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Doctor insights on: Is Transvaginal Ultrasound More Accurate Than A Pelvic Ultrasound

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Dr. Nagesh Ragavendra
Board Certified, Interventional Radiology
46 years in practice
38K people helped
1

1
What's the difference between a pelvic ultrasound and a transvaginal ultrasound?

Dr. Nagesh Ragavendra
Board Certified, Interventional Radiology
46 years in practice
38K people helped
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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Dr. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Douglas Bourgon
Board Certified, Radiology
17 years in practice
22K people helped
2

2
What's hiding my ovaries on a pelvic ultrasound? Can be seen on transvaginal ultrasound instead.

Dr. Douglas Bourgon
Board Certified, Radiology
17 years in practice
22K people helped
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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Dr. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Steven Seres
Board Certified
16 years in practice
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Dr. Phillip Goebel
Board Certified, Emergency Medicine
11 years in practice
1M people helped
3

3
Would an pelvic ultrasound, transvaginal ultrasound or cat scan show up a miscarriage?

Dr. Phillip Goebel
Board Certified, Emergency Medicine
11 years in practice
1M people helped
Would an pelvic ultrasound, transvaginal ultrasound or cat scan show up a miscarriage?

Ultrasound: A combination of ultrasound (either transabdominal or transvaginal), B-hcg levels, and clinical information are used to diagnose a miscarriage. CT is not used because of its ionizing radiation. ...Read more

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Dr. Michael Gabor
Board Certified, Diagnostic Radiology
28 years in practice
8M people helped
4

4
Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Dr. Michael Gabor
Board Certified, Diagnostic Radiology
28 years in practice
8M people helped
Can a transvaginal ultrasound and/or pelvic ultrasound show enlarged lymph nodes around the ovary?

Yes,: but not reliably. Regional bowel gas can obscure pelvic lymph nodes. Also the position of the ovaries is variable, and they may not be situated next to internal iliac nodal chains. So not seeing enlarged lymph nodes on a pelvic sonogram is not sufficient to exclude them. CT or MRI is much better. ...Read more

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Dr. Steven Seres
Board Certified
16 years in practice
464K people helped
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Dr. Elvia Greathouse
Board Certified, Obstetrics and Gynecology
17 years in practice
1M people helped
5

5
I took a pelvic ultrasound and also a transvaginal ultrasound they both picked up a right adnexal cyst and i missed my period could the be a pregnancy?

Dr. Elvia Greathouse
Board Certified, Obstetrics and Gynecology
17 years in practice
1M people helped
I took a pelvic ultrasound and also a transvaginal ultrasound they both picked up a right adnexal cyst and i missed my period could the be a pregnancy?

Cyst: Take a pregnancy test to determine if you are pregnant. If so, you would have what is called a corpus luteum cyst, and this nourishes the pregnancy until your placenta develops. If negative, it may be a simple ovarian cyst that will resolve on its own without any problems. ...Read more

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Dr. Paxton Daniel
Board Certified, Radiology
34 years in practice
2M people helped
6

6
Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

Dr. Paxton Daniel
Board Certified, Radiology
34 years in practice
2M people helped

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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Dr. Brian Enggano
Board Certified, Obstetrics and Gynecology
7 years in practice
616K people helped
7

7
Does a pelvic transvaginal ultrasound hurt?

Dr. Brian Enggano
Board Certified, Obstetrics and Gynecology
7 years in practice
616K people helped
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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Dr. Grant Linnell
Board Certified, Radiology
19 years in practice
378K people helped
8

8
What does it mean if fluid was found in a transvaginal pelvic ultrasound?

Dr. Grant Linnell
Board Certified, Radiology
19 years in practice
378K people helped

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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Dr. Anthony Filly
Board Certified, Radiology
21 years in practice
947K people helped
9

9
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?

Dr. Anthony Filly
Board Certified, Radiology
21 years in practice
947K people helped

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. Heidi Fowler
Board Certified, Psychiatry
20 years in practice
532M people helped
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Dr. Steven Seres
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16 years in practice
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