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    • The primary use of imaging in infertility is to assist clinicians to diagnose the ethology of a couple’s infertility and to assist in the delivery of safe, effective treatments that will lead to a high probability of conception.
    • It is common to use ultrasonography early in infertility investigations as it is a basic investigation.
    • Cyclic uterine and ovarian changes can be instantly evaluated and abnormalities, such as cysts, tumours, fibroids, endometriomas, hydrosalpinxes, and congenital abnormalities can be visualized easily to allow for appropriate therapeutic actions early in the care of the infertile couple.
    • Antral follicle counts can be assessed at any age to look for a reduction in follicle population, a clinical marker of early perimenopause reflecting a reduction in fertility potential.
    • Conversely, discovery of polycystic ovaries can stimulate investigations to confirm polycystic ovary syndrome and prompt counselling about lifestyle modifications and risks of ovarian hyperstimulation following ovulation therapy.
    • In addition, the viability, number, and location of gestational sacs may be visualized very early in pregnancy following ART. Ultrasonography has become an indispensable tool for clinicians to interpret images quickly and respond with timely, accurate decisions to deliver the most efficacious therapy.

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    First step towards infertility is correct diagnosis and NOT treatment.


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