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Doctor insights on: Complete Ultrasound Exam Of Pelvis Including Transvaginal

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I am having irregular periods , my dr did phy exam, asked me to come for blood chck & pelvis ultrasound .I want to know it wil be vaginal or abdomi?

I am having irregular periods , my dr did phy exam, asked me to come for blood chck & pelvis ultrasound .I want to know it wil be vaginal or abdomi?

Have to ask: Both are reasonable approaches to ultrasound. Depending on your weight one may be prefered over the other. If you are heavy then a transvaginal approach will allow a better view. ...Read more

Dr. Michael Gabor
2,193 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

Possibly equal: It really all depends on how well the ovaries are seen. If the bladder is full and the ovaries are well demonstrated transabdominally then measurements will be as accurate. Transvaginal ultrasound usually provides a more detailed look at the ovaries because the transducer is right next to them. However, sometimes the ovaries are hard to find transvaginally. Each patient is different. ...Read more

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Hi I am 27 and had a pelvic & a transvaginal ultrasound it was extremely painful and the tech said I have free fluid in my pelvic what does this mean?

Hi I am 27 and had a pelvic & a transvaginal ultrasound it was extremely painful and the tech said I have free fluid in my pelvic what does this mean?

Few things: Sometimes the exam can be painful just because it is an uncomfortable procedure other times because there is an abnormality they are pressing on. The free fluid depends on how much. A tiny amount is normal in females. ...Read more

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Does a pelvic transvaginal ultrasound hurt?

No: A transvaginal ultrasound is done by inserting an ultrasound probe into the vagina to better evaluate the pelvic organs. Lubrication is applied to the top of the probe to ease insertion. An ultrasound should not be painful. Some women describe a "pressure" sensation but pain should not be experienced. ...Read more

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What does it mean if fluid was found in a transvaginal pelvic ultrasound?

It depends: There is a small amount of normal fluid in the pelvis that is often seen on ultrasound. The answer to your question depends on how much fluid, what kind of fluid (what it looks like on us) and where the fluid is. ...Read more

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I have a 4x5cm pelvic cyst known by ultrasound. Gyn suggested it should be drained. I have 2 opinions on draining one is transvaginal vs gluteal?

I have a 4x5cm pelvic cyst known by ultrasound. Gyn suggested it  should be drained. I have 2 opinions on draining one is transvaginal vs gluteal?

Tough call: Is this a cyst in the ovary or on a specific structure. The cyst can be addressed by either your ob/gyn or by interventional radiologist. Confirm which procedure has a safer profile and use your inner gut and comfort level to decide. ...Read more

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Gynae performed transvaginal pelvic ultrasound scan since sep'11-mar but in no'12 i was operated for 2 choc cysts & fibroid. How could she miss these?

Gynae performed transvaginal pelvic ultrasound scan since sep'11-mar but in no'12 i was operated for 2 choc cysts & fibroid. How could she miss these?

Not perfect: It depends on the size of the cysts. You were having pain, ultrasound did nor reveal a problem, then got laparoscopy and saw the problem. Doctors nor ultrasounds are perfect. I would get on the pill for the endometriosis. There are times when being on the pill increases ovulation when you get off; just 2 or three months can make a difference. ...Read more

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Which ultrasound is more accurate transvaginal or pelvic?

Which ultrasound is more accurate transvaginal or pelvic?

See answer: They are usually complementary. Endovaginal us usually give an improved view of the endometrial stripe, ovaries, and uterine parenchyma. Trans-abdominal us shows a more comprehensive “overview” of the entire uterus and it’s relationship to the bladder and pelvis and may identify ovaries that are more widely positioned. ...Read more

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What's the difference between a pelvic ultrasound and a transvaginal ultrasound?

Nearly same...: There are two ways to image the pelvic organs. One is by transabdominal route (transducer in placed on the skin of lower abdomen with a distended urinary bladder); and the other is transvaginal ultrasound where the transducer is placed inside the vagina to assess pelvic organs. Transvaginal ultrasound means just that; whereas, pelvic ultrasound includes both transabdominal and transvaginal US. ...Read more