1. When to perform Ovarian Doppler?
Post-menopausal? No
Yes
Color Doppler image of each ovary
No color Doppler image
Acute pain (<2days)? OR
ER patient with any pelvic pain?
Spectral Doppler images of each ovary:
Arterial waveforms with RI
Venous waveforms
Yes No
Adnexal mass?
Yes No
Volume discrepancy (one ovary more than double the volume of the other ovary)? No
Yes No
Postmenopausal?
Corpus luteum or cyst? No
No spectral Doppler images
Yes

2. When to perform Testicular Doppler?
Are there testicles?
Yes No
Color Doppler image of each testicle
Look again
Acute scrotal pain (<2days)? OR
ER patient with any scrotal pain?
Spectral Doppler images of each testicle:
Arterial waveforms with RI
Venous waveforms
Yes No
Yes
Intratesticular mass? No
No spectral Doppler images