Ovarian cancer frequently presents late, when chances for long-term survival are poor. The increased survival advantage for patients diagnosed with early-stage ovarian cancer suggests that screening to detect early-stage disease might have an impact on disease mortality. Attempts are being made to develop effective screening procedures for early ovarian cancer in symptom-free women, using a var...

Public concerns regarding the misdiagnosis of miscarriage 1 have identified a serious weakness in the provision of quality care to women in early pregnancy. The implementation of a clinical initiative to standardise care during early pregnancy 2 is a welcome response to these tragic outcomes. While all imaging modalities have technical limitations, the current controversy over the erroneous dia...

Caesarean scar ectopic pregnancy (CSEP) is where the conceptus implanted deep in myometrium and at exact site of previous caesarean section. Symptoms include amenorrhea, pelvic pain vaginal bleeding first trimester. The investigation choice transvaginal ultrasound. Individualized treatment options are based on gestational age, presence embryonal cardiac activity, severity symptoms, serum hCG le...

Transvaginal colour and angio Doppler blood flow analysis combined with serial measurement of human chorionic gonadotrophin (HCG) concentration is reported here for the first time to study the local vascularity of a cornual pregnancy and to monitor the effectiveness of medical therapy. Interestingly, a strong relationship between morphological changes of trophoblastic tissue and the intensity o...

Due to widespread use of pelvic and transvaginal ultrasound in routine gynecological evaluation, the incidental finding of adnexal masses has led to discussions about management in asymptomatic patients regarding the risk of ovarian cancer. Transvaginal ultrasonography remains the modality of choice in the evaluation of suspicious characteristics. The combined analysis of ultrasound morphologic...

Preterm delivery (PTD), defined as birth before 37 completed weeks of gestation, is the leading cause of perinatal morbidity and mortality. Evaluation of the cervical morphology and biometry with transvaginal ultrasonography at 16-24 weeks of gestation is a useful tool to predict the risk of preterm birth in low- and high-risk singleton pregnancies. For instance, a sonographic cervical length (...

OBJECTIVES To evaluate the uptake and outcome of expectant management of spontaneous first trimester miscarriage in an early pregnancy assessment unit. PARTICIPANTS 1096 consecutive patients with a diagnosis of spontaneous first trimester miscarriage. METHODS Each miscarriage was classified as complete, incomplete, missed, or anembryonic on the basis of ultrasonography. Women who needed tre...

the prolonged retention of fetal bone structure is an uncommon condition after a previous abortion. we describe two cases with fetal bone fragment amongst 3589 hysteroscopies (0.05%) who had no complaint other than secondary infertility. in both patients hyperechogenic areas were found through transvaginal ultrasound and the bones were removed by hysteroscopy. despite meticulous evaluation duri...