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Doctor insights on: Ultrasound Pelvis Transabdominal And Transvaginal

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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

Dr. Michael Gabor
2,236 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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Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

Is a pelvic ultrasound as good as a transvaginal u/s at measuring size of ovaries? Are they both accurate?

Possibly equal: It really all depends on how well the ovaries are seen. If the bladder is full and the ovaries are well demonstrated transabdominally then measurements will be as accurate. Transvaginal ultrasound usually provides a more detailed look at the ovaries because the transducer is right next to them. However, sometimes the ovaries are hard to find transvaginally. Each patient is different. ...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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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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Screening for myomas. This should be done with transvaginal / rectal ultrasound or is still possible via transabdominal USG? I'm still a virgin.

Screening for myomas. This should be done with transvaginal / rectal ultrasound or is still possible via transabdominal USG? I'm still a virgin.

Transabdominal ok: With modern u/s technology, larger myomas can usually be seen on a transabdominal ultrasound. In some women (such as a very obese women), its not possible to see them and a transvaginal u/s is needed. In my practice, we don't do ANY rectal ultrasounds to look for fibroids. Its easier to see the uterus with a transvaginal u/s but transabdominal is usually adequate. Best wishes! ...Read more

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Hi I had a pelvic ultrasound done, it wasn't a transvaginal, it was a normal pelvic ultrasound. If I was 9 weeks preg, would they be able to see it?

Hi I had a pelvic ultrasound done, it wasn't a transvaginal, it was a normal pelvic ultrasound. If I was 9 weeks preg, would they be able to see it?

Ambivalent: At 9 weeks gestation by last menstrual period a transabdominal ultrasound should pick up the pregnancy. If it doesn't, it should be followed immediately by a transvaginal ultrasound. The rationale for first trimester ultrasound is to determine, whether there is one or more embryo's, whether there is a heart beat or not, and whether the pregnancy is in the uterus or outside. ...Read more

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Which ultrasound is more accurate transvaginal or pelvic?

Which ultrasound is more accurate transvaginal or pelvic?

See answer: They are usually complementary. Endovaginal us usually give an improved view of the endometrial stripe, ovaries, and uterine parenchyma. Trans-abdominal us shows a more comprehensive “overview” of the entire uterus and it’s relationship to the bladder and pelvis and may identify ovaries that are more widely positioned. ...Read more

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