Transvaginal Ultrasound

Transvaginal Ultrasound uses a specialized probe that is placed directly into the vagina. This exam obtains more detailed images of the uterus, endometrium (the uterine lining) and ovaries with sound waves. This exam gives a clearer view of the pelvic organs and can help further assess any findings from the pelvic ultrasound.


  • This exam may follow a pelvic (transabdominal) ultrasound which is performed with a full bladder.
  • This exam is completed with an empty bladder.
  • Arrive 15 minutes prior to your scheduled appointment with a prescription if your doctor has given one to you.


  • A pelvic ultrasound with full bladder may be performed first.
  • This exam is completed with an empty bladder.
  • You will lie on your back with your knees raised (as you would for a pelvic exam).
  • A transvaginal probe covered with a sheath and a non-greasy gel is placed inside your vagina. You may be asked to sign a consent form. You may be asked to insert the probe yourself as you would a tampon. The sonographer moves the probe to get the best images. The probe should not be painful. You may feel pressure. If you feel pain, let the sonographer know.


  • Let the technologist know:
    • If you have difficulty emptying your bladder.
    • If you have had recent surgery.
    • If you take any medications.
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