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January 21, 2025 14 mins

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This episode explores the transformative impact of 3D Transvaginal Ultrasound (TVUS) in fertility diagnostics, presenting it as a non-invasive alternative to traditional methods. The discussion covers its advantages, limitations, and broader implications for the future of infertility evaluation and treatment.

• Overview of the importance of accurate fertility assessments 
• Comparison between traditional methods and 3D TVUS 
• How 3D TVUS offers less invasive diagnostic options 
• Discussion on the common causes of female infertility 
• Significance of evaluating uterine and fallopian tube health 
• Exploration of alternative diagnostic procedures 
• Critical examination of the limitations and accessibility of 3D TVUS 
• Summary of research references that support the use of 3D TVUS 
• Closing thoughts on the future of infertility care and technology adoption

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Episode Transcript

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Speaker 1 (00:01):
Life by Dr Pat Leading innovation in fertility
excellence.

Speaker 2 (00:06):
Deep dive into reproduction with Life.

Speaker 1 (00:08):
By Dr Pat 3D pelvic ultrasound should be
investigation of choice in womenwith infertility.
All right, so welcome back foranother deep dive.
Today we are going to belooking at 3D ultrasound and its
role in fertility evaluations.
Interesting we're going to belooking at a pamphlet from a
Thai fertility clinic.

(00:29):
It's called Life by Dr Pat, andthey really advocate for using
3D transvaginal ultrasound, so3D TVUS, for those initial
infertility assessments.

Speaker 2 (00:42):
It's pretty interesting how they're
presenting this technology,almost like it's a must-have for
anyone starting their fertilityjourney.

Speaker 1 (00:49):
Right Like why is this so important?
So we're on a mission tounderstand why this clinic is so
gung-ho about 3D TV US.
What's all the hype about andwhat are the potential pros and
cons based on what this pamphlettells us?

Speaker 2 (01:04):
Yeah Well, I think to understand the significance of
3D TVUS, we need to first graspthe complexities of infertility
itself.

Speaker 1 (01:12):
Yeah.

Speaker 2 (01:13):
You see, almost half of all infertility cases are due
to issues with the uterus orfallopian tubes.
I knew it was a common problem,but I didn't realize it was
that prevalent it reallyhighlights the importance of
pinpointing the exact cause,which can then lead to a more
effective treatment strategy.

Speaker 1 (01:28):
Right.

Speaker 2 (01:30):
This pamphlet actually lists a variety of
potential causes for femaleinfertility.
We're talking everything fromovulation problems and hormonal
imbalances to abnormalities inthe uterus and blockages in the
fallopian tubes.

Speaker 1 (01:46):
Sounds like there's a lot to consider.

Speaker 2 (01:48):
Absolutely and traditionally, the gold standard
for evaluating these issues hasbeen a combination of
laparoscopy and hysteroscopy.

Speaker 1 (01:56):
Can you break those down for us?
I'm sure many of our listeners,like me, aren't medical
professionals, of course Ofcourse, laparoscopy is a
surgical procedure.

Speaker 2 (02:05):
They insert a thin instrument, almost like a tiny
telescope, through a smallincision in your abdomen to view
your pelvic organs.

Speaker 1 (02:12):
Oh, wow.

Speaker 2 (02:13):
Hysteroscopy involves a similar instrument inserted
through the vagina and cervix toview the inside of the uterus.

Speaker 1 (02:20):
So both offer a direct visual.

Speaker 2 (02:22):
Exactly.

Speaker 1 (02:23):
But I imagine there are downsides, especially with
laparoscopy being surgery.
You're right, yeah.

Speaker 2 (02:28):
Laparoscopy, while effective, is invasive.

Speaker 1 (02:31):
Yeah.

Speaker 2 (02:31):
It requires anesthesia and recovery time.

Speaker 1 (02:33):
Right.

Speaker 2 (02:33):
Not to mention the potential cost.

