Skip to main content
SpringerLink
Log in

Reproduktionsmedizin

  • Chapter
  • First Online:
Ultraschalldiagnostik in Geburtshilfe und Gynäkologie

Zusammenfassung

Ultraschall in der Reproduktionsmedizin hat eine klare Zielsetzung: man will mit der Ultraschalltechnik so viel wie möglich über die Chancen der Frau, erfolgreich schwanger zu werden, herausbekommen. Damit ist der Ultraschall eine Technik, die die Frau mit Kinderwunsch auf Schritt und Tritt begleitet – wobei eine möglichst umfassende Ultraschalluntersuchung am Anfang einer jeden Abklärung stehen sollte. Zu dieser Basisuntersuchung, dem „fertility scan“, gehört die Beurteilung des Uterus, des Endometriums, der Ovarien mit ihren Follikeln, der Durchblutung von Uterus und Ovarien und die Hysterokontrastsonografie (HyCoSy) zur Beurteilung der Tubendurchgängigkeit.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 199.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  • Ayida G, Harris P, Kennedy S, Seif M, Barlow D, Chamberlain P (1996) Hysterosalpingo-contrast sonography (HyCoSy) using Echovist-200 in the outpatient investigation of infertility patients. Br J Radiol 69:910–913

    Article  CAS  PubMed  Google Scholar 

  • Baerwald AR, Walker RA, Pierson RA (2009) Growth rates of ovarian follicles during natural menstrual cycles, oral contraception cycles, and ovarian stimulation cycles. Fertil Steril 91:440–449

    Article  PubMed  Google Scholar 

  • Bagtharia S, Haloob AR (2005) Is there a benefit from routine follicular flushing for oocyte retrieval? J Obstet Gynaecol 25:374–376

    Article  CAS  PubMed  Google Scholar 

  • Barton SE, Politch JA, Benson CB, Ginsburg ES, Gargiulo AR (2011) Transabdominal follicular aspiration for oocyte retrieval in patients with ovaries inaccessible by transvaginal ultrasound. Fertil Steril 95:1773–1776

    Article  PubMed  Google Scholar 

  • Choi DH, Kwon H, Kim YS, Kim JH (2009) Intramural pregnancy associated with adenomyosis after in vitro fertilization and embryo transfer: a case report. J Reprod Med 54:255–258

    CAS  PubMed  Google Scholar 

  • Dal J, Vural B, Caliskan E, Ozkan S, Yucesoy I (2005) Power Doppler ultrasound studies of ovarian, uterine, and endometrial blood flow in regularly menstruating women with respect to luteal phase defects. Fertil Steril 84:224–227

    Article  PubMed  Google Scholar 

  • Duijkers IJ, Klipping C (2010) Polycystic ovaries, as defined by the 2003 Rotterdam consensus criteria, are found to be very common in young healthy women. Gynecol Endocrinol 26:152–160

    Article  PubMed  Google Scholar 

  • Exacoustos C, Brienza L, Di GA, Szabolcs B, Romanini ME, Zupi E, Arduini D (2011) Adenomyosis: three-dimensional sonographic findings of the junctional zone and correlation with histology. Ultrasound Obstet Gynecol 37:471–479

    Article  CAS  PubMed  Google Scholar 

  • Exacoustos C, Zupi E, Szabolcs B, Amoroso C, Di GA, Romanini ME, Arduini D (2009) Contrast-tuned imaging and second-generation contrast agent SonoVue: a new ultrasound approach to evaluation of tubal patency. J Minim Invasive Gynecol 16:437–444

    Article  PubMed  Google Scholar 

  • Gembruch U, Diedrich K, Welker B, Wahode J, van der Ven H, Al-Hasani S, Krebs D (1988) Transvaginal sonographically guided oocyte retrieval for in-vitro fertilization. Hum Reprod 3(Suppl 2):59–63

    Article  PubMed  Google Scholar 

  • Goldstein SR (2007) Postmenopausal endometrial fluid collections revisited: look at the doughnut rather than the hole. Obstet Gynecol 83:738–740

    Google Scholar 

  • Hrehorcak M, Nargund G (2011) „One Stop“ fertility assessment using advanced ultrasound technology, Facts, Views and Visions. ObGyn 3:8–14

    CAS  Google Scholar 

  • Jervälä IY, Ruokonen A, Tekay A (2008) Effect of rising hCG levels on the human corpus luteum during early pregnancy. Hum Reprod 23:2775–2781

