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Doctor insights on: Fluid In Pelvis On Transvaginal Ultrasound

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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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Dr. Michael Gabor
2,239 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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Dull on/off pain in right lower pelvis. IUD inserted 1 mo ago. Pelvis/transvaginal ultrasound came back normal. Should any other tests be done?

Dull on/off pain in right lower pelvis. IUD inserted 1 mo ago. Pelvis/transvaginal ultrasound came back normal. Should any other tests be done?

Give it time: It is possible to have bidding changes or intermittent pain within the first 3-6mos of IUD use. Given normal location on ultrasound, I recommend a trial of Ibuprofen or Naproxen for pain. ...Read more

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Can anyone tell me if the pelvic transvaginal ultrasound hurts like a pap?

Can anyone tell me if the pelvic transvaginal ultrasound hurts like a pap?

Neither should hurt: If pap smears were painful, please discuss it with your doctor. You may need to relax and not tense/constrict your vagina around the speculum. ...Read more

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What's hiding my ovaries on a pelvic ultrasound? Can be seen on transvaginal ultrasound instead.

What's hiding my ovaries on a pelvic ultrasound? Can be seen on transvaginal ultrasound instead.

Normal variation: The position of the ovaries varies quite a bit from women to women within the pelvis. Secondly, gas within adjacent bowel loops will distort ultrasound images and 'hide' anything behind that loop. Thus looking from a different angle ie transvaginally, we can find the ovaries that we can see on the transabdominal portion of a scan. ...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's the difference between a pelvic ultrasound and a transvaginal ultrasound?

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

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Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Maybe: It depends upon where the soft tissue mass is. Transvaginal or pelvic ultrasound is great for evaluating the uterus, ovaries, bladder, and even the appendix (when it's inflamed). But it's not a great modality to evaluate intestinal, muscle, or fat masses. ...Read more

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I'm getting a pelvic/transvaginal ultrasound this monday. Not sure how they going to do it when I have a latex allergy.

I'm getting a pelvic/transvaginal ultrasound this monday. Not sure how they going to do it when I have a latex allergy.

Latex free- nitrile.: Latex allergy is common enough that hospitals and radiology departments have worked all this out. Please make sure they know you have latex allergy. Nitrile sheaths are sometimes used. ...Read more

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If I have a transvaginal ultrasound done and they still say nothing is wrong, should I push for a pelvic laprascopy? Have all the symptoms of endometriosis and have had tests done and dr's tell me see nothing wrong. Have very heavy and painful menstruatio

If I have a transvaginal ultrasound done and they still say nothing is wrong, should I push for a pelvic laprascopy? Have all the symptoms of endometriosis and have had tests done and dr's tell me see nothing wrong. Have very heavy and painful menstruatio

Hmmm, this can be : A tough one. Painful , heavy menses can be remedied with a trial of birth control pills or other forms of hormonal suppression depending on your medical history, etc. Might be best to try this before pursuing laparoscopy. Okay to ask your doctor about their opinion on surgery. Answer will depend on your particular situation. Don't be afraid to bring it up and one can also seek a second opinion. ...Read more

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How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

Limited: Ultrasound, tumor marker evaluation, history, and physical exam have not been shown to be effective in adequately screening for this disease (even when used all together). This is a disease we don't really have a handle on right now. This doesn't mean patients who have pelvic pain or risk factors shouldn't be evaluated, but the tools available have not been shown to increase life expectancy. ...Read more

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I have just had a Transvaginal ultrasound everything was normal except for prominent arcuate veins and bilateral pelvic congestion should I worry. ?

I have just had  a Transvaginal  ultrasound everything was normal except for prominent arcuate veins and bilateral pelvic congestion should I worry. ?

If you have pain: Prominent veins and pelvic congestion (usually dilated veins) are sometimes seen on ultrasound and oftentimes have no correlation. There are some patients with pelvic pain and that/those is/are the only findings and if so might worth further investigation ...Read more

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Dr. Michael Gabor
222 doctors shared insights

Transvaginal Ultrasound (Definition)

An ultrasound is an imaging study in which a probe emits and receives sound waves which rebound off of internal organs in order to visualize them. For a transvaginal ultrasound a specially designed probe is lubricated and placed into the vagina in order to better ...Read more