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Doctor Sam

Transvaginal pelvic ultrasound

Transvaginal ultrasound provides detailed images of the uterus, endometrium and ovaries. It is used to investigate gynaecological symptoms, assess previously identified changes and monitor the condition of the reproductive organs over time.

Вартість:1 300 uah

How is a transvaginal ultrasound performed?

During the examination, the doctor uses a specialised slim probe covered with a protective sheath and gel. It is gently inserted into the vagina. As the probe is positioned close to the pelvic organs, it provides detailed images of their structure and helps identify even small abnormalities.

Unlike an external ultrasound performed through the abdominal wall, a transvaginal scan usually does not require a full bladder. The internal approach allows the doctor to obtain detailed views of the uterus and ovaries.

Before the procedure, the doctor explains what to expect. If a transvaginal examination is not suitable for you, an alternative imaging method can be discussed.

Services
Transvaginal pelvic ultrasound
1 300 ₴
Consultation with an obstetrician-gynecologist
1 650 ₴
1 400 ₴ online
Consultation with an obstetrician-gynecologist (lead specialist)
1 800 ₴
1 800 ₴ online

Specialists

All specialists
All specialists

What can a transvaginal ultrasound assess?

  • Uterus – its position, size, shape and wall structure are assessed, including the presence of uterine fibroids.
  • Endometrium – the inner lining of the uterus is examined for thickness and structural changes, taking the menstrual cycle phase into account.
  • Ovaries – the doctor assesses their size, structure, cystic formations and other findings.
  • Ovarian follicles – when indicated, their number, size and changes throughout the menstrual cycle can be monitored.
  • Pelvic abnormalities – ultrasound can help identify structural changes that may require further investigation.
  • Free fluid in the pelvis – its presence is assessed in the context of symptoms and other examination findings.
  • IUD position – when needed, the scan can be used to check the position of an intrauterine contraceptive device.

How to prepare for a transvaginal ultrasound

A special diet or fasting is usually not required before a transvaginal ultrasound. The main preparation step is to empty your bladder immediately before the examination, as this helps obtain the necessary images.

If you are menstruating, mention this when booking if you are unsure whether the scan can take place on your scheduled date. A tampon or menstrual cup must be removed before the procedure.

Bring previous ultrasound reports with you, if available. Comparing earlier and current findings helps the doctor assess how any identified changes have evolved over time.

Tell your doctor before the examination if you are pregnant or think you might be pregnant.

Frequently asked questions

Is a transvaginal ultrasound painful?
The examination does not usually cause significant pain. You may feel pressure or mild discomfort when the probe is inserted. If the procedure becomes painful, tell the specialist so they can adjust the probe position or stop the examination.
Which day of the menstrual cycle is best for a transvaginal ultrasound?
The timing depends on the purpose of the scan. For certain assessments of the endometrium, your doctor may recommend the first phase of the menstrual cycle. Monitoring ovarian follicles or investigating other findings may require different timing. If the scan is needed because of acute symptoms, it should not be delayed solely to reach a particular cycle day.
Can I have a transvaginal ultrasound during my period?
Yes. Menstruation does not automatically prevent the examination. A scan can be performed during menstrual bleeding when appropriate for the clinical purpose. In some situations, however, your doctor may recommend a different day of the cycle.
Can women who have never been sexually active have a transvaginal ultrasound?
This is assessed individually. A transvaginal scan involves inserting a probe into the vagina, so it is important to discuss your circumstances and preferences with your doctor beforehand. Depending on the clinical need, a transabdominal ultrasound or another examination method may be offered. The procedure is performed only with the patient's consent.
Can a transvaginal ultrasound be performed during pregnancy?
Yes. When medically indicated, transvaginal ultrasound is also used in early pregnancy. It can help determine the location of the pregnancy and assess certain structures when an external scan does not provide sufficient information. Diagnostic ultrasound does not use ionising radiation, and the decision to perform the scan depends on the clinical situation.
How long does a transvaginal ultrasound take?
The scan usually takes around 10–30 minutes. The duration depends on the purpose of the examination, individual anatomy and whether specific structures need closer assessment. Reviewing previous findings may also affect the overall appointment time.
Is a transvaginal ultrasound safe?
Yes. Diagnostic ultrasound uses high-frequency sound waves rather than X-ray radiation. It is a widely used imaging method for assessing the pelvic organs. The examination should be performed by a qualified professional for appropriate medical indications.
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