    Article  Google Scholar 

  • Jokubkiene L, Sladkevicius P, Rovas L, Valentin L (2006) Assessment of changes in endometrial and subendometrial volume and vascularity during the normal menstrual cycle using three-dimensional power Doppler ultrasound. Ultrasound Obstet Gynecol 27:672–679

    Article  CAS  PubMed  Google Scholar 

  • Jurkovic D, Valentin L, Vyas S (2009) Gynecological Ultrasound in Clinical Practice – Ultrasound imaging in the management of gynaecological conditions. RCOG Press, London

    Book  Google Scholar 

  • Kelly SM, Sladkevicius P, Campbell S, Nargund G (2001) Investigation of the infertile couple: a one-stop ultrasound-based approach. Hum Reprod 16:2481–2484

    Article  CAS  PubMed  Google Scholar 

  • Kristensen SL, Ramlau-Hansen CH, Ernst E, Olsen SF, Bonde JP, Vested A, Toft G (2010) A very large proportion of young Danish women have polycystic ovaries: is a revision of the Rotterdam criteria needed? Hum Reprod 25:3117–3122

    Article  CAS  PubMed  Google Scholar 

  • Kwan I, Bhattacharya S, McNeil A, van Rumste MM (2008) Monitoring of stimulated cycles in assisted reproduction (IVF and ICSI), Cochrane. Database. Syst. Rev. CD005289

    Google Scholar 

  • Lass A (2003) Monitoring of in vitro fertilization-embryo transfer cycles by ultrasound versus by ultrasound and hormonal levels: a prospective, multicenter, randomized study. Fertil Steril 80:80–85

    Article  PubMed  Google Scholar 

  • Lieng M, Istre O, Qvigstad E (2010) Treatment of endometrial polyps: a systematic review. Acta Obstet Gynecol Scand 89:992–1002

    Article  PubMed  Google Scholar 

  • Ludwig AK, Glawatz M, Griesinger G, Diedrich K, Ludwig M (2006) Perioperative and post-operative complications of transvaginal ultrasound-guided oocyte retrieval: prospective study of >1000 oocyte retrievals. Hum Reprod 21:3235–3240

    Article  CAS  PubMed  Google Scholar 

  • Mains L, Van Voorhis BJ (2010) Optimizing the technique of embryo transfer. Fertil Steril 94:785–790

    Article  PubMed  Google Scholar 

  • Merce LT, Garces D, Barco MJ, de la Fuente F (1992) Intraovarian Doppler velocimetry in ovulatory, dysovulatory and anovulatory cycles. Ultrasound Obstet Gynecol 2:197–202

    Article  CAS  PubMed  Google Scholar 

  • Miyazaki T, Tanaka M, Miyakoshi K, Minegishi K, Kasai K, Yoshimura Y (1998) Power and colour Doppler ultrasonography for the evaluation of the vasculature of the human corpus luteum. Hum Reprod 13:2836–2841

    Article  CAS  PubMed  Google Scholar 

  • Murtinger M, Aburumieh A, Rubner P, Eichel V, Zech MH, Zech NH (2009) Improved monitoring of ovarian stimulation using 3D transvaginal ultrasound plus automated volume count. Reprod Biomed Online 19:695–699

    Article  PubMed  Google Scholar 

  • Pache TD, Wladimiroff JW, de Jong FH, Hop WC, Fauser BC (1990) Growth patterns of nondominant ovarian follicles during the normal menstrual cycle. Fertil Steril 54:638–642

    Article  CAS  PubMed  Google Scholar 

  • Pavone ME, Hirshfeld-Cytron JE, Kazer RR (2011) The progressive simplification of the infertility evaluation. Obstet Gynecol Surv 66:31–41

    Article  PubMed  Google Scholar 

  • Porat N, Boehnlein LM, Schouweiler CM, Kang J, Lindheim SR (2010) Interim analysis of a randomized clinical trial comparing abdominal versus transvaginal ultrasound-guided embryo transfer. J Obstet Gynaecol Res 36:384–392

    Article  PubMed  Google Scholar 

  • Pritts EA, Parker WH, Olive DL (2009) Fibroids and infertility: an updated systematic review of the evidence. Fertil Steril 91:1215–1223

    Article  PubMed  Google Scholar 

  • Qublan H, Amarin Z, Nawasreh M, Diab F, Malkawi S, Al-Ahmad N, Balawneh M (2006) Luteinized unruptured follicle syndrome: incidence and recurrence rate in infertile women with unexplained infertility undergoing intrauterine insemination. Hum Reprod 21:2110–2113

