Patient Information

Fact Sheet
Know Your Ultrasound
Scan Series – 3

Are You Having Infertility ?

Normal Ovaries on Ultrasound

· There are two ovaries on each side of the uterus in the ovarian
fossa. They are oval in shape and with a mean volume of
aprox 4.9ml. The ovary often lies on the internal iliac artery and
vein but does not maintain a consistent relationship with these vessels.

· On baseline imaging ovaries are evaluated for normal expected

ndings and to screen any abnormality.

· In the rst half of the menstrual cycle (follicular phase) a normal

ovary will demonstrate multiple Antral follicles which measures
between 2-9 mm in maximum diameter, they are best
evaluated on D2 or D3 of menstrual cycle. Normal AFC is
5-10 in each ovary, if AFC is < 4 combined in both ovaries
it is decreased ovarian reserve. If AFC > 12 in any / either ovaries it
indicates polycystic ovaries.
Normal stromal blood ow velocity is 6-12cm/sec.

· In a natural cycle a dominant follicle of size 17-24mm develops in one of the ovaries
matures and releases the egg (ovum) during ovulation.
· On color Doppler, ow velocity tends to increase at and immediately after ovulation.
· After ovulation a corpus luteum is frequently seen during the second half of the menstrual
cycle (secretory phase).
· On power Doppler it appears like a ring of re due to increased blood ow.
· Corpus luteum appears as a round anechoic cystic mass with a homogenous, thick,
moderately echogenic wall.

For Infertility Related Queries, Contact

Director - Dr (Col) Pankaj Talwar, VSM
i - Consult, a Subsidary of ARTech
+91 9810790063 +91 8287883005 pankaj_1310@yahoo.co. in
visit
Manipal Hospital - Palam Vihar, Sector 6 Dwarka, New Delhi - 110075 www.drpankajtalwar.com