Speaker 1 (02:36):
Oh yeah, which can be significant.
That sounds pretty intense.

Speaker 2 (02:39):
Exactly, and this is where 3D TV US enters the scene.

Speaker 1 (02:42):
Okay.

Speaker 2 (02:42):
As a possible alternative.

Speaker 1 (02:44):
Okay, Now I'm curious how is this 3D TV US different
from a traditional 2D ultrasound?

Speaker 2 (02:50):
Imagine 2D ultrasound is giving you flat images.

Speaker 1 (02:53):
Okay.

Speaker 2 (02:53):
Kind of like slices of bread.
Okay, 3d TV US takes thoseslices and stacks them together.

Speaker 1 (02:58):
Gotcha.

Speaker 2 (02:59):
To create a whole loaf.

Speaker 1 (03:00):
Okay.

Speaker 2 (03:01):
A full volumetric image.
Oh okay, it's similar to CTscans or MRIs.
Wow, but it uses sound wavesinstead of radiation, so you get
a more complete picture insteadof just, and this pamphlet
really emphasizes the advantagesof this complete picture.
They claim that 3D TV US isincredibly accurate and provides
a detailed evaluation of boththe uterine cavity and the

(03:24):
fallopian tubes.
Wow, and the best part, it'snon-invasive.

Speaker 1 (03:28):
Oh, wow.

Speaker 2 (03:29):
No incisions, no anesthesia, no lengthy recovery.

Speaker 1 (03:32):
That has to be a relief for anyone facing these
evaluations.

Speaker 2 (03:35):
And it's interesting how much they emphasize the
ability to thoroughly evaluatethe fallopian tubes.

Speaker 1 (03:42):
Why the focus on the fallopian tubes?

Speaker 2 (03:45):
Because they are absolutely crucial for natural
conception.

Speaker 1 (03:48):
Yeah.

Speaker 2 (03:48):
They act as pathways for the egg to travel from the
ovaries to the uterus.

Speaker 1 (03:52):
Right.

Speaker 2 (03:53):
Any blockage or damage can significantly affect
a woman's chances of conceivingnaturally.

Speaker 1 (03:58):
Makes sense.
I bet it also affects IVFsuccess rates.

Speaker 2 (04:00):
You're absolutely right.
Yeah, the pamphlet specificallymentions a condition called
hydrosalpinx, which is when thefallopian tubes are blocked and
filled with fluid.

Speaker 1 (04:10):
Hydrosalpinx.

Speaker 2 (04:10):
Yeah.

Speaker 1 (04:11):
That sounds serious.

Speaker 2 (04:12):
It can be.
Hydrosalpinx can drasticallyreduce IVF success rates and
often requires surgery to removethe affected tubes before
starting IVF.

Speaker 1 (04:22):
So if 3D TVUS can accurately diagnose hydrosalpinx
, it could potentially preventunnecessary IVF cycles or even
surgeries.

Speaker 2 (04:30):
Exactly, that's a major benefit they highlight.

Speaker 1 (04:33):
Yeah.

Speaker 2 (04:33):
They also point out that 3D TVUS isn't just limited
to fallopian tubes.

Speaker 1 (04:37):
Oh, okay.

Speaker 2 (04:38):
It can also detect abnormalities in the uterus
itself Interesting, like polyps,fibroids or a septum which is a
wall or partition within theuterus Gotcha.
These abnormalities can alsocontribute to infertility.

Speaker 1 (04:51):
So it's like getting a thorough check of the entire
reproductive system all at once.

Speaker 2 (04:55):
Precisely.
It's important to remember thatthere are other ways to assess
fallopian tube health Right, andthis pamphlet actually compares
3D TVUS to a couple of thosemethods.
Okay, hycotufin and HSG.

Speaker 1 (05:09):
So how does 3D TVUS stack up against these other
tests?

