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Know Things Related to Pregnancy Program Ultrasound

Pregnancy program ultrasound is an examination procedure performed to see the condition of the reproductive organs in patients who are undergoing a pregnancy program. Pregnancy ultrasound programs generally include 2 types of examinations, namely transvaginal ultrasound and pelvic ultrasound. Ultrasonography (USG) is an imaging procedure that uses high-frequency sound waves to produce an image of the condition of the patient's body inside. Through ultrasound technology, doctors can detect disorders that may occur in organs, structures, or body tissues without having to make an incision. Ultrasound is performed on women who are undergoing a pregnancy program to detect when ovulation occurs. Ovulation is the release of an egg from the ovary. The type of ultrasound performed during the pregnancy program is pelvic ultrasound or transvaginal ultrasound. In addition to detecting ovulation, an ultrasound pregnancy program also has several benefits, including:
  • Checking the condition of organs or tissues that are part of the female reproductive system, such as the uterus, vagina, ovaries, and ovaries.
  • Detect abnormalities that may occur in the uterus, such as cysts or myoma.
  • Monitor the effectiveness of fertility-enhancing drugs or vitamins consumed by patients during their pregnancy program.

Indications for Pregnancy Ultrasound Program

Pregnancy program ultrasound is performed by every woman who is undergoing a pregnancy program. Most women generally undergo a pregnancy program after 1 year of not having children, even though they have engaged in active sexual activity without contraception. Pregnancy program ultrasound is used to evaluate several factors related to the condition of the patient's reproductive system, including:
  • Position and presence of reproductive organs. One of the most basic screening factors is that some women are born without an ovary or uterus.
  • Ovarian Conditions. Examination of the size and shape of the ovaries or ovaries.
  • Number of antral follicles. The antral follicle is a glandular sac containing immature eggs. If the number of antral follicles is very low, it can indicate low egg cell reserves. However, if the number of antral follicles is very high, it can indicate the possibility of PCOS (polycystic ovary syndrome).
  • Condition of the uterus. Ultrasound is used to identify the size, shape, and position of the uterus, as well as possible abnormalities in the uterus.
  • Endometrial thickness (uterine mucous membrane). The endometrium will thicken when the patient experiences a menstrual cycle. Ultrasound is used to detect if the thickness of the endometrium is not normal.
  • The condition of the ovaries. Ultrasound is used to detect abnormalities that may occur in the fallopian tubes or fallopian tubes, such as swelling.
In addition, an ultrasound program for pregnant women is also carried out to detect several conditions that cause obstruction of the pregnancy process, such as:
  • Ovarian cyst.
  • Miom
  • Endometriosis.
  • Pelvic inflammatory disease that causes injury or swelling of the ovaries.
  • Infertility is characterized by the inability of the ovaries to produce eggs, eggs do not move to the uterus, or fertilized eggs do not stick to the uterine wall

Before the Pregnancy Program Ultrasound

Before undergoing an ultrasound pregnancy program, the patient will undergo a consultation with a doctor. At this stage, the doctor will ask questions related to the menstrual cycle, drugs that are being consumed, lifestyle, or other complaints that may be experienced by the patient. Furthermore, the doctor may conduct a physical examination to ascertain the condition of the patient's body. Patients generally do not require special preparation before undergoing an ultrasound pregnancy program. However, there are several things that patients need to do before undergoing an ultrasound pregnancy program, including:
  • Consume about 4 glasses of water for at least 1 hour before undergoing a pelvic ultrasound examination. Avoid urinating until the inspection process is complete. A full bladder makes the organ can be seen more clearly on the monitor screen.
  • Conversely, for patients who will undergo transvaginal ultrasound, the doctor will recommend emptying the bladder before undergoing an ultrasound examination.
  • If the patient is menstruating, transvaginal ultrasound can still be performed. Patients will be asked to remove the pads that are being used.
  • Remove all objects or jewelry that is being worn before undergoing ultrasound.
  • Take off part or all of the clothes and replace them with hospital clothes.
Fasting or the use of sedatives is usually not necessary in pelvic ultrasound examination, unless ultrasound is part of the procedure that requires anesthesia.

Pregnancy Program Ultrasound Procedure

Patients who are undergoing an ultrasound pregnancy program will generally undergo two types of ultrasonographic examinations, namely pelvic ultrasound and transvaginal ultrasound. Transvaginal ultrasound is the most common type of ultrasound performed on pregnant program patients. The following are transvaginal ultrasound steps:
  • The patient will be laid on the examination table with the foot slightly raised and supported by a support.
  • The doctor will coat the ultrasound (transducer) shaped like a stick with a condom and gel, then insert the device into the vagina. The patient will feel a little pressure and discomfort when the transducer
  • When the transducer is inside the vagina, the sound waves will reflect and send images of the condition of the patient's pelvic organs to the monitor screen.
  • The doctor will move the transducer to all areas around the pelvis using the image on the monitor screen as a guide to detect and diagnose abnormalities that the patient may have.
  • After completing examining the patient, the doctor will pull the transducer, remove the condom attached to the device, and clean the device.
For some conditions, the doctor will perform a special transvaginal ultrasonography, namely saline infusion sonography (SIS). The SIS procedure is carried out using sterile salt water that is inserted into the uterus via a catheter before the ultrasound procedure to help identify possible abnormalities in the uterus. This sterile salt water serves to dilate the uterus and give a more detailed picture of the condition of the inside of the uterus. In addition to transvaginal ultrasound, the doctor will also perform pelvic ultrasound to detect abnormalities in the uterus. Here are some pelvic ultrasound steps, including:
  • The patient will be laid on the examination table in a supine position.
  • The doctor will apply gel to the pelvic area (lower abdomen). The patient may feel cold when the gel is applied.
  • The transducer will be placed over the hip that has been applied to the gel and moved back and forth, until it is able to get the image the doctor wants.
  • After the doctor has finished the examination, the doctor will clean the gel from the patient's pelvis and the patient is allowed to urinate
Transvaginal ultrasound and pelvic ultrasound lasts about 15-30 minutes or more. In addition, there are several types of special ultrasound examinations that doctors can do while the patient is undergoing a pregnant program, including:
  • Ultralound follicle count ultrasound. This type of ultrasound examination is done using a transvaginal transducer to help determine egg cell reserves and help diagnose PCOS (polycystic ovarian syndrome).
  • 3-dimensional ultrasound. This type of ultrasound is able to detect abnormalities in the uterus and fallopian tubes that are not visible with 2-dimensional ultrasound.
  • Hysterosalpingo-contrast sonography (HyCoSy). This type of ultrasound is similar to SIS, but the saline solution used is mixed with air bubbles to detect the presence or absence of blockages in the fallopian tube

After Ultrasound Pregnant Program

Patients are allowed to go home and do not need to be hospitalized after undergoing an ultrasound pregnancy program. Ultrasound results are usually acceptable to patients shortly after the patient has finished undergoing ultrasound. The doctor will schedule a return meeting with the patient to interpret and explain to the patient the results of the ultrasound.

Pregnancy Program Ultrasound Risk

Pregnancy program ultrasound, both transvaginal ultrasound and pelvic ultrasound, is a safe examination procedure to do and does not cause risks or side effects. This is because ultrasound does not use radiation exposure, such as CT scans or X-rays. A mild side effect that may arise is an allergic reaction to the gel or latex material used during the ultrasound procedure. However, this condition rarely occurs.

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