallopian tubes to be checked. For couples who have been trying unsuccessfully to conceive for more than a year, ultrasound/fallopian tube diagnostics can provide valuable information about possible causes.