Gynecology
Fertility Assessment

If a woman is having trouble conceiving, she is often referred for an ultrasound to assess if there is a structural cause for sub-fertility or infertility.

An internal scan (including a 3D view) will definitely be performed. If there is a question of congenital structural uterine abnormalities , it is usually best to have this test performed in the second half of the cycle as they are best detected then. We will also assess the endometrial cavity, ovaries and other pelvic structures.

Once a pelvic scan has been performed, a saline infusion sonogram or HyCoSy scan may also be requested . These will be performed at a separate appointment.

The following is an ultrasound example of  a bicornuate uterus, commonly referred to as a “heart-shaped” uterus, is a type of uterine malformation where two “horns” form at the upper part of the uterus. This, and other congenital uterine anomalies are not uncommon, and may be a factor in subfertility or complications of pregnancy e.g. preterm delivery.

Bicornuate uterus