Doctor insights on:
Transvaginal Ultrasound To Detect Endometriosis
Probably not: 22y female asks if endometriosis, EM, is detectable by "transvaginal ultrasound". Since EM is a theoretical clinical disease in search of a diagnostic benchmark, the answer is "probably no". Let's see what the experts have to say. Pathologists I have spoken to have not confirmed that tissue diagnosis is definitive. Be wary of invasive procedures which incite adhesions & "EM" & IBS-like symptoms. ...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
Can endometriosis be detected by a transvaginal ultrasound? I had one done and was told I had a right ovarian cyst but nothing else.
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
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
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?
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
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
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
Venous: It usually means that the veins in the pelvis are full or "backed up." this can result in pain, a condition called pelvic congestion syndrome which is treated in interventional radiology. ...Read more
Many Things...: Ultrasound is used for many things related to fertility. Initially it is used to scan for normal anatomy. Later, for example, your doc might do scan every day or so to measure the size of a follicle on your ovary. Its much easier to see your ovaries and uterus with a transvaginal ultrasound compared to an abdominal ultrasound. Its certainly my preference. Best wishes! ...Read more
Doppler: Images of the blood moving in your arteries and veins. ...Read more
Blood flow: What you saw was likely the appearance of blood flow within the ovaries on color doppler. This flow is usually depicted on the study with the colors of red and blue. The red generally means the flow is directed towards the transducer (device that the sonographer holds to do the exam) and blue codes for flow away from the transducer. Typically both kinds of flow are seen during the exam. ...Read more
Depends: Depends on how much time the examiner is willing to spend looking. By 6.5 weeks the fetal heartbeat (fh) is fairly obvious. At 6 wks it can be very subtle and difficult to distinguish from maternal cardiac pulsations and would require measuring the rate and comparing it to the maternal rate. Not easy or quick! ...Read more
Sometimes neither: If you are looking in the coronal plane (like slicing a loaf vertically side to side) left would be on the right side of the screen and right on the left side. In the sagittal plane, front (anterior) is on the right and back (posterior) is on the left. ...Read more
20 weeks for gender: Domea: the gender of the baby is usually seen at the time of your full anatomy scan which is 18-20 weeks. Sometimes it can be seen sooner or sometimes the baby's position and other factors keep us from seeing it even when you are at the right gestational age. The heart rate is not a good predictor of the baby's gender. ...Read more
Usually around: Typically something is showing up around 51/2 to 6 weeks after LMP or 3 1/2-4 weeks post conception. However, this varies so if nothing shows up initially and your hcg levels are still rising make sure a follow up ultrasound is done ...Read more
Yes,: A 29 week old baby will always be visualized with ultrasound. Depending on the position of the baby, however, gender determination may or may not be possible. ...Read more
Pain: Her pain is probably from what necessitated the us not from the us itself. She should see her gyn. ...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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