"Agree with Dr Tawil. Consider a hemorrhagic CL, or dermoid in the differential. A repeat US after 6 weeks from initial scan may be useful. How is she doing clinically? Please let us know your findings.
It is…"
"For tubal patency thebest thing is Gass water (water with gass) like saline infusion sonohysterography and scanning with B-Flow.there will be no need of any contrast media.more than 500 cases performed in last 5 years."
"Here is the abstract to the above mentioned article.
OBJECTIVES: Infertility is defined as the failure to conceive after 1 year of regular unprotected intercourse. It affects 10% to 15% of couples. Sonohysterography (SHG) is an accurate method for…"
"I posted this study which looked at the use of SIS for the initial step in the determination of tubal patency and wanted to see what others were doing. I know we in the US do not have an FDA approved contrast medium to use even though some are using…"
Diagnostic value of sonohysterography in the determination of fallopian tube patency as an initial step of routine infertility assessment.Hajishafiha M, Zobairi T, Zanjani VR, Ghasemi-Rad M, Yekta Z, Mladkova N.J Ultrasound Med 2009 Dec;28(12):1671-7. See More
"I have been doing 3D SIS which has been very successful at determining the origin of the polyp/fibroid in relation to the endometrial cavity which may help in operative planning. Has anyone else been doing that?
But I agree that SIS would be…"
"Hi Dr Tawil,
Thank you for starting this discussion. I think that for the purposes of menorrhagia work up one should consider the saline infusion sonography. We miss too many polyps that are the cause of this on plain ultrasound. But you can also…"
"I think that spreading information to developing countries can be challenging. On the one hand it is expensive for them to send people for training at centers in other countries. It is also difficult to send training teams to all the needy places. I…"
"Hi Stephanie,
I think we should clarify one thing and that is whether we are talking about radio-opaque (for Xrays and HSG) or sono-opaque. I have performed ultrasounds on patients right after their HSGs in which as you know we use radio-opaque…"
"Hi Kathleen,
For the purposes of menorrhagia, the endometrium can be assessed towards the beginning of the cycle between day 7 and day 10 or soon after she stops bleeding. If her bleeding pattern does not allow for an estimation of the beginning of…"
"Hi Dr Gilani,
Good points raised. Perhaps we can start a discussion point by point. However, were you talking about notching during pregnancy? If so you may be better served starting a discussion with that in the OB Community.
Kal"
"Hi Laurie,
We have not been successful at billing the color portion of the doppler for the GYN scans. We bill for both the doppler and the color flow but have had insurance companies deny the color portion.
We do bill for abdominal and transvaginal…"
The Gynecologic Ultrasound Community consists of professionals involved in the sonographic imaging of the female pelvis, including the fallopian tubes, uterus, and ovaries.