Speaker 2 (05:13):
Each method has its own pros and cons.
Yeah, hsg, for example, is awell-established method.
Okay, using x-rays Right, it'swidely available.
Yeah, method using x-rays.
Right, it's widely available.
Yeah, but it does expose you toradiation.

Speaker 1 (05:23):
Yeah.

Speaker 2 (05:28):
That's not ideal and it might not be as accurate as
ultrasound-based methods.
Okay, High-cost like 3D TVUS isnon-invasive Okay, but 3D TVUS
seems to offer more detailedinformation about both the
fallopian tubes and the uterinecavity.

Speaker 1 (05:40):
It sounds like they're presenting 3D TV US as
the most comprehensive and leastinvasive option.

Speaker 2 (05:46):
That's their main argument yes.
However, it's crucial toremember that this is
promotional material from aclinic offering 3D TV US.

Speaker 1 (05:57):
Right, of course.

Speaker 2 (05:58):
It's in their best interest to showcase the
advantages.

Speaker 1 (06:01):
Good point Right.
Of course, it's in their bestinterest to showcase the
advantages Good point Are thereany limitations or things we
should keep in mind whenevaluating their claims?

Speaker 2 (06:09):
Even with advanced technology, interpreting the
images still depends heavily onthe skill and experience of the
physician.

Speaker 1 (06:13):
Okay.

Speaker 2 (06:14):
Performing the ultrasound?
Yeah, and while this pamphletmight make 3D TV US seem like
it's everywhere, access to thistechnology Right Could vary, of
course, depending on yourlocation.
Yeah, and healthcareinfrastructure.

Speaker 1 (06:26):
So, like with any new technology, widespread adoption
takes time.

Speaker 2 (06:31):
Exactly, and I also want to mention that they do
cite a few research referencesin this pamphlet.
These could be valuableresources for anyone wanting to
delve deeper into the scientificevidence supporting the use of
3D TV US in infertilityevaluations.

Speaker 1 (06:48):
That's great.
We'll definitely include thosereferences in the show notes for
our listeners.

Speaker 2 (06:52):
Perfect, they actually provided two references
.
Oh OK, from Fertility andSterility.
Titled Modern Assessment of theUterine Cavity and Fallopian
Tubes in the Era ofHigh-Efficacy Assisted
Reproductive Technology.

Speaker 1 (07:08):
Wow, that's a mouthful.

Speaker 2 (07:09):
Yeah, it's a long one .
Okay, it looks like it offers abroad overview of different
diagnostic methods, including 3D, tvus, and their roles in the
context of modern fertilitytreatments.

Speaker 1 (07:20):
So it could give us a better understanding of where
3D TV US fits in to the largerpicture of infertility
evaluation and treatment.
What about the other reference?

Speaker 2 (07:29):
The second one is a 2022 article from the Journal of
Clinical Medicine.

Speaker 1 (07:34):
Okay.

Speaker 2 (07:34):
Titled Diagnosis of Congenital Uterine Abnormalities
Practical Considerations.

Speaker 1 (07:40):
Okay.

Speaker 2 (07:41):
This one seems to focus specifically on diagnosing
uterine abnormalities.
Practical considerations Okay,this one seems to focus
specifically on diagnosinguterine abnormalities.
Great, likely exploring therole of 3D TVUS in that area.

Speaker 1 (07:50):
Which makes sense.
Yeah, since the pamphlet didhighlight the technology's
ability to detect both fallopiantube issues and uterine
abnormalities.

Speaker 2 (07:58):
Yeah, they seem to be emphasizing the versatility of
3D TV US, presenting it as atool to thoroughly evaluate the
entire uterine environment.

Speaker 1 (08:10):
It's starting to become clear why they're so
enthusiastic about thistechnology.
Yeah, If it can provide moreaccurate diagnoses make the
process less invasive andultimately reduce stress for
patients.
It could be a real game changer.

Speaker 2 (08:22):
That's definitely the message they're sending.

Speaker 1 (08:24):
Yeah.

