Transvaginal (meaning across or through the vagina) ultrasound uses sound waves to create images of the vagina, cervix, uterus and ovaries. It is also used to diagnose pelvic pain, menstrual and gynecological problems, abnormal bleeding and certain types of infertility.

Transvaginal Ultrasound Procedure for Infertility Testing

Transvaginal ultrasound is sometimes coupled with transabdominal ultrasound to examine the entire pelvic region. While transabdominal ultrasound is performed externally, the transducer used in transvaginal ultrasound is designed to fit in the vagina. Consequently, the pictures it creates are clearer because the transducer gets closer to the organs.

Before the procedure begins, you will be asked to empty your bladder, undress from the waist down and lie on your back on the examining table with your feet in the stirrups, as you would for an internal gynecological exam. The health care provider will cover the transducer with a condom and lubricating gel, place its tip in your vagina and move it within the area.

The transducer sends out sound waves that bounce off the pelvic organs. A computer transforms these waves into images, which can be viewed on a video monitor.

Sonohystograms

In some cases, saline (sterile salt water) is infused into the uterus through a catheter to enable the doctor to view the inside of the uterus. This procedure is called sonohysterogram, or SHG.

Possible Symptoms After a Transvaginal Ultrasound

Transvaginal ultrasound is usually painless, although some women may experience mild discomfort from the pressure of the probe.

For more information about transvaginal ultrasound, contact us.