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Transvaginal Ultrasound
What is Transvaginal Ultrasound?
What is a Transvaginal Ultrasound?
A Transvaginal Ultrasound is a safe, commonly performed imaging procedure used to closely examine the female reproductive organs, including the uterus, ovaries, and fallopian tubes. Unlike a traditional pelvic ultrasound, the transducer (ultrasound probe) is inserted into the vagina to capture detailed images from a closer viewpoint. This exam is generally painless and does not involve radiation.
Why would my physician recommend a Transvaginal Ultrasound?
Your doctor may recommend a Transvaginal Ultrasound to help diagnose or monitor a variety of conditions. Common reasons include:
- Pelvic pain or abnormal bleeding
- Early pregnancy evaluation (including ectopic pregnancy)
- Infertility assessment
- Investigating postmenopausal bleeding
- Diagnosing uterine fibroids, ovarian cysts, endometriosis, or pelvic inflammatory disease (PID)
- Confirming IUD placement
- Screening for ovarian or uterine cancer
This exam is often preferred due to its many clinical benefits, including:
- Producing detailed, high-resolution images of the pelvic organs
- Aiding in the diagnosis of a wide range of gynecologic conditions
- Being generally well-tolerated by patients
How should I prepare for a Transvaginal Ultrasound?
Preparation is simple. You do not need to have a full bladder for this exam. We recommend wearing comfortable clothing, as you will be asked to change into a gown for the procedure. If you need any special accommodations, please let our scheduler or front desk team know in advance so we can ensure your comfort.
What should I expect during a Transvaginal Ultrasound?
The procedure typically takes about 15–20 minutes and is performed by a trained sonographer. You will lie on your back with your knees bent and feet in stirrups, similar to a pelvic exam. A thin, covered, and lubricated ultrasound probe will be gently inserted into your vagina. You may choose to insert the probe yourself, or the sonographer can assist. The probe will be slightly adjusted to capture images of your reproductive organs. You might feel some pressure, but most patients report minimal discomfort.
Your modesty will be respected throughout the exam, and a chaperone may be present to ensure your comfort and maintain professional standards.
While the procedure is safe for most, it may not be suitable for:
- Patients with an intact hymen or postmenopausal atrophy
- Individuals with cervical or vaginal stenosis
- Those who experience significant discomfort during probe insertion
In these situations, your provider may recommend alternative imaging options such as a transabdominal ultrasound, CT, or MRI.
What should I expect after a Transvaginal Ultrasound?
There is no recovery time required after the exam—you can return to your normal activities right away. A radiologist will carefully review the ultrasound images and send a report to your referring physician, who will discuss the results with you during a follow-up appointment.
How do I schedule a Transvaginal Ultrasound at Fairfax Radiology?
Click here to schedule online
Or Contact our Scheduling Department for an appointment:
Phone: 703.698.4488 | Monday through Friday, 8 a.m. to 6 p.m.
Fax: 703.698.0864
Please have your written physician order and your insurance card in hand when making your appointment.
When are appointments for Transvaginal Ultrasound?
For your convenience, appointments are available mornings, afternoons, and weekends at the locations listed above.
Can I bring my children to my imaging appointment?
All imaging procedures require that only the patient remain in the room during the exam. Because the patient requires our full attention, we cannot provide supervision for any accompanying children. If you wish to bring your children, you must arrange for another adult to supervise your children during your procedure. Families of Obstetrical patients will be allowed in the room for a limited period of time, but only when an adult accompanies the minor children.