Transvaginal Ultrasound Overview and Preparation
Learn about transvaginal ultrasound (TVS), its purpose, procedure, and preparation. Understand how this test helps diagnose gynaecological conditions with accuracy and safety.
Written by Dr. Dhankecha Mayank Dineshbhai
Reviewed by Dr. Md Yusuf Shareef MBBS
Last updated on 1st Sep, 2025
Introduction
If your doctor has recommended a transvaginal ultrasound, you may have questions about what it is, why it’s needed, and how to prepare for it. This article will guide you through everything you need to know in simple, easy-to-understand terms.
What Is a Transvaginal Ultrasound?
A transvaginal ultrasound is a safe and painless imaging test that uses sound waves to create detailed pictures of a woman’s reproductive organs, including the:
- Uterus (womb)
- Ovaries
- Fallopian tubes
- Cervix
Unlike a regular abdominal ultrasound, where the probe is placed on the belly, a transvaginal ultrasound involves inserting a small, thin ultrasound probe (covered with a protective sheath and gel) into the vagina. This allows for clearer and more precise images of the pelvic organs.
Consult a Gynaecologist for the best advice
Why Is a Transvaginal Ultrasound Done?
Your doctor may recommend this test to:
- Check for causes of pelvic pain or abnormal bleeding
- Diagnose conditions like fibroids, cysts, or endometriosis
- Monitor early pregnancy (to check the baby’s heartbeat or detect complications)
- Evaluate infertility issues
- Screen for ovarian or uterine cancers
- Assess the thickness of the uterine lining
What to Expect During the Procedure
Understanding the process can help you feel more comfortable. Here’s what to expect during the TVS procedure:
1. Preparation:
- You may be asked to empty your bladder before the test.
- Wear comfortable, loose-fitting clothing.
- No fasting or special diet is required.
2. During the Test:
- You’ll lie on an exam table with your feet in stirrups (similar to a pelvic exam).
- A small, lubricated ultrasound probe (transducer) is gently inserted into the vagina.
- The probe emits sound waves, which create images on a screen.
- The procedure usually takes 10-20 minutes and is not painful, though you may feel slight pressure.
3. After the Test:
- You can resume normal activities immediately.
- There’s no downtime or recovery needed.
How to Prepare for a Transvaginal Ultrasound
To ensure the best results:
- Empty your bladder (unless instructed otherwise).
- Wear comfortable clothing for easy access.
- Relax and breathe normally; tensing up can make the procedure slightly uncomfortable.
- Ask questions if you’re unsure about anything.
Is a Transvaginal Ultrasound Safe?
Yes! This test:
- Does not use radiation (unlike X-rays or CT scans).
- Is safe during pregnancy (often used in early pregnancy scans).
- Has no known risks when performed by a trained professional.
When to Consult a Doctor?
If you experience:
- Severe pelvic pain
- Unexplained vaginal bleeding
- Difficulty getting pregnant
- Suspected ovarian cysts or fibroids
Your doctor may recommend a transvaginal ultrasound for further evaluation.
Final Thoughts
A transvaginal ultrasound is a simple, non-invasive, and highly effective way to examine your reproductive health. If your doctor has suggested this test, there’s no need to worry; it’s a routine procedure that helps in accurate diagnosis and better care.
Consult a Gynaecologist for the best advice
Consult a Gynaecologist for the best advice
Dr. Karuna Ratwani
Obstetrician and Gynaecologist
11 Years • MBBS, MS( Obstetrics & Gynaecology), F.MAS, FICRS Advanced Diploma in Minimal Access surgery Fellow of International College of Robotic Surgeons Diploma in Reproductive Medicine, Kiel-Germany Masters in Cosmetic Gynaecology , Greifswald-Germany Masterclass in Obstetrics & Gynaecology Ultrasound ( ISUOG, UK)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Vineet Mishra
Infertility Specialist
36 Years • MD, Phd, DSc
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
Dr. Asawari Kesari Kapoor
Obstetrician and Gynaecologist
23 Years • M.B.B.S, D.G.O(Mumbai) ,D.G.O (C.P.S), D.N.B (OBGY)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Ritika Khurana
Obstetrician and Gynaecologist
16 Years • MBBS, DGO(GYNAECOLOGY AND OBSTETRICS)
Pune
Dr Rupali and Dr Ritika, Pune
Dr. Medha Tukshetty
Obstetrician and Gynaecologist
27 Years • MBBS, MD GYN OBS
Pune
Apollo Clinic, Viman Nagar, Pune
Consult a Gynaecologist for the best advice
Dr. Karuna Ratwani
Obstetrician and Gynaecologist
11 Years • MBBS, MS( Obstetrics & Gynaecology), F.MAS, FICRS Advanced Diploma in Minimal Access surgery Fellow of International College of Robotic Surgeons Diploma in Reproductive Medicine, Kiel-Germany Masters in Cosmetic Gynaecology , Greifswald-Germany Masterclass in Obstetrics & Gynaecology Ultrasound ( ISUOG, UK)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Vineet Mishra
Infertility Specialist
36 Years • MD, Phd, DSc
Ahmedabad
Apollo Hospitals - Gandhinagar, Ahmedabad, Ahmedabad
Dr. Asawari Kesari Kapoor
Obstetrician and Gynaecologist
23 Years • M.B.B.S, D.G.O(Mumbai) ,D.G.O (C.P.S), D.N.B (OBGY)
Delhi
Apollo Hospitals Indraprastha, Delhi
Dr. Ritika Khurana
Obstetrician and Gynaecologist
16 Years • MBBS, DGO(GYNAECOLOGY AND OBSTETRICS)
Pune
Dr Rupali and Dr Ritika, Pune
Dr. Medha Tukshetty
Obstetrician and Gynaecologist
27 Years • MBBS, MD GYN OBS
Pune
Apollo Clinic, Viman Nagar, Pune
