Indications for immediate assessment :
- Acute persistent pelvic pain, to rule out ovarian torsion, ruptured ovarian cyst, PID and tubo-ovarian abscess;
- Suspicion for postoperative complications or hyperstimulation syndrome;
- Abdominopelvic mass provoking systemic symptoms;
- AUB causing hemodynamic instability or severe anemia.
Indications to delay scan for 2-4 weeks :
- Risk for malignancy : family history with identified predisposition, recurrence of malignancy, postcoital bleeding, postmenopausal bleeding, suspicious abdominopelvic mass without severe symptoms.
Indications to delay scan until after the pandemic is over :
- Non-severe AUB;
- Non-acute pelvic pain, including endometriosis and adenomyosis;
- Low-risk for malignancy : family history without predisposition, non-suspicious adnexal pathology;
- Urogynecological indications such as prolapse and incontinence;
- Review of intrauterine contraceptive devices.
This data comes from a consensus statement about the management of gynecological ultrasound during the pandemic. The authors are part of the International Society of Ultrasound in Gynecology and Obstetrics.
- Bourne T., Leonardi M. and al.(April 3 2020) ISUOG Consensus Statement on rationalization of gynecological ultrasound services in context of SARS-CoV-2. International Society of Ultrasound in Obstetrics and Gynecology. Retrieved from : https://www.isuog.org/resource/isuog-consensus-statement-on-rationalization-of-gynecological-ultrasound-services-in-context-of-sars-cov-2.html