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.
No. Being a man, i've never experienced one. My patients tell me it can be mildly uncomfortable. Sometimes, in order to see a deep organ, the probe is advanced and a pressure sensation is described.

Related Questions

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...

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 condom. Please make sure you tell the physician and/or sonographer that you are latex allergic! they can easily use latex-free condom for probe cover. Read more...
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...
Latex allergy. Not a problem. Let the radiologist office know. They can use a non latex condom to cover the transvaginal probe. Read more...

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...
See answer. It sounds like you are scheduled for both a transabdominal and an endovaginal us. You’ll come with a filled urinary bladder and have the transabdominal component – this will take about 15 minutes. You’ll evacuate your urinary bladder and then have the endovaginal component – that’s about another 15-20 minutes. Total time, approximately 35 minutes. Read more...

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...

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

Maybe. Every test has its' strengths and weaknesses, depending upon what is being evaluated and the ultrasound exam is no exception. Sometimes CT scans are better and dissecting identifiable masses. However, your MD should be able to ascertain what is what based upon his/her exam and the adjuvant testing. Read more...
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...