Doctor insights on:
Pain After Transvaginal Ultrasound
Feeling intense pain/cramping after a transvaginal ultrasound. Reason for the ultrasound was missed period and heavy dischage after leep. Ideas?
Leep: The discharge and discomfort is most likely due to the LEEP and disruption of the surgical bed and healing process due to the baginal ultrasound. The vaginal ultrasound might have disrupted the healing surgical site. Let you provider know of your symptoms and possible evaluation. ...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
If I had a transvaginal ultrasound and they said I am 7 weeks and 1 day, does that mean that I conceived 7 wk 1 d ago? Or 2 weeks after that?
Of What?: Of a tight, intact hymen? Yes it can. The vagina? If the examiner suddenly thought she or he was churning butter, or had a severe seizure during the exam then it might happen but I never saw such an occurrence. ...Read more
Thin u/s inserted: Routine female pelvic ultrasound has two portions to the exam. The exam starts with a full bladder and scanning with a fan shaped ultrasound (u/s) probe over the lower abdomen and pubic area. Then the pt is asked to empty her bladder and then a thin long u/s probe is inserted into the vagina for additional pictures. This portion is important and significantly improves parts of the evaluation. ...Read more
Different probe: Pelvic ultrasound can be performed over the lower abdomen. However, there is also a vaginal "probe" which can be inserted into the outer vagina (about an inch). It is smaller than the regular ultrasound transducer/scanner. This allows for much better imaging of the female pelvis (uterus/ovaries). It is very commonly done; it should not be painful. ...Read more
Part of complete u/s: Routine female pelvic ultrasound has two portions to the exam. The exam starts with a full bladder and scanning with a fan shaped ultrasound (u/s) probe over the lower abdomen and pubic area. Then the pt is asked to empty her bladder and then a thin long u/s probe is inserted into the vagina for additional pictures. This portion is important and significantly improves parts of the evaluation. ...Read more
Ultrasound dating: First trimester ultrasound is accurate within 5-7 days. There is no test that can date conception more accurately than a 1 week window. ...Read more
Normally: One would see the uterus, ovaries, and whether or not there is excessive fluid in the pelvis. Normal fallopian tubes are not visible. ...Read more
Ultrasound: There is not enough information to answer your question. Are you having any symptoms? Are you at risk for ovarian or other pelvic problems? Best course is to ask your doctor why they are ordering the test, maybe it is just a "screening" type of exam. ...Read more
Maybe: If the woman in question is able to insert a tampon then a low profile tv probe should be able to be inserted with gentle pressure and a lot of lubricant. I have encountered virgin women in whom I was unable to insert a probe. In such cases a trans-perineal scan is done with the probe placed on the external region of the external genitalia. A trans rectal approach is another possibility. ...Read more
No: Probe is lubricated and only inside for a few minutes ...Read more
Yes.: In a virgin, the entrance of the probe is slightly painful. After entry, it does not hurt. Most of the pain comes out of the spasm of the muscles because of fear. The more you relax the less painful it is to do the ultrasound in a virgin. ...Read more
Ultrasound: 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 visualize pelvic organs/ structures. ...Read more
See below: A transvaginal transducer is, as the name implies, designed to be inserted vaginally allowing much closer access to the uterus and ovaries. The patient is positioned similarly to a pelvic exam (though usually no stirrups). The sonographer gently positions the probe and takes pictures of the uterus and ovaries. Occasionally there may be minimal discomfort, but usually only takes a few minutes. ...Read more
Yes: Regular ultrasound has a bigger "field of view" so may better see ovaries that are positioned higher or things that are near, but outside of uterus and ovaries. Transvag us usually obtains a more detailed view of uterus and ovaries, which is why both are usually performed together. ...Read more
Transvaginal US: You will be lying on your back on the ultrasound table, probably knees up. The cylindrical probe will be covered with a "condom" and then ultrasound gel, which also serves as lubricant. The tech will gently insert the probe into the vagina. Images will be generated by the probe. The tech will gently move/tilt the probe to visualize the necessary areas. ...Read more
Most: Studies reported by a radiologist are dictated within 24 hours. There is variability in how long it takes the report to get to the clinician depending on whether the report is called, emailed, faxed, or sent regular mail. There is variability in how clinicians notify patients of results. ...Read more
Yes: The earlier ultrasounds are more accurate than the later ones. 7 weeks is probably correct. ...Read more
Can a transvaginal ultrasound on day 21 show PCO? Or do you have to do the test early on in the cycle?
PCO?: If you mean polycystic ovaries, then yes, it will show. Hope this helps! ...Read more
If the baby is unlikely to be alive inside a woman's body, what should she do? She's 8 weeks based on transvaginal ultrasound.
Check: Docs can ultrasound to look for heart and other signs alive. ...Read more
Hey idk how far I am but my levels are at 1638 and they still don't see nothing with an transvaginal ultrasound what does this mean I can seem to get?
Repeat level: I trust you are talking about HCG level. In a normal pregnancy HCG values should double in two days. If the rise is less than 50%, it may be due to ectopic pregnancy. You should be under the care of a doctor for the sake of your and your baby's health and you should discuss it with her/him. ...Read more
It depends: Transvag us exam is an excellent tool to examine pelvic and lower abdonimal organs. Depends on the target of interest (ovary, appendix...) and the disease being investigated (mass, abscess...) it can at times be uncomfortable. Don't be afraid of the instrument. If you use tampon, you can handle the probe. ...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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