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Pelvic Imaging

Folliculometry

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Folliculometry is a series of Ultrasounds specifically tailored to women trying to get pregnant. This test determines how eggs (follicles) are growing in the ovaries and evaluate necessary steps are taken to prepare for your pregnancy.
Preparation
You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.
You may be asked to wear a gown during the procedure.
Procedure
The procedure of folliculometry is simple and to the point, but the area being studied determines the procedure:

Transabdominal

  • You will start the exam positioned lying face-up on an examination table that can be tilted or moved.
  • A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin that can block the sound waves from passing into your body.
  • Your radiologist will then press the transducer firmly against the skin in various locations, sweeping over the area of interest or angling the sound beam from a farther location to see an area of concern better.

Transvaginal

  • Transvaginal ultrasound is performed very much like a gynecologic exam and involves the insertion of the transducer into the vagina after emptying the bladder.
  • The tip of the transducer is smaller than the standard speculum used when performing a Pap test.
  • A protective cover is placed over the transducer, lubricated with a small amount of gel, and then inserted into the vagina.
  • Only two to three inches of the transducer end are inserted into the vagina.
  • The images are obtained from different orientations to get the best views of the uterus and ovaries.

Transvaginal ultrasound is usually performed with the patient lying on her back, possibly with her feet in stirrups similar to a gynecologic exam.

Both ultrasound examinations are completed in 30 minutes.