The role of office-based ultrasound in family planning practice.

Abstract

Purpose of review: This review highlights the evolving role of ultrasound in family planning clinics. Given the increasing complexity of contraceptive management, abortion care, and early pregnancy assessments, understanding the utility of both traditional and point-of-care ultrasound (POCUS) is timely and relevant for improving patient outcomes and enhancing clinical efficiency.

Recent findings: The literature indicates that ultrasound significantly aids in intrauterine device (IUD) placement, localization, and removal, particularly with challenging anatomy. Studies suggest that ultrasound guidance can reduce procedure times, pain, and complications associated with IUD insertions. In addition, the review discusses the role of ultrasound in nonpalpable contraceptive implant removals and the use of ultrasound in abortion care, where it may enhance safety and efficacy. Early pregnancy assessments using ultrasound are also reviewed, with findings supporting its use in diagnosing ectopic pregnancies and early pregnancy loss.

Summary: The findings highlight the importance of integrating ultrasound into routine clinical practice for family planning and early pregnancy care. By facilitating rapid diagnosis and management within a single visit, POCUS can potentially reduce emergency department utilization and improve patient satisfaction. Future research should focus on standardizing ultrasound protocols and exploring its broader applications in reproductive health to further enhance clinical outcomes.