Speaker 2 (08:24):
They even included visuals in the pamphlet
comparing traditional 2D TV USimages with those from 3D TV US.
The goal is to show how 3Dimaging allows for a more
comprehensive and detailed viewof the uterus.

Speaker 1 (08:39):
Visual aids are always helpful.

Speaker 2 (08:40):
Absolutely.

Speaker 1 (08:41):
Especially when you're dealing with complex
anatomical structures.

Speaker 2 (08:44):
For sure.

Speaker 1 (08:45):
It makes it easier to grasp the differences between
the technologies.

Speaker 2 (08:49):
They actually use a clever analogy.

Speaker 1 (08:50):
Okay.

Speaker 2 (08:51):
Comparing a 2D image of the uterus to seeing only one
side of a spinning top.
Okay, then they show how 3Dimaging allows you to see the
entire top.

Speaker 1 (09:00):
Oh, okay.

Speaker 2 (09:01):
Capturing its full shades and dimensions.

Speaker 1 (09:03):
That's a great way to illustrate the limitations of
2D.

Speaker 2 (09:05):
Yeah.

Speaker 1 (09:06):
And the advantages of 3D.

Speaker 2 (09:07):
Exactly.

Speaker 1 (09:08):
It's like the difference between a flat
photograph of a mountain versusa 3D model.
You can rotate and explore fromall angles.

Speaker 2 (09:14):
Exactly, and that's what makes 3D TVUS so exciting.

Speaker 1 (09:18):
Yeah.

Speaker 2 (09:19):
It offers a more complete and nuanced
understanding of the uterus andfallopian tubes.

Speaker 1 (09:24):
Right.

Speaker 2 (09:25):
Potentially leading to more accurate diagnoses.

Speaker 1 (09:27):
Yeah.

Speaker 2 (09:28):
And, as a result, more effective treatment plans.

Speaker 1 (09:30):
It feels like we're witnessing a potential
revolution in infertilityevaluations.

Speaker 2 (09:36):
It's definitely a possibility.

Speaker 1 (09:37):
Yeah.

Speaker 2 (09:38):
However, as with any new technology, Right.
It's essential to approach itwith a healthy base of critical
thinking.

Speaker 1 (09:44):
Of course yeah.

Speaker 2 (09:45):
We need to consider both the potential benefits and
the limitations.

Speaker 1 (09:50):
Yeah.

Speaker 2 (09:51):
We need to carefully evaluate the evidence and avoid
jumping to conclusions basedsolely on promotional material.

Speaker 1 (09:58):
That's an important reminder.

Speaker 2 (09:59):
Yeah.

Speaker 1 (09:59):
This pamphlet offers valuable insights.

Speaker 2 (10:02):
Yes.

Speaker 1 (10:03):
But it's just one piece of the puzzle.

Speaker 2 (10:05):
Right.

Speaker 1 (10:05):
Further research and data from real-world
applications will ultimatelydetermine the true impact of 3D
TVUS in this field.

Speaker 2 (10:14):
You're absolutely right.
That's what makes this deepdive so intriguing.

Speaker 1 (10:18):
Yeah.

Speaker 2 (10:18):
We're exploring a cutting-edge technology with the
potential to reshape how weapproach infertility diagnosis
and treatment.
It's a journey of discovery andwe're learning right alongside
our listeners.
Melanie.

Speaker 1 (10:29):
WARRICK Well said, matt PORTER-.
Thank you, melanie WARRICK-.
So, as we wrap up thisinsightful look at the
information from life by Dr Pat,is there one thought-provoking
question.
You'd like to leave ourlisteners with something they
can ponder as they continuetheir own exploration of this
fascinating topic.

Speaker 2 (10:44):
Given the potential benefits and limitations we've
discussed, how might the wideradoption of 3D TV US change the
landscape of infertilitydiagnosis and treatment?

Speaker 1 (10:54):
Wow.

Speaker 2 (10:55):
How could it impact patient experiences, medical
practices and even societalperceptions of infertility?

