is transvaginal ultrasound more accurate than a pelvic ultrasound

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

Possibly equal

Pelvic_ultrasound
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.
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Dr. Brian Enggano answered:

Does a pelvic transvaginal ultrasound hurt?

No

Transvaginal_ultrasound
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.
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Dr. Edward W. Gold answered:

Can a transvaginal or pelvic ultrasound pick up cervical cancer?

Not really

Cancer
Cervical cancer is diagnosed by direct visualization of the cervix and PAP smear
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What does it mean if fluid was found in a transvaginal pelvic ultrasound?

It depends

Pelvic_ultrasound
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.
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Dr. Gurmukh Singh answered:

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

Neither should hurt

Speculum
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.
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My doctor referred me to do a transvaginal pelvic ultrasound. What is this for?

Assess uterus/pelvis

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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.
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Dr. Thomas Mahoney answered:

Can a transvaginal and pelvic ultrasound detect whether or not there is cervical cancer?

No

Pelvis
The best eval for cervical cancer would still be pap smear, exam and biopsy of abnormal areas identified. Ultrasound would suggest advanced stage of concerns.
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How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

Limited

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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.
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What does "heterogeneity of echotexture" mean in relation to a pelvic/Transvaginal ultrasound?

Please clarify

Sonogram
Heterogeneity of echotexture of what?
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Dr. Dan E. Fisher answered:

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.

Allergies
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.
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