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Doctor insights on: Pcos And Transvaginal Ultrasound Normal

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Is it possible to have PCOS with normal transvaginal ultrasound and regular periods? I'm on cycle day 45 1st time ever now PMD Had me start metformin

Is it possible to have PCOS with normal transvaginal ultrasound and regular periods? I'm on cycle day 45 1st time ever now PMD Had me start metformin

Complex: Polycystic ovarian syndrome is complex. It involves an imbalance of the female hormones as well as increase in male type hormones. You do not necessarily have to have any cysts on your ovaries to have PCOS. Thirdly it involves insulin resistance and that is why you were placed on metformin. Researchers are still looking to understand the cause (s) of PCOS. ...Read more

Dr. Michael Gabor
2,275 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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I am 30 my afc on transvaginal ultrasound was 20-22 is it normal? Having pcos suffering right now from irregular periods?

I am 30 my afc on transvaginal ultrasound was 20-22 is it normal? Having pcos suffering right now from irregular periods?

Yes: It is normal to have a high afc count with pcos. That is common. But if the periods are irregular that will need to be treated or your ovulation induced if you are trying to get pregnant. Either way the afc is fine. ...Read more

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Does a normal transvaginal ultrasound result rule out ovarian cancer? I have PCOS and terrible gas and bloating, aunt had ovarian cancer last year

Does a normal transvaginal ultrasound result rule out ovarian cancer? I have PCOS and terrible gas and bloating, aunt had ovarian cancer last year

US is good test: The transvaginal US is a good test for looking at the ovaries. If there were a mass there they should be able to see it on the US. If you have ovarian cancer in your family and you are concerned, you could ask your doctor to order a CA-125 blood test. This test is elevated in ovarian cancer. ...Read more

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How accurate is transvaginal ultrasound in distinguishing between malignant cysts and benign cysts in PCOS? Can they be misinterpreted?

How accurate is transvaginal ultrasound in distinguishing between malignant cysts and benign cysts in PCOS? Can they be misinterpreted?

Misinterpreted, but: TVUS is helpful, but limited in distinguishing benign vs. Malignant ovarian cysts. There are US features, coupled with clinical data and blood testing in select cases, that go a long way toward assessing risk. There are research protocols (e.g. MD Anderson) for ovarian cancer screening. The cyst (s) in PCOS would rarely be confused for malignancies, the look and clinical history are different. ...Read more

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Transvaginal ultrasound shows multiple follicles on left ovary (pcos appearance) and area with hypoechoic center and echogenic rim?

Transvaginal ultrasound shows multiple follicles on left ovary (pcos appearance) and area with hypoechoic center and echogenic rim?

Hormonal imbalances: Multiple follicles is a sign of high estrogen levels. Estrogen can be biotransformed into testosterone via the enzyme aromatase. Aromatase enzyme is increased by high Insulin levels. A high carb diet will increase both Insulin (via stimulatlon of pancreas) and estrogen (via competetive inhibition of glucoronidase enzyme) low carb diet is beneficial to reduce estrogen and insulin. ...Read more

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I have pcos my dr did a transvaginal ultrasound and found 1 follicle what are the chances of it maturing to a healthy egg while on clomid (clomiphene)?

More information: If your doctor found only one follicle, then likelihood of ovulation followed by pregnancy is low. Having said that, it only takes one, right? Typically on Clomid (clomiphene) a woman is going to have multiple follicles that are moving toward maturity. Good luck! ...Read more

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Had transvaginal ultrasound for prolong period. They said everything is normal. But the results read ovaries not seen. Could cyst still be ruled out?

Had transvaginal ultrasound for prolong period. They said everything is normal. But the results read ovaries not seen. Could cyst still be ruled out?

US pelvis: If the ovaries are not visualized by ultrasound, it means that neither the ovaries nor any ovarian cysts on the ovaries were visualized. ...Read more

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Help, having uncomfortable painful cramps one day after transvaginal ultrasound. Is this normal because I am a virgin?

Help, having uncomfortable painful cramps one day after transvaginal ultrasound. Is this normal because I am a virgin?

Call your doctor: While it is not uncommon for some women to have mild cramping and some vaginal bleeding after a routine transvaginal ultrasound, however it is best to notify your doctor who performed the procedure about significant pain and bleeding. They may want to see you again to ensure everything is ok. Good luck! ...Read more

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Had transvaginal ultrasound to see if I need morning after pill sex the day after sex. No fluid in the sac, everything normal. Isit accurate?

