Images in Reproductive Medicine and Surgery

Ultrasound image of an abnormal pregnancy which later miscarried. Please compare to the normal pregnancy below.
Androgen Tumor
Laparoscopic photo showing deep fluid-filled implants of endometriosis over the bladder.
Duplication of the right uterer (kidney tube) in a patient with septate uterus. This condition is not uncommon and is important for the surgeon to be aware of at the time of any pelvic surgery.
HSG (X-ray study) showing numerous endometrial polyps in the uterine cavity. These were easily removed through the hysterscope as an outpatient procedure.
View at the time of hysteroscopy showing the very large mass noted at left. It was non-cancerous, and easily removed as an outpatient procedure.
HSG in which the dye traveled through the wall of the uterus and into the venous channels, a potentially fatal occurrence. This is why you want only the most experienced physicians to perform this procedure.
HSG showing uterine cavity markedly distorted by a large fibroid. This patient was told she required a hysterectomy, but was able to undergo conservative surgery to save her uterus and fertility.
Typical serpiginous pattern of a fluid-filled, blocked fallopian tube ('hydrosalpinx'). This tube was repaired with outpatient surgery.
Hysterosalpingogram (X-ray study) showing blockage of the left fallopian tube.
Ultrasound picture of an intrauterine pregnancy at about 4 weeks post-conception. A fetal heart beat is already visible.
Left Hydrosalpinx (blocked and fluid-filled tube) repaired surgically. This patient conceived 2 months later.
Laparoscopic photograph of a normal pelvis.
HSG (X-ray study after injection of contrast) showing a normal uterus and tubes, with dye flowing into the pelvis.
Opening of the blockage by a simple outpatient procedure in which a small tube and wire are used to reestablish patency.
Bands of scar tissue caused by endometriosis. These are attached to the ovary and are being cut by laser.
Close-up view of ovary showing multiple areas of endometriosis.
Duplication of the uterine cavity seen in a patient with a septate uterus. This condition is easily repaired by an experienced surgeon.
Sonohysterogram (ultrasound procedure) showing a polyp in the endometrium. This type of problem can lead to abnormal bleeding and fertility difficulties.
Sonohysterogram (ultrasound with fluid enhancement) showing a large mass in the uterine cavity.
Ultrasound image of a fluid filled and blocked fallopian tube ("hydrosalpinx"). Such abnormal tubes should usually be removed or repaired, usually with outpatient surgery.
Oocyte (egg) ready to be injected with a single sperm during the Intracytoplasmic Sperm Injection (ICSI) procedure.
Needle has entered the oocyte and injection is being performed.
Classic ultrasound appearance of the ovaries in a woman with Polycystic Ovary Syndrome. The small black circles in rows beneath the surface of the ovary are follicles, or cysts, hence the name of the disease.
HSG showing a unicornuate uterus. This is an abnormal development wherein only 1/2 of the uterus forms. It is associated with miscarriages.
Here is a typical appearing fibroid (myoma) on ultrasound.  Note the "speckled" appearance.
This picture represents a right ectopic (tubal) pregnancy with a yolk sac (YS).
In this image of the previously shown right ectopic pregnancy, you can see the fetal pole (beginning of the baby) with positive fetal heart motion.
This picture shows a triplet pregnancy with only two sacs due to splitting of one of the embryos.
This picture shows a twin intrauterine pregnancy where the embryos are sharing one sac due to the absence of the amnion.  This carries a greater risk for entanglement of the umbilical cords which may lead to serious complications.
Diseased portions of tubes can be removed with microsurgical resection and reanastomosis.
HSG showing significant intrauterine adhesions (scarring) in the central and right corneal regions of the uterine cavity.
This picture represents a single intrauterine pregnancy with good visualization of the amnion (thin membrane around the embryo).  This is the portion that is missing in the previous twin picture where both embryos are sharing one sac.
Post-op HSG showing resolution of adhesions and a normal uterine cavity.