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Gynaecology and Early Pregnancy Scan

Ultrasound Scan Examination - What does this mean?

An ultrasound examination gives a picture of the inside of the body without the use of X-rays. It utilises frequency of sound waves which are reflected by the internal organs or structures and form a picture on a screen. It is a safe technique.

The pelvic organs abdominal and pelvic structures can be examined in detail.

Why Ultrasound Scan?

It is used to make diagnoses of:
  • Pregnancy
  • Infertility investigation
  • Ectopic pregnancy
  • Causes of pelvic pain
  • Ovarian cyst
  • Pelvic adhesion (scar tissue)
  • Endometriosis
  • PID
  • Ectopic pregnancy

How is it performed?

Depending on the preferred route and need for the scan, it could be by abdominal or Transvaginal scan.

In abdominal scan to be able to view the pelvic structures in detail there may be the need to have a full bladder.

The trans-vaginal approach does not need a full bladder and the details are clearer because the probe is closer to the pelvic structures where the need is for a pelvic scan.

The trans-vaginal scan is usually not painful and it is well tolerated.
 

Infertility

About 1 in 6 women in the reproductive age group suffer with infertility.

Type

Infertility could be primary or secondary.

Primary infertility is where the individual has never achieved a pregnancy despite unprotected regular (average – twice weekly) sexual intercourse for over 12 months.

Secondary infertility is where the individual has achieved a pregnancy in the past.

Causes

  • Undiagnosed (Unexplained) – no cause found on investigation.
  • Male factors
  • Tubal damage
  • Anovulation
  • Endometriosis
  • Others e.g. - age related (female)

Investigations

Seminal Fluid Analysis for the man. There may be need for other detailed investigations like cystic fibrosis (CF) test depending on the outcome of the basic sperm test:
  • Baseline Hormonal tests for the woman.
  • Swab test to exclude infection.
  • Hysterosalpingogram or Laparoscopic dye test to see if the tubes are open.
  • Hysteroscopy to look inside the womb may be performed.
  • Scan – (trans-vaginal or abdominal) as a base line or to monitor the menstrual cycle and ovulation.

Treatment

This will depend on the cause.

Follow Up

Clients are involved in the decision making process in management of their infertility. We understand this could be a very anxious period for them.
 
Counselling opportunity is available where there is a non judgemental or non paternalistic approach adopted.
  
If you wish to make a private appointment with Mr Ofuasia, please complete the enquiry form - you will need to specify the referring doctor and the practice name and address. We will then contact you to make an appointment. There is the option of self referral.
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Private Practice: Shirley Oaks Hospital, Poppy Lane, Croydon, CR9 8AB, UK Tel: +44 (0)20 8655 5500
Private Practice: St Anthony's Hospital, London Road, North Cheam, Surrey, SM3 9DW, UK Tel: +44 (0)208 337 6691
Private Practice: North Downs Hospital, 46 Tupwood Lane, Caterham, Surrey, CR3 6DP, UK Switchboard: +44 (0) 1883 348981
NHS Practice: Croydon University Hospital, 530 London Road, Croydon, CR7 7YE, UK Tel: +44 (0)20 8401 3997
Email: enquiries@emmanuelofuasia.co.uk

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