Sonographische Diagnostik bei Kinderwunsch: Relevante Befunde und therapeutische Optionen

A comprehensive ultrasound evaluation during infertility work-up can provide detailed information regarding the morphology of the pelvic organs already during the first examination. Using high-frequency probes for conventional 2D ultrasound or 3D volumetry between cycle day 5 and 9, it is possible to rule out Mullerian duct anomalies, endometrial lesions, disruptions of the endometrial–myometrial junction, anomalies of the uterine cavity, leiomyomas and adenomyosis. In the same setting, it is possible to check for tubal patency (hysterosalpingo contrast sonography, HyCoSy) and to assess the ovarian reserve by means of an antral follicle count (AFC). All patients can obtain a reliable time and cost efficient infertility evaluation during a single outpatient visit.