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Doctor insights on: Should You Refrain From Sex Before A Pelvic Transvaginal Ultrasound

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Does a pelvic transvaginal ultrasound hurt?

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

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

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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Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Would a palpable soft tissue mass in pelvic area be seen on pelvic or transvaginal ultrasound?

Maybe: It depends upon where the soft tissue mass is. Transvaginal or pelvic ultrasound is great for evaluating the uterus, ovaries, bladder, and even the appendix (when it's inflamed). But it's not a great modality to evaluate intestinal, muscle, or fat masses. ...Read more

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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

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

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

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

Neither should hurt: 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. ...Read more

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I'm getting a pelvic/transvaginal ultrasound this monday. Not sure how they going to do it when I have a latex allergy.

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.: 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. ...Read more

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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

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

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How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

How precise is the pelvic and transvaginal ultrasound for early detection of ovarian cancer?

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

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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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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?

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?

Multiple reasons: 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

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

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

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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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?

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?

UTI after ultrasound: It sounds like you may have either a urinary track infection or urethritis. You should have this checked out if it persists beyond a few days. ...Read more

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My gyn scheduled me to do a pelvic/transvaginal ultrasound due to my extremely heavy periods. How long will the test take?

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

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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

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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.

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

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Can you have sex before a transvaginal ultrasound?

Can you have sex before a transvaginal ultrasound?

Yes, but: I would suggest no oral genital contact that might introduce air into the genital tract. You might be tempted to douche after intercourse and that might also introduce air which could cause artifacts. Best to forgo intercourse the night before. ...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 due 08/30/2013 edd due to early transvaginal ultrasound had sex once november 28th then my current bf dec 2nd to present who is the dad of our boy?

DNA test: Sperm can stay alive inside female body for 3-5 days after intercourse, therefore it is impossible to tell who is the father of the baby in this case (unless dna test is performed). In addition, even early us is able to give only an approximate due date. ...Read more

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I had sex last thursday during my fertile period, can I check a week after through transvaginal ultrasound that I conceived?

I had sex last thursday during my fertile period, can I check a week after through transvaginal ultrasound that I conceived?

No: It is too early to see anything on the ultrasound that would detect pregnancy. We cannot see the pregnancy until about 5 weeks or 3 weeks after conception. ...Read more

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Had sex on Nov 9 went to the ER Nov 30 exactly 3 weeks after sex my transvaginal ultrasound along with bloodwork came back I was 5 weeks is that possi?

Had sex on Nov 9 went to the ER Nov 30 exactly 3 weeks after sex my transvaginal ultrasound along with bloodwork came back I was 5 weeks is that possi?

That would be right: A woman is officially 5 weeks pregnant when she is 3 weeks past conception (about 3 weeks plus a day or two after having sex). That is because doctors count the official start of pregnancy as the first day of the menstrual period prior to the conception (and that first day is estimated to be 2 weeks prior to the conception). ...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