Doctor insights on:
Is Transvaginal Ultrasound More Accurate Than A Pelvic 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
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
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
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
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
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
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
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
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
Please clarify: Heterogeneity of echotexture of what?Get a more detailed answer ›
Can you trust an ultrasound techs opinion when they tell you they do not see anything major on a transvaginal ultrasound? Severe pelvic pain
Physician: I would seek the interpretation of a qualified physician. ...Read more
Hi I had a pelvic ultrasound done, it wasn't a transvaginal, it was a normal pelvic ultrasound. If I was 9 weeks preg, would they be able to see it?
Ambivalent: At 9 weeks gestation by last menstrual period a transabdominal ultrasound should pick up the pregnancy. If it doesn't, it should be followed immediately by a transvaginal ultrasound. The rationale for first trimester ultrasound is to determine, whether there is one or more embryo's, whether there is a heart beat or not, and whether the pregnancy is in the uterus or outside. ...Read more
Assess uterus/pelvis: Your physician would order such a test for imaging of your ovaries, uterus, tubes (or all female pelvic organs). Please discuss with your doctor what the indication and anticipated information is. It is a very safe and painless test that may cause some discomfort due to the insertion of a vaginal probe. ...Read more
I'm getting a pelvic/transvaginal ultrasound this monday. Not sure how they going to do it when I have a latex allergy.
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
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
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
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?
My doc had me get a transvaginal ultrasound for pelvic pain, the tech asked me when the 1st day of my last period was, why did she ask?
1) to know if you could be pregnant
2) to know if you might still be bleeding
3) to be able to assess the thickness of your endometrium. ...Read more
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
Hello, please explain what the finds of my recent transvaginal and pelvic ultrasound found. Right ovary 4.4 x2.9x1.1 CM simple cyst and on the left 5.5 x4.8x2.9 ovarian cyst prior ultrasound measurements were 6.9x5.8x6.5 which was smaller in size but also
Depends: It is difficult to answer your question with certainty without knowing your clinical history, laboratory findings, and detail information of the ovarian cysts. Simple cyst may be monitored over time with us but more complex cysts may require specific management. When a cyst improves in size, it's usually is a good sign but accurate measurements are not always reproducible on us. ...Read more
One of results on CT said, "cyst right adnexa recommended correlation w/ f/u pelvic/transvaginal ultrasound". So what's "cyst right adnexa"mean?
Usually ovarian cyst: This is a very common finding in patients your age. The u/s will be better able to characterize the cyst. ...Read more
Got a pelvic & transvaginal ultrasound recently, & now have pain in pelvis, & pain when I contract muscles to stop urination. It's also uncomfortable to sit straight up or bend forwards. Thoughts?
My gyn scheduled me to do a pelvic/transvaginal ultrasound due to my extremely heavy periods. How long will the test take?
15 - 30 minutes: It's probably about 15-30 minutes, depending on whether it's transabdominal scanning or both transabdominal and transvaginal scanning and also on what the technologist sees during the exam. ...Read more
What does "heterogeneity of echotexture" mean in relation to endometrium (or uterus?) from a pelvic/transvaginal ultrasound?
Description.: Heterogeneity describes the muscular part of the uterus in this case. It means that the expected appearance (all of it looks the same or homogeneous) is replaced by an appearance wherein the muscular part of the uterus has a varied (heterogenous) appearance. Typical causes are multiple small fibroids and adenomyosis (ingrowth of endometrial glandular tissue into the muscle). ...Read more
34 years old. Period flow has become lighter some unusual pelvic pain, urine, blood and transvaginal ultrasound normal. Can I still concieve.
Hard to answer: There is an evaluation I call the basic infertility evaluation that usually can determine your fertility potential. It is all based on timing during the menstrual cycle but can be accomplished in one or two cycles. If concerned, see a doctor who diagnoses and treats fertility issues and is thorough. ...Read more
Can u still have endometriosis or ovarian cancer w/ a clear transvaginal ultrasound? My doc says my ovaries are normal and my tiny cyst is gone. I have tons of pelvic pain & my mom has the brca2 gene.
Yes and No:
Yes: you could definitely have endometriosis with a clear ultrasound, but would not likely have an endometrioma of the ovary
no: it would be pretty unlikely to have ovarian cancer with a clear ultrasound and even if you did have extremely early undetectable cancer, it would not cause pain. ...Read more
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
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