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Doctor insights on: Trans Vaginal Ultrasound

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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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From a conception (sex)from December 31 is it possible that on Feb. 13 the trans vaginal ultrasound not to see a sac?

From a conception (sex)from December 31 is it possible that on Feb. 13 the trans vaginal ultrasound not to see a sac?

Probably not: A transvaginal sonogram should be able to see a gestational sac by 6 weeks of pregnancy. What you describe seems unlikely but without knowing what the future sonograms showed or when your due date was it is hard to comment further ...Read more

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Does it hurt to have a trans vaginal ultrasound?

Not usually: If vaginal intercourse is not painful then neither should a trans-vaginal sono. If there is an infection of your tubes or a large ovarian cyst then application of pressure with the probe over the areas of concern may cause some degree of discomfort (what we doctors call pain). ...Read more

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Can trans-vaginal ultrasounds pick your LMP date?

Can trans-vaginal ultrasounds pick your LMP date?

No: If you are pregnant and you don't know when was you LMP and ultrasound can help determine gestational age but it does not tell you when was you lmp. ...Read more

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What does a normal trans vaginal ultrasound look like?

What does a normal trans vaginal ultrasound look like?

Normal: Looking uterus, normal looking ovaries, no excessive fluid in the pelvis. ...Read more

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Freaking out about trans vaginal ultrasound, can you tell me about this?

Freaking out about trans vaginal ultrasound, can you tell me about this?

Try not to freak out: Tvu is a well lubricated probe, much smaller, smoother ; easier to insert than a gynecologic speculum. It will slide in very easily ; provide optimal ultrasound visualization of your pelvic organs. Please try ; relax, it isn't nearly as bad as you might think. ...Read more

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What's the probability of a trans vaginal ultrasound missing a tumor on your ovary?

What's the probability of a trans vaginal ultrasound missing a tumor on your ovary?

Not common: Patients that are overweight may limit the visibility of the ovaries, but in the majority of patients, the ovaries can be identified with transvaginal ultrasound. The ovaries, after menopause, may become too small to identify with certainty. Unfortunately, there is still no satisfactory method for screening for ovarian cancer prior to a patient becoming symptomatic. ...Read more

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Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Could a trans-vaginal ultrasound detect endometrial hyperplasia?

Hard to be certain: Ultrasound is never 100%, but several findings are suspicious for endometrial hyperplasia or even cancer. For instance, if your lining is excessively thick for your age or if there is a suspicious mass seen within the uterine cavity on the sonogram, hyperplasia or cancer may be present. However, other findings can cause similar images on sonogram. Also, diagnosis can only be made with a biopsy. ...Read more

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Would an endocervical tumor invading parametrium be seen on trans vaginal ultrasound?

Would an endocervical tumor invading parametrium be seen on trans vaginal ultrasound?

Not generally: since these are quite small.....however it really depends upon the tumor size.....

Hope this helps
Dr Z ...Read more

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I had a trans vaginal ultrasound done and it lit up blue, dark orange and yellow. What does that mean?

I had a trans vaginal ultrasound done and it lit up blue, dark orange and yellow. What does that mean?

Blood flow: They may have use color Doppler mode. This shows blood flow in both arteries and veins with blood flowing both away from and towards the observer. If you were looking at your ovaries it mean than they are viable (alive, so to speak) with normal blood flow. You may also differentiate if a structure is vascular by observing if blood is flowing through. ...Read more

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What do you advise if doctor won't tell me anything. can anyone help me understand my trans vaginal ultrasound?

Persistence: When ever, I wish to have my own doctor give me more details, I have always requested the doctor to spend a few more minutes with me. Almost all doctors have given me extra time. Just remember to respect the time that is allotted for your visit. If you think you will need extra time with the doctor, make sure you mention it while scheduling your appointment. All will be well. ...Read more

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Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Would a trans vaginal ultrasound/pelvic ultrasound detect endometriosis ?

Give indication: Xr, and anything without direct visualization give an indication as to what is suspected. The symptoms, the exam and the history makes a doctor arrive at a diagnosis as the most likely thing. If in doubt, then direct visualization needed. I hope that gives you reassurance. ...Read more

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I'm having a trans vaginal ultrasound. How long is the probe in my vagina?

I'm having a trans vaginal  ultrasound. How long is the probe in my vagina?

Sonogram: The vaginal probe is placed only as long as needed to visualize the pelvic organs or pregnancy. Usually, a transvaginal ultrasound is no more than 10 minutes but can be shorter or longer. ...Read more

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Dr. Says I have small, bilateral ovarian cysts after trans-vaginal ultrasound. Says he thinks they are functional. Could be serious?32 year old woman.

Dr. Says I have small, bilateral ovarian cysts after trans-vaginal ultrasound. Says he thinks they are functional. Could be serious?32 year old woman.

I am sure your: Doc told u that is not serious as many women have that , if the cysts would grow which is unlikely then it could be a problems but that rarely happens if u have small functional cysts, if your periods are irregular or other problems that can often be treated with bc pills unless you are trying for pregnancy. ...Read more

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Please tell me, could a polyp in uterus be found with a trans vaginal ultrasound?

