Echocardiograms may be recommended in various gynecological scenarios: - Pregnancy-Related Hypertension: Conditions like preeclampsia or gestational hypertension can stress the heart. - Congenital Heart Disease: Women with known heart defects may need monitoring during pregnancy. - Dyspnea or Chest Pain: Pregnant women experiencing unexplained shortness of breath or chest pain. - History of Cardiovascular Disease: Women with a history of heart disease may require monitoring during pregnancy and other gynecological treatments.