    Article  CAS  PubMed  Google Scholar 

  • Raine-Fenning N, Jayaprakasan K, Clewes J, Joergner I, Bonaki SD, Chamberlain S, Devlin L, Priddle H, Johnson I (2008) SonoAVC: a novel method of automatic volume calculation. Ultrasound Obstet Gynecol 31:691–696

    Article  CAS  PubMed  Google Scholar 

  • Roche M, Ibarrola M, Lamberto N, Larranaga C, Garcia MA (2008) Spontaneous hemoperitoneum in a twin pregnancy complicated by endometriosis. J Matern Fetal Neonatal Med 21:924–926

    Article  PubMed  Google Scholar 

  • Romer Z, Schwesinger G, Foth D (2001) Endometrial sarcoidosis manifesting as recurrent serometra in a postmenopausal woman. Acta Obstet Gynecol Scand 80:482–483

    Article  CAS  PubMed  Google Scholar 

  • Sladkevicius P, Ojha K, Campbell S, Nargund G (2000) Three-dimensional power Doppler imaging in the assessment of Fallopian tube patency. Ultrasound Obstet Gynecol 16:644–647

    Article  CAS  PubMed  Google Scholar 

  • Sladkevicius P, Valentin L, Marsal K (1993) Blood flow velocity in the uterine and ovarian arteries during the normal menstrual cycle. Ultrasound Obstet Gynecol 3:199–208

    Article  CAS  PubMed  Google Scholar 

  • Tamura H, Takasaki A, Taniguchi K, Matsuoka A, Shimamura K, Sugino N (2008) Changes in blood-flow impedance of the human corpus luteum throughout the luteal phase and during early pregnancy. Fertil Steril 90:2334–2339

    Article  PubMed  Google Scholar 

  • The Practice Committee of the American Society for Reproductive Medicine (2008) Ovarian hyperstimulation syndrome. Fertil Steril 90:188–193

    Google Scholar 

  • Tinkanen H, Kujansuu E, Laippala P (1995) The association between hormone levels and vascular resistance in uterine and ovarian arteries in spontaneous menstrual cycles – a Doppler ultrasound study. Acta Obstet Gynecol Scand 74:297–301

    Article  CAS  PubMed  Google Scholar 

  • Van den Bosch T, Van SD, Domali E, Vergote I, Moerman P, Amant F, Timmerman D (2007) A thin and regular endometrium on ultrasound is very unlikely in patients with endometrial malignancy. Ultrasound Obstet Gynecol 29:674–679

    Article  PubMed  Google Scholar 

  • Villarroel C, Merino PM, Lopez P, Eyzaguirre FC, Van VA, Iniguez G, Codner E (2011) Polycystic ovarian morphology in adolescents with regular menstrual cycles is associated with elevated anti-Mullerian hormone. Hum Reprod 26(10):2861–2868

    Article  CAS  PubMed  Google Scholar 

  • Yanaihara A, Yorimitsu T, Motoyama H, Iwasaki S, Kawamura T (2008) Location of endometrial polyp and pregnancy rate in infertility patients. Fertil Steril 90:180–182

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department für Frauenheilkunde, Universitätsklinik für Gynäkologische Endokrinologie und Reproduktionsmedizin, Anichstraße 35, 6020, Innsbruck, Österreich

    Christoph Brezinka A. Univ.-Prof. Dr. med.

  2. IvF Zentren Prof. Zech, Salzburg GmbH, Innsbrucker Bundesstraße 35, 5020, Salzburg, Österreich

    Dietmar Spitzer Dr. med. Univ. -Doz.

Authors
  1. Christoph Brezinka A. Univ.-Prof. Dr. med.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Dietmar Spitzer Dr. med. Univ. -Doz.
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Frauenheilkunde, Universitätsklinikum Bonn Zentrum für Geburtshilfe und, Bonn, Germany

    Ulrich Gembruch

  2. Klinik für Geburtshilfe und Pränatalmedizin, Universitätsklinikum Hamburg Eppendorf, Hamburg, Germany

    Kurt Hecher

  3. Praxis f. Frauenhlkd. u. Pränataldiag., Salzburg, Austria

    Horst Steiner

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Brezinka, C., Spitzer, D. (2013). Reproduktionsmedizin. In: Gembruch, U., Hecher, K., Steiner, H. (eds) Ultraschalldiagnostik in Geburtshilfe und Gynäkologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29633-8_34

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-29633-8_34

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29632-1

  • Online ISBN: 978-3-642-29633-8

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation