Transvaginal Ultrasound is an imaging test performed through the vagina to find any pathology in the structures in the pelvis, like the rectum, urinary bladder, and female reproductive organs, including the uterus, ovaries, fallopian tubes, and vagina. The equipment consists of a transducer that transmits sound waves to and from the body to create images on the attached computer. It is also known as Endovaginal ultrasound. It provides a more detailed and precise view of the pelvic organs compared to the conventional pelvic ultrasound performed per abdomen. Obstetricians also use it to diagnose and monitor early pregnancy.
Why and when do you need this test?
You may need a transvaginal ultrasound if you have signs and symptoms related to the reproductive organs. Some of the indications for a transvaginal Ultrasound include the following;
- Pain in the pelvic region
- Pain on sexual intercourse
- Irregular, prolonged, or unusual periods
- Unexplained vaginal bleeding,
- To rule out a pelvic infection (PID)
- To diagnose ectopic pregnancy or miscarriage
- Suspecting cysts, fibroids, or polyps in the reproductive organs
- To assess for abnormalities in cases of infertility,
- Suspicion of masses, tumors, and abscesses of the pelvic organs
- To take a biopsy of pelvic organs under ultrasound guidance
- To check for the position of the IUD (intrauterine device)
- To confirm and monitor early pregnancy
Do you need to prepare for the test?
This test needs no special preparation.
- You may need to wear loose, easy clothing for the test.
- You may need to remove the tampoons or menstrual cups if you are menstruating.
- You will be given clear instructions regarding eating and drinking.
- You may need to come with a full or empty bladder according to your doctor’s advice.
What can you expect?
- To begin with the procedure, you will lie down on the table with your knees bent, and your legs will be supported on the special supporting stands for the legs.
- The radiologist will place a condom on the transducer, over which she will apply a lubricating gel.
- After this, she will project the transducer slowly into the vagina.
- You may be asked to lie still or shift your position to create images from different angles.
- The transducer will transmit sound waves to the body and back from the body to the computer to form images.
- No pain is felt during the procedure, or you may feel only slight discomfort.
- After the exam, you may return to daily activities normally.
- The procedure lasts for about 30 minutes but may take longer.
Are there any risks to this test?
Ultrasound is a non-invasive test that does not use X- rays, so it is usually safe and has no risks.
What do the test results mean?
The abnormal results may include;
- Polycystic ovarian syndrome (PCOS)
- Ovarian torsion
- Ovarian tumor,
- Ectopic pregnancy
- Endometrial fibroids,
- Endometriosis or adenomyosis
- Uterine cancer,
- Structural defects of the pelvic organs,
- Pelvic inflammatory disease
Other related tests may include:
- CT scan of the pelvis
- MRI scan of the pelvis
Frequently ordered together
Obstetrical US 14 weeks with additional fetus
Ultrasound Obstetric-last trimester
Obstetrical US 14weeks with Additional Fetus
Detailed Obstetrical US Single Fetus
Detailed Obstetrical US with Additional Fetus
Transvaginal us Obstetric
Ultrasound NONOBSTETRIC PELVIS COMPLETE
Ultrasound OBSTETRIC-ADDITIONAL FETUS 14 WEEKS OR GREATER
Ultrasound OBSTETRIC-ADDITIONAL FETUS-LESS THAN 14 WEEKS
Ultrasound OBSTETRIC-SINGLE FETUS -14 WEEKS OR GREATER
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