Ultrasound examination – a safe non-invasive examination with the use of ultrasound waves in order to produce images of tissues and organs in the lower abdomen and pelvis. A Doppler ultrasound examination makes it possible to assess the blood flow in the examined organs and vessels of the pelvic area. Pelvic Ultrasound does not include ionizing radiation. 

As for women, Pelvic Ultrasound is most commonly used for the assessment of: bladder, uterus and endometrium (inner mucous membrane of the uterus), cervix and fallopian tubes. In addition, ultrasound is used to diagnose pregnancy. Pelvic Ultrasound helps detect the reasons of the following symptoms: abdominal pain, abnormal bleeding from the genital tract, menstrual irregularities. Also, Ultrasound is used to prove the diagnose in case of pathological formations in the pelvis (ovarian cysts, uterine fibroids, etc.).

Preparation for Pelvic Ultrasound

For the Transabdominal examination, the urinary bladder should be full. The patient should not urinate prior to the procedure for 3-4 hours and has to drink a liter of non-carbonated liquid one hour before the procedure. In addition, a patient has to have cleansing enema done before the procedure. Transvaginal examination is performed with an emptied bladder (including determination of pregnancy in the early stages).

Development of the procedure

Transabdominal Ultrasound

First of all, the patient is asked to take off all jewelries and clothes. The bladder must be full. During the procedure, the patient is lying face-up on a couch, which can be moved. Then, the doctor applies a water-based gel to the studied area, to make secure contact of the transducer with the skin. After that, the specialist moves the transducer back and forth over the studied area. The sound waves penetrate the tissue at different angles, which helps to examine the organ thoroughly.

Transvaginal Ultrasound

Transvaginal Ultrasound is carried out to assess the condition of the endometrium, myometrium and ovaries. The procedure is usually painless and accompanied by little discomfort. This examination is often less pleasant then pelvic exam.

The procedure is similar to the pelvic exam: includes insertion of the transducer into the vagina, when the bladder is emptied. Usually during Transvaginal Ultrasound, the patient is lying face-up with extended legs. A disposable condom is placed over the transducer, lubricated with a small amount of gel, and after that, the part of transducer (4-5 cm) is inserted into the vagina. In order to take many different pictures to assess fully the condition of the uterus and ovaries, the transducer is rotated at different angles. After the procedure, the specialist signs a statement with the results of the examination, which should be shown to the patient’s permanent doctor.

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Артур Суренович

Врач акушер-гинеколог, врач УЗИ-диагностики, гинеколог-эндокринолог. Опыт работы более 20 лет.

Лилия Наилевна

Кандидат медицинских наук, врач акушер-гинеколог, врач ультразвуковой диагностики. Опыт работы более 12 лет.

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