Ultrasound: how and why to do, depending on the day of the cycle

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What?umayut doctors

pelvic ultrasound is widely used in obstetric and gynecologic practice. In many clinics this research is included in the mandatory procedure when examining a woman. With the help of the method, not only the diseases of the female reproductive system are revealed, but also the screening of the ultrasound of the fetus is carried out at certain times for the purpose of revealing the pathology of the development of systems and organs. It is also important to understand that the results of this study largely depend on the class of equipment used and the qualifications of the specialist. Nevertheless, the woman should choose the most suitable day for examination. A gynecologist can always tell when to do a small pelvic ultrasound: after menstruation, the day before or during them.

For different pathologies, favorable days will differ, as the structure of the tissues of the female's reproductive system largely depends on the hormonal background, which varies during the cycle.

Optimal time to undergo the

examination. Any gynecological pathology has its own peculiarities in ultrasound research. If a woman is purposefully going to control certain parameters, it is better to choose the days when the visualization of these structures will be as clear and informative as possible. The most favorable period can always be prompted by the attending physician.

Prophylactic examination

Ultrasound of the pelvic organs

Even if a woman does not worry, in addition to a routine examination, it is recommended to undergo ultrasound of the small pelvis at least once every two years after the menstrual period on the 5th-7th day of the cycle. The closer the study is to the critical date, the less likely it is to reveal the pathology of the uterine cavity. In some cases, a normal increase in the endometrium can be regarded as polyp or hyperplasia, which may entail either a repeated examination or unreasonable diagnostic curettage. The same applies to ovarian research: from the middle of the cycle, functional formations on them can be counted as true cysts, which leads to overdiagnosis and an unmotivated additional examination.

Many are wondering whether it is possible to do ultrasound of the pelvis with a monthly if they continue to go for 5 to 7 days. If these days there are minor spotting, this does not affect the information content of the study, the survey is allowed.

In case of persistence of copious bleeding, consult your doctor and take ultrasound only if necessary. During the , menopause screening can be performed on any given day.

Folliculometry

Often, women try to "catch" ovulation to track the function of the ovaries or to contribute to conception. In this case, do not begin to perform a dynamic ultrasound of the pelvis before the month. The most expedient start of folliculometry from the seventh to the tenth day of the cycle with an interval of 2 to 5 days( at the discretion of the gynecologist).It is with such frequency that it is possible to track the growth of the endometrium and assess whether its thickness is sufficient for the subsequent implantation of a fertilized egg. But it is more important to see the dominant follicle, its growth and ovulation. Sometimes during the first month, it is not possible to track the entire cycle of the process, but this can not be considered a pathology, since normally the yield of an ovum from the ovary does not occur every cycle, but approximately 6-8 times a year.

For pregnancy

One of the reasons for performing ultrasound of the pelvis during menstruation is their pathological character, which in most cases indicates pregnancy. Typically, this is a minor smearing allocation of brown or red, from several days to several weeks. Such symptoms can be observed both with the threat of normal pregnancy, and with ectopic pregnancy.

When suspected of endometriosis

Referring to a gynecologist with complaints of persistent smearing brown discharge on the eve and after critical days, as well as periodic pains in the abdomen, the doctor will first of all suspect the clinic of endometriosis. In order to confirm or refute the disease, you must perform ultrasound on the eve of the menstrual period. It is in these days that the outbreaks will be maximally visible due to their "swelling".So you can identify endometriotic cysts of the ovaries, as well as the localization of foci in the body of the uterus and cervix.

Suspected endometriosis is an indication for

ultrasound. If suspected of fibroids of the uterus,

In the case of palpation of the uterine body, ultrasound is performed to determine the myomatous nodes. You can find out about their presence on any day of the cycle. But if a woman undergoes regular examinations to identify the growth of the nodes, ultrasound should be performed in the first half of the cycle. This is due to the fact that after ovulation, there may be a slight swelling of the tissues and, as a result, a false increase in their size.

For control of cysts on the ovary

If a woman undergoes treatment for a cystic education on the ovary, then as a rule, after 3 to 6 months, it is necessary to make control of therapy. In such situations, ultrasound should be performed until day 14 of the cycle, preferably 5 to 7 days. In the reverse situation, one or even several dominant growing follicles can be falsely treated as cysts.

With ovarian dysfunction

Often with irregular periods, especially with a duration of more than 35 days, it is difficult to wait for a "lucky" day. In this case, it is recommended to perform ultrasound several times per cycle. More often it's two times, but if necessary, more. After completing the first study, the doctor sets a time frame when it is better to conduct another examination in order to track the function of the ovaries and the growth of the endometrium in the uterine cavity.

After abortion or miscarriage

After termination of pregnancy, at the request of a woman, for medical reasons or in the case of spontaneous miscarriage, it is recommended to perform a follow-up examination immediately after the next critical days.

Ultrasound of the pelvis with monthly can be done if it is suspected pathological bleeding after abortion, as well as the presence of placental polyp and some other urgent conditions.

Such situations may also occur after a drug abortion, in which the remains of the fetal egg are located in the uterine cavity. Expecting menstruation, a woman begins to bleed. Regardless of their abundance, ultrasound can be performed, in such situations, this is usually done only by the abdominal sensor.

Reasons why ultrasound can not be postponed

In obstetric and gynecological practice, there are situations when the research is needed urgently, then it can even be the ultrasound of the pelvis in women with menstruation. Situations when it is necessary to be inspected, despite the cycle:

• In case of a low-term pregnancy, against which any bloody discharge has started: smearing, with clots, irregular, etc.
• When an ectopic pregnancy is possible. The absence of a fetal egg in the uterus against the background of the clinical picture of the acute abdomen is the rationale for this diagnosis. Sometimes a developing embryo can be detected directly in the fallopian tubes.
• When bleeding in menopause: whether it smears or bleeding profusely( in the latter case, ultrasound is performed after scraping the uterine cavity and reducing bleeding).
• In acute pelvic inflammatory diseases, in case of detection of volume formations( for differential diagnosis of cysts, hydrosalps, pyosalpings, etc.).
• In acute aches and pains in the lower abdomen.

And what if other organs are subject to examination

Also hormone dependent and cyclically changing organ in women is the mammary gland, therefore, intending to perform their ultrasound examination, one should also take into account the day of the menstrual cycle. It is recommended to examine the breast in the first half, preferably on the 5th - 7th day.

We recommend to read an article about ultrasound of mammary glands with menstruation. From it you will learn about the possibility of carrying out the procedure on critical days, when it is better to undergo a survey, the method of conducting it.

As for other organs and systems, their research can be performed on any day, also during the period.

Ultrasound is an affordable way to diagnose many diseases, including reproductive system organs in women. Choosing the most "successful" days for the detection of pathology, you do not have to spend time and money for an additional examination, since already at the first visit, ultrasound will be maximally informative.