Correct scan, for the correct patient, at the correct time: A guideline for sonographic evaluation of the infertility for midwives and nurses

Irani, Sh.; Javam, M.; Ahmadi, F.
June 2014
Iranian Journal of Reproductive Medicine;Jun2014 Supplement, Vol. 12, p127
Academic Journal
Introduction: The aim of this article was to describe a guideline for sonography in evaluation of infertility for midwives and nurses. Materials and Methods: A narrative review was performed within articles published at "PubMed", "Elsevier", "SID" and original text books to reach the aim. Results: Sonographic evaluation of infertility is indicated in several periods of time during the infertility treatment cycle. Sonography is the first imaging modality in the investigation of the female pelvis which provides information for detecting and characterizing possible factors of infertility such as: endometrial polyp, poly cystic ovary syndrome (PCOS), congenital uterine malformations, uterine fibroma, endometriosis, hydrosalpinx, etc. Moreover, it provides data of ovarian and endometrial responses to hormonal therapy during the treatment cycle. However, pelvic organs are influenced by cyclic changes during menstrual cycle and hormone therapy. Thus, pathologic conditions of pelvis need to be well assessed depending on the day of the cycle. Therefore, best timing of the sonography is the key point for diagnosis and decision making about the patients. With respect to the importance of sonography in infertility workup, we have tried to mention a guideline that every midwife and nurse working at infertility centers needs to know for planning the best time of sonography and to analyze the sonographic findings. Conclusion: Sonography is an accurate and noninvasive tool that helps midwives and obstetricians to evaluate infertile women and make better treatment choices. Therefore, every midwife needs to learn about the application of which and how to manage patients based on sonography reports.


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