Please tell me, could a polyp in uterus be found with a trans vaginal ultrasound?

A Special One: An endometrial polyp can be clearly with a hysterosonogram. This is a transvaginal study done after saline is injected into the uterine cavity. A routine tv study would likely show only some localized thickening of the endometrium. ...Read more

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Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal?

Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal?

Normal: It is not uncommon to have cramps after a transvaginal US or pelvic exam, since a foreign body - ultrasound probe or gloved hand often causes release of prostaglandins leading to uterine cramping. Try taking ibuprofen or naproxen for symptoms, then night before and morning of procedure next time to reduce symptoms. ...Read more

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Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal? not virgin.

Cramping pain after trans-vaginal ultrasound and pelvic examination, why? and normal? not virgin.

Normal...: During a transvaginal ultrasound (and pelvic exam) pressure is applied to your internal organs and they are moved around quite a bit. This can cause some cramping. Its common and not abnormal when it happens. Best wishes! ...Read more

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If fallopian tubes are blocked would doctor still be able to view the ovaries with trans vaginal ultrasound?

If fallopian tubes are blocked would doctor still be able to view the  ovaries with trans vaginal ultrasound?

Test tube pregnancy: Fortunately, blocked tubes do not hinder viewing the ovaries with ultrasound. If the fallopian tubes are blocked, the most cost effective and promising way to a baby is test tube fertilizatiion. One step in this process actually is that the doctor visualize the ovaries with and under the guidance of ultrasound retrieves eggs from the ovary, which are then fertilized in test tubes. ...Read more

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Had uprotected sex on 21dec, till dt hv not got my periods, urine test -negative twice, dr did trans vaginal ultrasound, didn't show any result, m i preg?

Had uprotected sex on 21dec, till dt hv not got my periods, urine test -negative twice, dr did trans vaginal ultrasound, didn't show any result, m i preg?

Not pregnant.: Two tests and an us this far out from unprotected sex are very reliable indicators that you are not pregnant. You should follow up with your doc who completed the us. ...Read more

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Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Is this any thing serious.

Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Is this any thing serious.

Probably not: The endometrium (inner lining of the uterus} changes throughout the woman's cycle. The measurements that were given are not abnormal. ...Read more

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How accurate is trans vaginal ultrasound for early detection of ovarian cancer?

Apparently, very.: Statistics for this are hard to come by, but this is an essential part, along with physical exam, and blood test (for ca-125), of the initial workup. Patients can be asymptomatic, and physical exam can be negative. An ultrasound is likely to find suspect areas that the other tests can fail to pick up. High ca-125 can be seen in other conditions. Surgery is probably the most specific procedure. ...Read more

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I had postmenopausal bleeding after one year. In trans vaginal ultrasound, my endometrial thickness is 10 mm. Rest is clear. Is it normal?

I had postmenopausal bleeding after one year. In trans vaginal ultrasound, my endometrial thickness is 10 mm. Rest is clear. Is it normal?

More hx: I think more history is required before more imaging and invasive procedure. Such as: how often is the bleeding? Are you on any hormone replacements? Etc. ...Read more

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

How precise is the pelvic and trans vaginal 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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How accurate is the pelvic and trans vaginal ultrasound for the early detection of ovarian cancer?

How accurate is the pelvic and trans vaginal ultrasound for the early detection of ovarian cancer?

Not accurate enough: Early diagnosis is of ovarian cancer is essetial for cure, the silent killer of woman. But it is useful in identifying the nature of pelvic mass , and possible to detect ovarian cancer, moot point can it detect it early, national alliance on ovarian cancer recommends it. Other useful blood tests ca 125 , new ova 1 may not detect all early ovarian cancers. ...Read more

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Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Irregular periods from2month?

Fm 49 trans-vaginal ultrasound dec 2012 gave endometrium thickness 9mm, on march 2013 it says endometrial thickness 14mm. Irregular periods from2month?

See an OB/GYN doctor: In general, gradual thickening of the lining of the uterus (the endometrium) is abnormal. Now, during our menstrual cycle, the lining thickens and sheds off with each period. Progressive thickening might mean abnormalities in the ovary hormones, so that you don't have a normal "shedding, " or possibly a disease that allows overgrowth -- like benign "hyperplasia, " or rarely, a cancer. Good luck! ...Read more

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Mild cramping since Sunday. I went in for a trans vaginal ultrasound. After that I started spotting when I wiped.still NO PERIOD! Had sex 3 weeks ago!

Mild cramping since Sunday. I went in for a trans vaginal ultrasound. After that I started spotting when I wiped.still NO PERIOD! Had sex 3 weeks ago!

Preg test: A home urine pregnancy test can be done in the privacy and comfort of your home. It is cheap and useful in identifying if you are pregnant or not. Whether you have missed period or unprotected sex or trying to concieve, this is a safe, easy test to perform at home to get the answers you seek best wishes Dr M ...Read more

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