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Ovaries and fallopian tubes

1.Anatomy of Ovaries and Fallopian Tubes
2.Imaging Techniques for Ovaries and Fallopian Tubes
3.Common Disorders of the Ovaries and Fallopian Tubes

 1.Anatomy of Ovaries and Fallopian Tubes ·
  Ovaries:
 o Position: Located bilaterally adjacent to the uterus within the pelvic region.
 o
Form: These small, almond-like organs play a crucial role in egg and hormone     production.
 o
Dimensions: Their size can fluctuate based on age and hormonal levels, typically around 3 cm x 1.5 cm x 1.5 cm in women who have not yet reached menopause.
  
Fallopian Tubes:
 o Position
: They stretch from the upper sections of the uterus to the ovaries but are generally not visible in ultrasound scans unless they are swollen or contain fluid.
 o
Role: These tubes are responsible for the movement of eggs from the ovaries to the uterus.
2
Imaging Techniques for Ovaries and Fallopian Tubes Transvaginal Ultrasound       (TVUS):
  o Preferred Approach: This method yields clear images due to its closeness to the pelvic organs.
 o
Procedure: The probe is inserted vaginally, causing minimal discomfort, and it provides high-resolution visuals of the ovaries and nearby structures.
 3. 
Common Disorders of the Ovaries and Fallopian Tubes
 1.Ovarian Cysts:

 o
Categories: The most prevalent are functional cysts, along with dermoid cysts, endometriomas, and cystadenomas.
 o
Visual Characteristics: Simple cysts appear anechoic with thin walls, while complex cysts might show septations, solid elements, or internal debris.
 2.
Polycystic Ovary Syndrome (PCOS):
  o Visual Characteristics: The ovaries may be enlarged, displaying numerous small cysts around the edges and increased echogenicity of the stroma.
 Pathologies of the Fallopian Tubes:
 o
Hydrosalpinx: This condition presents as a fluid-filled tube resembling a sausage, often resulting from previous infections or endometriosis.
 o
Salpingitis: Inflammation of the tubes can lead to a thickened appearance, sometimes accompanied by surrounding fluid.

Structure/Condition Ultrasound Features Scanning Tips
Normal Ovaries Homogeneous texture, follicles visible Optimal during early menstrual phase for assessment
Ovarian Cysts Anechoic appearance, possible septations Evaluate size, wall thickness, and contents for characterization
PCOS >12 follicles measuring 2-9 mm, increased volume Assess both ovaries for consistency in appearance
Fallopian Tubes Typically not visible unless abnormal Look for dilation or fluid accumulation in cases of suspected pathology