Transvaginal Ultrasound

Transvaginal ultrasound uses a slim, wand-shaped transducer inserted a few centimeters into the vagina to obtain high-resolution images of the uterus, endometrium, ovaries, cervix, and surrounding structures. It is commonly performed to evaluate abnormal bleeding, pelvic pain, infertility, suspected fibroids or ovarian cysts, and early pregnancy.

• Empty your bladder just before the exam for clearer images.
• Wear comfortable clothing; you may be asked to change into a gown.
• No fasting or special preparation is usually required.
• Tell your provider if you may be pregnant or have symptoms of pelvic infection.

You will lie on your back with knees bent. The transducer—covered with a protective sheath and gel—is gently inserted into the vagina. You may feel some pressure but it should not be painful. The procedure takes about 15–30 minutes. 

• Safe and does not use radiation.
• Mild, temporary discomfort or irritation may occur.

Your doctor will explain the findings and may recommend additional tests such as sonohysterography, MRI, or blood work depending on results.