Speaker 1 (11:01):
That's a fantastic question.

Speaker 2 (11:03):
Thank you.

Speaker 1 (11:03):
It really encourages us to think beyond the technical
aspects of the technology andconsider its broader
implications.
It's definitely something toreflect on research further and
discuss as 3D TVUS continues toevolve within the world of
fertility.

Speaker 2 (11:19):
Absolutely.

Speaker 1 (11:19):
And with that let's move on to the final part of our
deep dive, where we'll wrap upour exploration of 3D TBUS and
its potential impact on thefuture of infertility care.

Speaker 2 (11:30):
Yeah, it really is fascinating to think about how
advancements like 3D TBUS mightreshape this whole field of
infertility care.
As we wrap up this deep dive,yeah, what are your final
thoughts Like for our listeners?

Speaker 1 (11:43):
What should they take away from all this?

Speaker 2 (11:46):
I think the key takeaway here is that 3D TV US
presents itself as a promising,less invasive alternative for
those initial infertilityevaluations.

Speaker 1 (11:56):
Right.

Speaker 2 (11:57):
But, as we've discussed, it's still an
evolving technology.

Speaker 1 (11:59):
Right, and, as with any new technology, it's still
an evolving technology Right andas with any new technology,
there's still a lot ofunanswered questions.

Speaker 2 (12:03):
Exactly.
Wider adoption will depend onfactors like cost, accessibility
, training for health careproviders.

Speaker 1 (12:10):
Of course.

Speaker 2 (12:11):
And, of course, further research to solidify its
effectiveness.

Speaker 1 (12:15):
And it's important to remember that every
individual's fertility journeyis unique.

Speaker 2 (12:19):
Absolutely.

Speaker 1 (12:20):
What might be a suitable option for one person
might not be the best fit foranother.

Speaker 2 (12:25):
Exactly.
That's why it's so crucial forindividuals to consult with
their health care providers,discuss their specific
circumstances and make informeddecisions that align with their
personal needs and goals.

Speaker 1 (12:36):
So, while this deep dive into 3D TBUS has given us a
lot to think about, so whilethis deep dive into 3D TV US has
given us a lot to think about.
It's essential for ourlisteners to continue their own
research and seek personalizedguidance from medical
professionals.

Speaker 2 (12:48):
I completely agree Knowledge is empowering, but
it's most powerful when it'scombined with expert advice
tailored to your individualcircumstances.
Well said Thank you.

Speaker 1 (13:00):
So, as we wrap up today's exploration of 3D TV US,
one final question for ourlisteners to ponder.

Speaker 2 (13:08):
Okay.

Speaker 1 (13:08):
Given the potential benefits and limitations we've
discussed, imagine a futurewhere 3D TV US becomes widely
adopted.

Speaker 2 (13:15):
Okay.

Speaker 1 (13:16):
How do you think that might change the landscape of
infertility diagnosis andtreatment?
What new possibilities mightemerge?
Yeah, what challenges mightarise.
How do you think that mightchange the landscape of
infertility?

Speaker 2 (13:23):
diagnosis and treatment.

Speaker 1 (13:24):
What new possibilities might emerge?

Speaker 2 (13:25):
Yeah, what challenges might arise.
Those are great questions tocontemplate.
Yeah, and they remind us thatthe conversation about 3D TVUS
and its role in infertility careis just beginning.

Speaker 1 (13:35):
Yeah.

Speaker 2 (13:36):
As research advances Right and the technology evolves
.

Speaker 1 (13:39):
Yeah.

Speaker 2 (13:39):
We'll undoubtedly see new developments and a deeper
understanding of its truepotential.

Speaker 1 (13:44):
It's an exciting time to be following these
developments and I encourage ourlisteners to stay curious, keep
learning and join us again foranother deep dive into a
fascinating topic.
Awesome Until next time, happyexploring.
Leading Innovation.
Until next time, happyexploring.
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