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What is Pre Pregnancy Scan?

Published in Fertility Scanning 3 mins read

A pre-pregnancy scan, more accurately referred to as a fertility scan or preconception assessment, is an ultrasound examination aimed at evaluating a woman's reproductive organs before she becomes pregnant. It's used to identify any potential issues that might affect her ability to conceive or carry a pregnancy to term.

Purpose of a Pre-Pregnancy Scan

The primary goals of a pre-pregnancy scan include:

  • Assessing Uterine Health: Checking the uterus for any abnormalities such as fibroids, polyps, or structural issues that could interfere with implantation or pregnancy.
  • Evaluating Ovarian Health: Examining the ovaries for cysts, tumors, or signs of polycystic ovary syndrome (PCOS), which can affect ovulation.
  • Checking Fallopian Tubes: Although not directly visualized with a standard ultrasound, signs of blocked or damaged fallopian tubes (like hydrosalpinx) can sometimes be detected. A more specialized test called a hysterosalpingogram (HSG) is better for this purpose.
  • Identifying Potential Risks: Discovering any conditions that might complicate a future pregnancy, allowing for proactive management and treatment.

What to Expect During a Pre-Pregnancy Scan

The scan is typically performed transvaginally, meaning a small ultrasound probe is inserted into the vagina. This provides a clearer and more detailed view of the reproductive organs compared to an abdominal ultrasound. Here's what typically happens:

  1. Preparation: You will be asked to empty your bladder before the scan.
  2. Procedure: You will lie on your back with your knees bent. The ultrasound technician will gently insert the lubricated probe into your vagina.
  3. Imaging: The technician will move the probe around to obtain images of your uterus, ovaries, and fallopian tubes.
  4. Duration: The scan usually takes about 15-30 minutes.
  5. Results: The radiologist will analyze the images and provide a report to your doctor, who will then discuss the findings with you.

Benefits of a Pre-Pregnancy Scan

  • Early Detection: Identifies potential fertility issues early on, allowing for timely intervention.
  • Informed Decision-Making: Provides valuable information to help couples make informed decisions about their family planning.
  • Improved Pregnancy Outcomes: Addressing any identified issues before conception can potentially improve the chances of a healthy pregnancy and delivery.
  • Peace of Mind: Offers reassurance to couples who are planning to conceive.

When to Consider a Pre-Pregnancy Scan

A pre-pregnancy scan may be recommended if you:

  • Have a history of infertility.
  • Have irregular menstrual cycles.
  • Have a history of miscarriages.
  • Have known uterine or ovarian abnormalities.
  • Are planning fertility treatment.
  • Are concerned about your reproductive health.

While a pre-pregnancy scan can be a valuable tool in assessing reproductive health, it is important to discuss your individual needs and circumstances with your doctor to determine if it is right for you.