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A transvaginal ultrasound examination involves an ultrasound undertaken through the use of an intravaginal probe. It allows detailed assessment of the uterus (including endometrium), cervix, fallopian tubes and ovaries. It is of particular value when a transabdominal pelvic scan is suboptimal due to an undistended bladder, excess pelvic bowel gas or in obese patients.
There are many reasons for which transvaginal ultrasound might be a useful examination:
If you are referring a patient for a transvaginal ultrasound examination, it is valuable to include: a concise, relevant clinical history, including pregnancy status, date of last menstrual period and relevant recent pathology or imaging results. Ensure that the patient attends the ultrasound department with all prior imaging studies for comparison.
Assuming that examinations are carried out at accredited sites using trained sonographers, then there are no adverse effects of a transvaginal ultrasound.
In the appropriate clinical settings, CT and/or MRI can be used in assessing the local extent of gynaecological pathology.
Please advise the radiologist of the date of the last period and if there is a history of gynaecological surgery, as well as the nature of this surgery.
Australian Society for Ultrasound in Medicine Website:
Page last modified on 31/8/2017.
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