Transvaginal Ultrasound - Ultrasound diagnostic method in which the pelvic exam is conducted by special vaginal probe. Such a study is carried out in gynecological and urological diseases, as well as in early pregnancy. Transvaginal ultrasound to diagnose gynecological and urological diseases, to diagnose early pregnancy. This type of inspection is more informative than the inspection through the abdominal wall, as in this case, the sensor unit is separated from the actual pelvic only a thin wall of the vagina. Transvaginal pelvic ultrasound is widespread, safe, informative and can be carried out repeatedly.
Indications transvaginal ultrasound
Indications for this method of examination - is a suspicion of the disease of the pelvic organs, urgent conditions (for example, ectopic pregnancy), control of the treatment. Transvaginal ultrasound is performed under the following conditions:
- Diagnosis of early pregnancy;
- Pain in the lower abdomen;
- Diagnosing the cause of infertility and observation of the follicular apparatus of the ovaries;
- Violations of the menstrual cycle (delayed menstruation, bleeding in the middle of the cycle), abnormal discharge from the genital tract;
- Identification of inflammatory gynecological diseases;
- Diagnosis pelvic neoplasms, including uterine fibroids, endometriosis, ovarian cysts, etc .;
- Hormonal drugs, the presence of IUD (spiral) to monitor the state of the endometrium and prevent complications;
- The early stages of pregnancy, when the traditional transabdominal approach (through the abdominal wall) little information;
- Support of IVF (in vitro fertilization);
- Cause of urological diseases, disorders of urination, urinary incontinence and pathology of the urethra (urethritis).
Transvaginal pelvic ultrasound is ideal for women with obesity, as usual research through the abdominal wall have little information.
Absolute contraindications to transvaginal ultrasound does not exist. A virgin can check through the rectum (transrectal). Transvaginal ultrasound in pregnancy is justified only in the early stages (up to 11-12 weeks).
Preparing to transvaginal ultrasound
For a transvaginal ultrasound of the uterus and appendages special training (bladder filling) is required. Visiting US cabinet you need a towel or diaper on which you lie during the investigation.
If carried tranvaginalnoe ultrasound during pregnancy, the patient's bladder should be moderately filled (drink about 500 ml of liquid per hour prior to the study).
A prerequisite for a pelvic ultrasound transvaginal is the lack of gas in the intestines. To do this for 2-3 days prior to the study need to limit foods that cause flatulence (fruits, vegetables, bread, dairy products, confectionery), and recommended intake of certain drugs, reducing flatulence - enzistal, activated carbon. Perform cleansing enemas before the test is not recommended. Transvaginal ultrasound of the uterus and appendages are not necessarily carried out on an empty stomach.
In urgent cases, transvaginal ultrasound can be performed without training, but its information can be reduced.
Ultrasound gynecological organs is recommended in the first half of the menstrual cycle (typically 5-7 days), as in the second half it is located in the uterine endometrium secretory phase, which can lead to misinterpretation of results. However, endometriosis recommended perform transvaginal ultrasound of the uterus is the second phase of the cycle. To evaluate the folliculogenesis (education and development of ovarian follicles) research should be carried out by 5. 9, 11-14 and 15 days of the menstrual cycle.
The methodology of the
The patient lies down on the couch, his head to the ultrasound machine. The doctor puts a condom on a vaginal probe, it lubricates the gel and inserted into the vagina. Research is absolutely painless, except for acute conditions only in inflammatory processes. The study doctor may press on the abdomen to locate the best bodies. Time transvaginal pelvic ultrasound is usually 15-20 minutes.
Complications transvaginal ultrasound
If done correctly, transvaginal ultrasound procedure complications do not happen.
The survey is recommended to perform even in healthy women as a preventive measure, under the age of 40 years must be doing at least 1 time in 2 years, and annually after 40 years.