Ectopic Pregnancy:

Sonographic evaluation and minimally invasive management of extrauterine pregnancy.

At the DuPont Clinic, we specialize in the diagnosis and management of advanced ectopic pregnancies. We have years of experience in the ultrasonographic evaluation of all types of ectopic pregnancies. Through the use of ultrasound-guided injection, we are able to manage most ectopic pregnancies without surgery.

Cesarean scar implantation ectopic pregnancy

Tubal ectopic pregnancy

Cornual ectopic preganancy

Abdominal ectopic pregnancy

Cervical ectopic pregnancy

Ovarian ectopic pregnancy

Selective reduction of multiple gestation pregnancies

We perform selective reductions down to twins or singletons from 12 weeks and beyond for all indications. We perform selective reduction from triplets (or higher order multiples) to twins. We also perform selective reductions from twins to singleton pregnancies. By reducing the number of fetuses, the survival of the remaining ones can be increased.

Intrauterine Device Insertion with Sedation

For patients who need more pain control, we offer placement of Liletta, a levonorgestrel-releasing intrauterine contraceptive, with local numbing and light intravenous sedation. Liletta is an extremely effective contraceptive method with effectiveness similar to tubal ligation (tying tubes). It last for 6 years. We use mild intravenous sedation, numbing lidocaine gel, and more numbing lidocaine around the cervix before placing the Liletta in the uterus. We also give ketorolac to reduce cramping afterwards.

Ultrasonographic evaluation of gynecologic conditions

Intracavitary and submucosal leiomyomas (fibroids). Using saline-infusion sonohysterography, we can determine the location and intracavitary extent of leiomyomas. The intracavity proportion of leiomyomas is commonly used to determine whether hysteroscopic resection is likely to be successful. Saline-infusion sonohysterography involves inserting a small tube into the uterus. Then a transvaginal ultrasound is performed as a small amount of saline saline is placed within the uterine cavity.  The saline allows the location of the fibroids to be seen more precisely.

Endometrial polyps. Using saline-infusion sonohysterography (SIS), we can diagnose endometrial polyps accurately and easily. Like for fibroids, SIS can be used to see endometrial polyps inside the uterus. The saline in the uterus will outline the polyps, making their presence very clear.

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