Had transvaginal ultrasound to see if I need morning after pill sex the day after sex. No fluid in the sac, everything normal. Isit accurate?

No: Fertilized ovum cannot be detected that way. Egg could be in the fallopian tube and fertilizable with ovarian remnant of it gone.
Morning aftre pill is generally given wihout testing. ...Read more

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Hi, My ovaries are hurting had a ultrasound and the the transvaginal ultrasound came back normal but im still in pain why?

Hi, My ovaries are hurting had a ultrasound and the the transvaginal ultrasound came back normal but im still in pain why?

Source Presumptive: & visualized in mind. Imaging exams do Not show pain or origin. However, ovaries are cystic (eggs develop in & are shed from cysts) & if no cysts (not likely age 19 if menstruating) then unlikely pain from ovaries. Could be related to any of many sources in area, including: small bowel, colon, appendix, bladder, endometriosis, etc. Emotions & past experiences commonly play a big yet hidden role. ...Read more

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5 week 5 day transvaginal ultrasound saw only yolk sac. Normal?

5 week 5 day transvaginal ultrasound saw only yolk sac. Normal?

Could be normal!!!: At 5 weeks 5 days, you don't always see a fetal pole. There is some leeway here. You need to correlate with your beta-hcg. Reference this site for laypersons:

http://ob-ultrasound. Net/. ...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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I had a transvaginal ultrasound and the result says, "normal ovaries but the right ovary has a small involuting cyst with internal hemorrhage."?

I had a transvaginal ultrasound and the result says, "normal ovaries but the right ovary has a small involuting cyst with internal hemorrhage."?

It sounds: Like this simply represents a resolving hemorrhagic cyst or follicle, a relatively common finding. They may elect to follow up in 1-2 cycles to document resolution. ...Read more

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What is considered a normal wait time for results after a transvaginal ultrasound?

What is considered a normal wait time for results after a transvaginal ultrasound?

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

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Is it normal for a transvaginal ultrasound to be extremely, extremely painful if you have never been sexually active?

Yes: If you have not previously had intercourse then the introduction of the probe would involve stretching or even tearing the hymen (slang term: cherry). This can produce pain. If you are a virgin, notify the person in charge. They may elect to do the exam by scanning from the surface of the perineum, the space between the vagina and anus or even scanning from the rectum! ...Read more

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A transvaginal ultrasound was normal and that a 2cm shading on r ovary looked benign as US did not brightly shine on it. How do tumors appear on US?

A transvaginal ultrasound was normal and that a 2cm shading on r ovary looked benign as US did not brightly shine on it. How do tumors appear on US?

Irregular mass: Most ovarian tumors in US are first seen as small cystic lesions. If the cystic component is irregular and there are densities in the cyst, especially if greater than 5 cm., then laparoscopic bx used. If lesion is an irregular mass in the ovary not consistent with the smooth ovary, then bx again is indicated. Often an irregular mass is seen on the surface of the ovary and again bx is indicated. ...Read more

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I was told that it is normal for a transvaginal ultrasound to cause light spotting, even two or three days after the procedure. Why does this happen?

Think of dental work: Vaginal mucosal tissue is similar to that within your mouth -- so, think of what might happen after a dentist works. Occasionally there is some blood that you spit out.

Probably there won't be any spotting, but there is the chance with a probe's manipulating against this soft tissue of a minor bleed. ...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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No period for 8months went to doc did a transvaginal ultrasound results normal. They said I had eggs is there any chance I could get preg really fast?

No period for 8months went to doc did a transvaginal ultrasound results normal. They said I had eggs is there any chance I could get preg really fast?

Yes and no: Not having a period for 8 months isn't normal at age 21. I would worry that you have undiagnosed PCOS. Having said that, it's possible that you can get pregnant at any time, given that your cycle isn't regular, you might release an egg before you have a period. Anovulation is one of the hallmarks of PCOS, excess or unwanted hair is another. Have doc test your thyroid, and prolactin as well. ...Read more

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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

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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.

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

Dr. Dennis Higginbotham
1,246 Doctors shared insights

Polycystic Ovarian Syndrome (Definition)

Pcos is a metabolic disorder affecting 8-10% of women that may cause irregular periods, acne or increased hair growth, infertility or subfertility, and increases the risk of diabetes. To diagnose pcos, we need 2 out of 3 of: 1. Irregular or no periods 2. Acne, hair growth and/or blood tests showing too much male-type hormones (androgens) 3. Ultrasound showing large ovaries ...Read more


Dr. Michael Gabor
228 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