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</div><div><span>Transvaginal ultrasound</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Transvaginal ultrasound</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Transvaginal ultrasound is a test used to look at a woman's uterus, ovaries, tubes, <a test="test" href="./002317.htm">cervix</a>, and pelvic area.</p><p>Transvaginal means across or through the vagina. The ultrasound probe will be placed inside the vagina during the test.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>You will lie down on your back on a table with your knees bent. Your feet may be held in stirrups.</p><p>The ultrasound technician or doctor will introduce an ultrasound probe into your vagina. It may be mildly uncomfortable, but will not hurt. The probe is covered with a condom and a gel.</p><ul><li>The probe transmits sound waves and records the reflections of those waves off body structures. The ultrasound machine creates an image of the body part.</li><li>The image is displayed on the ultrasound machine. In many offices, the person having the test can see the image also.</li><li>The health care provider will gently move the probe around the area to see the pelvic organs.</li></ul><p>In some cases, a special transvaginal ultrasound method called saline infusion sonography (SIS) may be needed to more clearly view the uterus.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How to Prepare for the Test</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>You will be asked to undress, usually from the waist down. A transvaginal ultrasound is done with your bladder empty or partly filled.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>How the Test will Feel</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>In most cases, there is no pain. Some women may have mild discomfort from the pressure of the probe. Only a small part of the probe is placed into the vagina.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Why the Test is Performed</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Transvaginal ultrasound may be done for the following problems:</p><ul><li>Abnormal findings on a physical exam, such as cysts, <a test="test" href="./000914.htm">fibroid</a> tumors, or other growths</li><li>Abnormal vaginal bleeding and menstrual problems</li><li>Certain types of <a test="test" href="./001191.htm">infertility</a></li><li><a test="test" href="./000895.htm">Ectopic pregnancy</a></li><li>Pelvic pain</li></ul><p><a test="test" href="./003778.htm">This ultrasound is also used during pregnancy</a>.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Normal Results</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>The pelvic structures or fetus is normal.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What Abnormal Results Mean</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>An abnormal result may be due to many conditions. Some problems that may be seen include:</p><ul><li>Birth defects in an unborn baby</li><li>Cancers of the uterus, ovaries, vagina, and other pelvic structures</li><li>Infection, including pelvic inflammatory disease</li><li>Benign growths in or around the uterus and ovaries (such as cysts or fibroids)</li><li>Endometriosis</li><li>Pregnancy outside of the uterus (ectopic pregnancy)</li><li>Twisting of the ovaries</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Risks</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>There are no known harmful effects of transvaginal ultrasound on humans.</p><p>Unlike traditional x-rays, there is no radiation exposure with this test.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Endovaginal ultrasound; Ultrasound - transvaginal; Fibroids - transvaginal ultrasound; Vaginal bleeding - transvaginal ultrasound; Uterine bleeding - transvaginal ultrasound; Menstrual bleeding - transvaginal ultrasound; Infertility - transvaginal ultrasound; Ovarian - transvaginal ultrasound; Abscess - transvaginal ultrasound</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/23223t.jpg" alt="Ultrasound in pregnancy" title="Ultrasound in pregnancy" class="side-img"/><a href="../imagepages/1110.htm">Ultrasound in pregnancy</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1112t.jpg" alt="Female reproductive anatomy" title="Female reproductive anatomy" class="side-img"/><a href="../imagepages/1112.htm">Female reproductive anatomy</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/19263t.jpg" alt="Uterus" title="Uterus" class="side-img"/><a href="../imagepages/19263.htm">Uterus</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/9987t.jpg" alt="Transvaginal ultrasound" title="Transvaginal ultrasound" class="side-img"/><a href="../imagepages/9987.htm">Transvaginal ultrasound</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dolan MS, Hill CC, Valea FA. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. <em>Comprehensive Gynecology</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 18.</p><p>Hur HC, Lobo RA. Ectopic pregnancy: etiology, pathology, diagnosis, management, fertility prognosis. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. <em>Comprehensive Gynecology</em>. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 17.</p><p>Kelly CM. Ectopic pregnancy. In: Kellerman RD, Rakel DP, Heidelbaugh JJ, Lee EM, eds. <em>Conn's Current Therapy 2024</em>. Philadelphia, PA: Elsevier; 2024:1288-1291.</p><p>Wei PK, Savicke AM, Levine D. The uterus. In: Rumack CM, Levine D, eds. <em>Diagnostic Ultrasound</em>. 6th ed. Philadelphia, PA: Elsevier; 2024:chap 28.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 4/16/2024</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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