Gynaecological Ultrasound in Clinical Practice Ultrasound Imaging in the Management of Gynaecological Conditions
Book contents
- Frontmatter
- Contents
- About the authors
- Abbreviations
- Preface
- 1 Ultrasound imaging in gynaecological practice
- 2 Normal pelvic anatomy
- 3 The uterus
- 4 Postmenopausal bleeding: presentation and investigation
- 5 HRT, contraceptives and other drugs affecting the endometrium
- 6 Diagnosis and management of adnexal masses
- 7 Ultrasound assessment of women with pelvic pain
- 8 Ultrasound of non-gynaecological pelvic lesions
- 9 Ultrasound imaging in reproductive medicine
- 10 Ultrasound imaging of the lower urinary tract and uterovaginal prolapse
- 11 Ultrasound and diagnosis of obstetric anal sphincter injuries
- 12 Organisation of the early pregnancy unit
- 13 Sonoembryology: ultrasound examination of early pregnancy
- 14 Diagnosis and management of miscarriage
- 15 Tubal ectopic pregnancy
- 16 Non-tubal ectopic pregnancies
- 17 Ovarian cysts in pregnancy
- Index
2 - Normal pelvic anatomy
Published online by Cambridge University Press: 05 February 2014
Book contents
- Frontmatter
- Contents
- About the authors
- Abbreviations
- Preface
- 1 Ultrasound imaging in gynaecological practice
- 2 Normal pelvic anatomy
- 3 The uterus
- 4 Postmenopausal bleeding: presentation and investigation
- 5 HRT, contraceptives and other drugs affecting the endometrium
- 6 Diagnosis and management of adnexal masses
- 7 Ultrasound assessment of women with pelvic pain
- 8 Ultrasound of non-gynaecological pelvic lesions
- 9 Ultrasound imaging in reproductive medicine
- 10 Ultrasound imaging of the lower urinary tract and uterovaginal prolapse
- 11 Ultrasound and diagnosis of obstetric anal sphincter injuries
- 12 Organisation of the early pregnancy unit
- 13 Sonoembryology: ultrasound examination of early pregnancy
- 14 Diagnosis and management of miscarriage
- 15 Tubal ectopic pregnancy
- 16 Non-tubal ectopic pregnancies
- 17 Ovarian cysts in pregnancy
- Index
Summary
A gynaecological ultrasound examination can be performed transabdominally, transvaginally or, in exceptional cases, transrectally. Irrespective of the route of examination it is always important to optimise the image and to perform a systematic examination. There are two reasons to adopt a systematic scanning technique. First, it will ensure that a complete pelvic examination is performed. Second, if one always scans all the organs in the pelvis in a systematic way, he/she can build up a reference of what is normal, which increases confidence in detecting pelvic pathology. The uterus and ovaries are smaller in postmenopausal women than in women of fertile age. The endometrium has uniform ultrasound morphology because there are no cyclical hormonal changes. The ovaries contain no follicles but one or more inclusion cysts no larger than 10 mm are seen in healthy postmenopausal women.
Keywords
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- Gynaecological Ultrasound in Clinical PracticeUltrasound Imaging in the Management of Gynaecological Conditions, pp. 7 - 16Publisher: Cambridge University PressPrint publication year: 2009