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Gynecology and fertility

Women Pelvic - Diagnostic or Investigation UltrasoundGirls and Teenaagers PelvicSonohysterographyFollicular TrackingTesticular Ultrasound

Women Pelvic – Diagnostic or investigation ultrasound

gynecology img-pelvienne femmeSuprapubic and endovaginal (unless otherwise specified)

Reasons for the ultrasound:

  • Examine the uterus, ovaries and bladder;
  • Determine the size and shape of the organs examined;
  • Detect cysts, polyps, masses, ascites, postmictional residues, deformations, endometrial thickening or any other signs of pelvic pathology, and determine their size and location.
  • Evaluate the endometrium;
  • Visualize follicular activity: measure and count ovarian follicles;
  • Locate an intrauterine device (IUD).

How is the procedure performed?

The sonographer will ask you to lie on your back on an examination table and to remove any clothing from your abdominal area. He or she will then protect your clothes with a cloth and will apply a warm gel to your abdomen before pressing the transducer. This probe produces sound waves which are used to view the body’s internal organs. In some cases, an endovaginal ultrasound has to be done, wherein a special kind of ultrasound probe is inserted into the vagina. This technique reveals more detailed images of the fetus, uterus and ovaries. You will first need to empty your bladder, remove your clothing from the waist down and assume a position similar to the one used for a pelvic exam. Ultrasound images are displayed in real-time on a monitor that the sonographer watches while moving the transducer. You can also see the images.

What will I experience?

Ultrasound examinations are painless. You could experience some discomfort from pressure as the transducer is pressed against certain areas to capture images, especially when the bladder is full. Any discomfort is minimal and temporary. The sonographer ensures that the patient is as comfortable as possible.

Preparing for the pelvic ultrasound:

Your bladder should be full, enough to experience discomfort. You must finish drinking 1 litre of water one hour before your appointment time. Do not urinate until after your exam is completed.

Please note that a completed requisition form from your doctor or midwife is required at the time of your appointment. Otherwise, we cannot proceed.

Duration : 40 minutes

Girls and Teenagers Pelvic

Suprapubic only for girls and teenagers

Reasons for the ultrasound for girls:

  • Examine the uterus, ovaries and bladder;
  • Determine the size and shape of the organs examined;
  • Detect cysts, polyps, masses, ascites, postmictional residues, deformations, thickenings or any other signs of pelvic pathology, and determine their size and location.
  • Evaluate the endometrium.

How is the procedure performed?

The examination consists of two parts. You need a full bladder for the first part, then an empty bladder to finish. The sonographer will ask you to lie on your back on an examination table and to remove any clothing from your abdominal area. He or she will then protect your clothes with a cloth and will apply a warm gel to your abdomen before pressing the transducer against your skin. This probe produces sound waves which are used to view the body’s internal organs.

Ultrasound images are displayed in real-time on a monitor that the sonographer watches while moving the transducer. You can also see the images.

What will I experience?

Ultrasound examinations are painless. You could experience some discomfort from pressure as the transducer is pressed against certain areas to capture images, especially when the bladder is full. Any discomfort is minimal and temporary. The sonographer ensures that the patient is as comfortable as possible.

Preparing for the pelvic ultrasound:

Your bladder should be full, enough to experience discomfort. You must finish drinking 1 litre of water one hour before your appointment time. Do not urinate until after your exam is completed.

Please note that a completed requisition form from your doctor or midwife is required at the time of your appointment. Otherwise, we cannot proceed.

Duration : 30 minutes

Sonohysterography

gynecology img-pelvienne femmeSuprapubic and endovaginal

Performed during or after menstruation, but before ovulation (usually between day 5 and day 11 of menstrual cycle).

Reasons for the ultrasound:

  • Evaluate fallopian tube permeability;
  • Detect uterine abnormalities;
  • Detect endometrial polyps.

See also – What is the difference between sonohysterography and hysterosalpingography?

How is the procedure performed?

A gynecologist will perform the sonohysterography. During this procedure, you will first need to empty your bladder, remove your clothing from the waist down and assume a position similar to the one used for a pelvic exam. The gynecologist will start by inserting a speculum into the vagina. He or she will then clean the cervix to introduce a thin tube in which he or she will inject a saline into the uterine cavity. Meanwhile, the sonographer performing an endovaginal ultrasound will watch the movement of the saline inside the uterus and the fallopian tubes on the monitor.

What will I experience?

Ultrasound examinations are painless. You could experience some discomfort from pressure as the transducer is pressed against certain areas to capture images, especially when the bladder is full. Any discomfort is minimal and temporary. Some patients will experience more or less intense cramps, similar to premenstrual cramps, when the thin tube is inserted or when the saline is injected into the uterus. This pain usually only lasts a few minutes. The sonographer ensures that the patient is as comfortable as possible. The liquid will come out of the vagina in the hours after the examination.

Prerequisite to the sonohysterography:
You must have a negative result from a recent Chlamydia screening test (up to a year old).

Preparing for the sonohysterography:

Optional: Take two ibuprofen (e.g. Advil) or acetaminophen (e.g. Tylenol) tablets.

Please note that a completed requisition form from your doctor or midwife is required at the time of your appointment. Otherwise, we cannot proceed.

Duration : 30 à 40 minutes

To book an appointment for the sonohysterography:

You should call us on the first day of your menstrual cycle.

Follicular Tracking

Endovaginal

Normally performed on the days before ovulation or on the day of ovulation.

Reasons for the ultrasound:

  • Know the exact moment of ovulation;
  • Evaluate ovarian follicular activity.

How is the procedure performed?

The sonographer will ask you to lie on your back on an examination table, remove your clothing from the waist down and assume a position similar to the one used for a pelvic exam. During this procedure, the sonographer will use a special kind of ultrasound probe and insert it into the vagina. This technique reveals more detailed images of the fetus, uterus, ovaries and follicular activity. This probe produces sound waves which are used to view the body’s internal organs.

Ultrasound images are displayed in real-time on a monitor that the sonographer watches while moving the transducer. You can also see the images.

What will I experience?

Ultrasound examinations are painless. You could experience some discomfort when the sonographer moves the vaginal probe. Any discomfort is minimal and temporary. The sonographer ensures that the patient is as comfortable as possible.

Preparing for the follicular tracking ultrasound: No preparation is required.

Please note that a completed requisition form from your doctor or midwife is required at the time of your appointment. Otherwise, we cannot proceed.

Duration : 30 minutes

Testicular Ultrasound

gynecology img-testicules    Testicular ultrasound is performed on men and boys.

Reasons for the ultrasound:

  • Check the position of the testicles;
  • Examine the testicular tissue, epididymis and testicular bag (scrotum);
  • Detect hydroceles, varicoceles, nodules, cysts, abnormal masses, deformations or any other sign of pathology, and determine their nature, size and location.

How is the procedure performed?

The sonographer will ask you to remove your clothing from the waist down and to lie on your back on an examination table. For men, a rolled cloth is placed under the scrotum to support the testicles during the ultrasound. Another cloth is used to cover the abdominal area and the penis. He or she will then apply a warm gel to the area being examined before pressing the transducer against your skin. This probe produces sound waves which are used to view the body’s internal organs.

Ultrasound images are displayed in real-time on a monitor that the sonographer watches while moving the transducer. You can also see the images.

What will I experience?

Ultrasound examinations are painless. The sonographer ensures that the patient is as comfortable as possible.

Preparing for the testicular ultrasound : No preparation is required.

Please note that a completed requisition form from your doctor or midwife is required at the time of your appointment. Otherwise, we cannot proceed.

Duration : 30 minutes