Gynaecological & Follicular Ultrasound in Delhi
Pelvic scanning for fibroids, cysts, endometrial assessment, antral follicle count and cycle tracking.
What gynaecological & follicular ultrasound involves
Most gynaecological questions are answered by a transvaginal ultrasound. It maps fibroids and their relationship to the cavity, characterises ovarian cysts, measures endometrial thickness and pattern, counts antral follicles for ovarian reserve, and tracks follicle growth through a treatment cycle.
In a fertility context it is the workhorse investigation. A stimulated cycle involves four to six scans over a fortnight, and having them done by the doctor managing the cycle — rather than at a separate imaging centre — is what allows doses to be adjusted the same day.
Who this is for
- Pelvic pain, heavy bleeding or a suspected mass
- Antral follicle count for ovarian reserve assessment
- Follicular monitoring during ovulation induction, IUI or IVF
- Endometrial assessment before embryo transfer, or for postmenopausal bleeding
Not everything on this list means you need this treatment. The workup comes first, and the recommendation follows from what it shows — not from what was booked before you arrived.
Step by step
Transvaginal scan
Gives far better resolution of the uterus and ovaries than the abdominal route.
Uterus
Size, myometrium, fibroid mapping, adenomyosis features, and endometrial thickness and pattern.
Ovaries
Volume, antral follicle count, cyst characterisation and, in a treatment cycle, follicle size tracking.
Doppler and saline where needed
Blood flow assessment, or saline infusion sonography to outline the cavity.
Your results, in writing
Whatever the outcome of gynaecological & follicular ultrasound, you leave each stage with the findings written down — what was done, what was found, what it means, and what the options are from here. Reports are issued the same day wherever the laboratory allows it.
Case study: Cycle monitoring that changed the dose in time
31, R.K. Puram · first IVF cycle · high antral follicle count
What she came in with
A first stimulated cycle in a woman with polycystic ovarian morphology and an antral follicle count of 26 — the profile most at risk of ovarian hyperstimulation.
What the workup showed
The day-six scan showed fourteen follicles already between 10 and 12 mm bilaterally, with oestradiol rising faster than expected. Left on the starting dose, this cycle was heading for a severe hyperstimulation.
What we did
Because the scanning is done by the doctor running the cycle, the gonadotrophin dose was halved the same morning and the trigger was changed from hCG to a GnRH agonist, with a freeze-all decision taken in advance rather than on the day of retrieval.
Outcome
Twenty-two eggs collected with no clinically significant OHSS. All embryos frozen; the first frozen transfer two months later produced an ongoing pregnancy.
The point of this case
That dose change happened within an hour of the scan. Where scanning is outsourced to an imaging centre and reported the next day, the same cycle frequently ends in an admission.
Illustrative case. This is a composite of presentations commonly seen in this practice, written for explanation — it is not the record of an identifiable patient, and no individual's details are used. Outcomes vary, and nothing here is a prediction of what will happen in your case.
What is different about having this done here
Scanning done by the consultant managing your cycle, so doses change the same day
Antral follicle count reported alongside AMH, since either alone can mislead
Saline infusion sonography available for cavity assessment
No separate imaging-centre appointment or reporting delay
Treated by the consultant, not by a rotating team
Dr. Tiwari performs the scans, the procedure and the follow-up herself, and looks after any pregnancy that results. Over a long treatment course that continuity is the difference between being known and being processed.
- MBBS, MS (Obstetrics & Gynaecology), FNB (Reproductive Medicine)
- Over ten years in reproductive medicine and gynaecological surgery
- Consultations and scans at Mother's Hope, Katwaria Sarai; theatre work at SHE Delhi Hospital, Greater Kailash II
- Itemised costs given in writing before anything begins
Areas we see patients from
Both locations are in South Delhi. Patients travelling from further out have appointments grouped to cut down the number of trips.
Questions about gynaecological & follicular ultrasound
Do I need a full bladder?
For a transvaginal scan, no — an empty bladder is better. For an abdominal pelvic scan, yes.
Can a scan be done during my period?
Yes, and for antral follicle count and baseline assessment, day two or three of the cycle is exactly when it should be done.
Is transvaginal scanning uncomfortable?
Mildly, for most women — comparable to an internal examination. It is quick, and a female attendant is present throughout.
Talk it through before you commit
Consultations run for a full hour. Bring any previous reports — they are reviewed properly, not repeated.