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Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
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Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
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IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
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Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
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Ultrasound Guidance Can Reduce IUD Insertion Time.

Nayoung Sung1, Sally Wonderly2, Verna Marquez2

  • 1Rio Bravo Family Medicine Residency Program at Clinica Sierra Vista, Bakersfield, California nanayoung.sung@gmail.com.

Annals of Family Medicine
|September 22, 2025
PubMed
Summary
This summary is machine-generated.

Ultrasound-guided intrauterine device (IUD) insertion significantly reduces procedure time compared to conventional methods. However, this technique did not show a significant difference in patient-reported pain during IUD placement.

Keywords:
contraceptivesintrauterine device insertionultrasound

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Area of Science:

  • Reproductive Medicine
  • Medical Imaging
  • Gynecologic Procedures

Background:

  • Intrauterine device (IUD) insertion is a common contraceptive procedure.
  • Conventional IUD insertion methods may be associated with variable procedure times and patient discomfort.
  • Ultrasound (US) guidance is increasingly utilized in gynecologic procedures.

Purpose of the Study:

  • To compare the efficacy of ultrasound (US)-guided IUD insertion versus conventional methods.
  • To evaluate the impact of US guidance on procedure duration and patient-reported pain.
  • To assess the utility of transabdominal US guidance in teaching health centers.

Main Methods:

  • A quasi-randomized prospective study involving 50 IUD insertions.
  • Two groups: US-guided insertion (n=25) and conventional insertion (n=22).
  • US-guided group: transabdominal US without uterine sounding or bimanual examination.
  • Conventional group: insertion followed by bimanual examination and uterine sounding.

Main Results:

  • The US-guided group demonstrated a significantly shorter procedure time (P = .033).
  • No statistically significant difference in pain scores was observed between the US-guided and conventional groups (P = .161).

Conclusions:

  • Transabdominal ultrasound guidance may improve the efficiency of IUD insertion procedures.
  • US guidance can be a valuable adjunct for training in IUD insertion techniques.
  • Further research may explore optimizing US guidance for pain reduction in IUD placement.