Fertility Docs Uncensored Today’s episode of Fertility Docs Uncensored is hosted by Dr. Carrie Bedient from the Fertility Center of Las Vegas, Dr. Susan Hudson from Texas Fertility Center, and Dr. Abby Eblen from Nashville Fertility Center. In this episode, the hosts explain why vaginal ultrasounds are a cornerstone of fertility care, highlighting how they provide more detailed and accurate imaging than abdominal ultrasounds for evaluating reproductive anatomy and guiding treatment. The discussion reviews the use of transvaginal ultrasound in both diagnostic and therapeutic settings. The physicians describe saline infusion sonography (also called hydrosonogram) as a key test to evaluate the uterine cavity and assess whether the fallopian tubes are open, noting that tubes are typically only visible when abnormal, such as when blocked and dilated. They outline how ultrasound allows visualization of the uterus, measurement of the endometrial lining, and confirmation of a trilaminar pattern prior to embryo transfer. Structural findings such as fibroids and adenomyosis are discussed, including when fibroids may require surgical removal due to distortion of the uterine cavity or large size. The episode also explains how ultrasound is used to evaluate the ovaries, including identifying common cysts. Functional cysts such as follicles, corpus luteum cysts, and hemorrhagic corpus luteum are described as normal, benign, and self-resolving. Other cysts, including endometriomas and dermoid cysts, are reviewed with a focus on when surgical management is appropriate versus when observation is preferred to preserve ovarian reserve. The hosts also highlight how ultrasound is essential for monitoring follicle development during IVF cycles and is used in real time during egg retrieval procedures, emphasizing its central role throughout fertility treatment. This podcast was sponsored by Shady Grove Fertility.