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Essay On Uterine Confusion Sonography

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Procedures ○ Saline infusion sonography – General explanation □ Office procedure – Indication □ Not generally included in the basic infertility evaluation – Contraindications □ Reproductive tract infection – Interpretation of results □ Saline infusion sonography is performed to evaluate the uterine cavity ○ Hysteroscopy – General explanation □ Office or outpatient procedure □ A flexible or rigid endoscope is used to directly visualize the uterine cavity □ Polyps □ Adhesions □ Myomas □ Patency of uterine orifices – Indication □ Included in the basic infertility evaluation □ Used when findings on hysterosalpingosonogram are concerning for intrauterine lesions that would need to be addressed. □ May be used concurrently …show more content…

Referral to a reproductive endocrinologist should be made when the evaluation and/or treatment exceeds the capability of the gynecologist or primary healthcare provider 24 TREATMENT OPTIONS 28, 25, 26 • General Treatment Options ○ Timed intercourse based on luteinizing hormone surge – Intercourse once per day, every other day during the peri-ovulatory period, is considered adequate exposure ○ Ovulation induction with a selective estrogen receptor modulator (clomiphene citrate or tamoxifen) or an aromatase inhibitor (letrozole or anastrozole) – First-line treatment for anovulation/oligo-ovulation ○ Ovulation induction and intrauterine insemination ○ Controlled ovarian hyperstimulation and intrauterine

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