Transvaginal pelvic ultrasound (TVUS)

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Transvaginal ultrasound of the pelvic organs is a non-invasive imaging method that allows detailed assessment of the organs and anatomical structures of the female pelvis using a transvaginal ultrasound probe. The examination allows visualization of the uterus, endometrium, cervix, ovaries and, depending on the indication, other structures in the pelvic region.

Indications

• assessment of the structure and size of the uterus, endometrium, cervix and ovaries;
• acute or chronic pelvic pain;
• abnormal uterine bleeding or irregular menstruation;
• painful menstruation;
• suspected ovarian cysts, uterine masses or other changes in the pelvic organs;
• assessment of the endometrium and its changes;
• suspected endometriosis or other gynecological conditions;
• follicular monitoring and assessment of ovulation;
• fertility assessment and evaluation as part of pregnancy planning;
• monitoring of known gynecological conditions;
• monitoring during gynecological treatment, as recommended by a physician;
• assessment of the pelvic organs during the postoperative period, as recommended by a physician.

Procedure

The examination is performed transvaginally using a specialized ultrasound probe. The physician evaluates the uterus, endometrium, cervix, ovaries and, where appropriate, other pelvic structures. The examination findings are documented in an ultrasound report.

Limitations

• image quality may be affected by anatomical features and individual characteristics of the patient;
• some findings may require additional investigations to establish a diagnosis;
• ultrasound does not always allow the exact nature of a mass or lesion to be determined;
• ultrasound findings should be interpreted in the context of symptoms, medical history and other investigations;
• the examination does not replace a gynecological consultation.

Contraindications

• the examination may be contraindicated or postponed in cases of acute vaginal infections or lesions, depending on the physician’s assessment;
• severe pain or other situations in which the examination cannot be performed safely and comfortably;
• other individual clinical circumstances determined by the physician.

Advantages

• non-invasive method with no exposure to ionizing radiation;
• allows detailed assessment of the pelvic organs;
• provides real-time imaging;
• enables measurements and assessment of organ structure;
• may contribute to the detection of gynecological abnormalities;
• can be used for dynamic monitoring of conditions and treatment.
   

Sources:

https://my.clevelandclinic.org/health/diagnostics/4993-transvaginal-ultrasound
https://www.medicalnewstoday.com/articles/323041
https://www.healthline.com/health/transvaginal-ultrasound

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or self-treatment. If you experience any pain or worsening of symptoms, it is essential to consult a healthcare professional for proper diagnosis and treatment recommendations. Only a qualified medical specialist can accurately diagnose and determine the appropriate course of treatment. To ensure the most accurate and consistent evaluation of test results, it is recommended to have them performed at the same laboratory. This is because different laboratories may use varying methods and units of measurement for similar tests.