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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.
RANZCR® is not aware that any person intends to act or rely upon the opinions, advices or information contained in this publication or of the manner in which it might be possible to do so. It issues no invitation to any person to act or rely upon such opinions, advices or information or any of them and it accepts no responsibility for any of them.
RANZCR® intends by this statement to exclude liability for any such opinions, advices or information. The content of this publication is not intended as a substitute for medical advice. It is designed to support, not replace, the relationship that exists between a patient and his/her doctor. Some of the tests and procedures included in this publication may not be available at all radiology providers.
RANZCR® recommends that any specific questions regarding any procedure be discussed with a person's family doctor or medical specialist. Whilst every effort is made to ensure the accuracy of the information contained in this publication, RANZCR®, its Board, officers and employees assume no responsibility for its content, use, or interpretation. Each person should rely on their own inquires before making decisions that touch their own interests.