Ultrasound & Imaging · OrduWhen is transvaginal ultrasound used?
An internal scan may be suggested for irregular periods, unusual bleeding, pelvic pain or assessment of an ovarian finding. It can show the size and structure of the uterus, the uterine lining and the ovaries. The areas examined in detail depend on the reason for your appointment.
For example, a scan requested for irregular menstrual bleeding has a different focus from one used in fertility assessment. The appearance of the uterine lining changes throughout the menstrual cycle. Your last period, bleeding pattern and any hormonal medicines are therefore relevant.
Ultrasound can also help monitor ovarian follicles or assess early pregnancy. A single image does not measure egg quality or determine whether you will conceive in the future. The report should be explained in relation to the question the examination was intended to answer.
Abdominal and transvaginal ultrasound compared
Positioning the probe closer to the pelvic organs can provide clearer detail for certain structures. Abdominal ultrasound is performed with a probe on the abdomen. The methods sometimes complement each other; the best approach depends on the information required and the individual situation.
If you do not want an internal examination, say so at the start. You can discuss what an alternative approach may show and which questions could remain unanswered. Sexual history, previous painful examinations or vaginismus are relevant to planning an examination that respects your boundaries.
Consent, privacy and preparation
Before the scan, the clinician should explain why it has been suggested and what it involves. You can ask questions, decline or ask for it to stop after it has started. You do not need to wait until the examination is finished to mention discomfort.
An empty bladder is generally preferred for the internal scan. Preparation can differ if an abdominal scan is planned first, so check your appointment instructions. Having a period does not usually prevent the examination, although a specific cycle day may be selected for certain assessments.
Remove a tampon or menstrual cup before the scan. Mention a latex allergy, vaginal pain or bleeding. You can also discuss privacy arrangements and request a healthcare chaperone to be present.
During and after the scan
A cleaned probe with a protective cover and gel is gently inserted into the vagina. It is moved slightly to obtain views and does not pass through the cervix into the uterus. A standard transvaginal ultrasound does not require a speculum.
You may feel pressure or mild discomfort; report significant pain immediately. Anaesthesia is not usually needed, and normal daily activities can generally be resumed afterwards. If another procedure is performed at the same visit, its aftercare instructions also apply.
A dark area on the screen is not automatically a cyst or a disease. Images and measurements are assessed alongside normal cycle changes and your symptoms. Ask for the significant findings and any follow-up needs to be explained before leaving.
Understanding findings and the need for further tests
An internal scan cannot show every cause of pelvic pain or every microscopic change. Persistent symptoms may still need assessment even when the images appear normal. Depending on the bleeding history and other factors, tissue sampling or another imaging method may be considered.
Standard transvaginal ultrasound is also not a reliable test of whether the tubes are open. If tubal patency needs assessment, a different investigation such as hysterosalpingography (HSG) may be considered. Ask what additional information a proposed test is expected to provide.
Preparing for your appointment in Fatsa, Ordu
Bring your last menstrual date, previous reports and a medicine list to the consultation in Fatsa. A short record of when pain or bleeding occurs may help explain the symptoms. If you previously had an abdominal scan, bring that report as well.
When travelling from Ünye, Perşembe or neighbouring districts, confirm any fasting and bladder instructions in advance. If a particular cycle day is needed, use that information when planning the trip. Mentioning privacy or chaperone preferences beforehand can also help you prepare for the appointment.
Conclusion
Transvaginal ultrasound can provide useful information about the uterus and ovaries when clinically appropriate. Consent, comfort and a clear explanation of the findings are central to the examination. Sharing your preferences when planning a consultation in Ordu helps guide the approach and any next steps.
Clinic Address
The consultation practice is in Fatsa, Ordu. Use the contact details for appointment, location and follow-up information.
Frequently asked questions
Can I have an internal scan during my period?
Usually yes. A particular day may still be preferred for a specific uterine or fertility assessment; check the instructions before cancelling an appointment.
Can I stop the scan if it hurts?
Yes. You can withdraw consent and ask for the scan to stop. Mentioning pain or anxiety allows the method and next steps to be reconsidered.
Does an internal ultrasound replace cervical screening?
No. Ultrasound produces images of organs, while cervical screening examines a cervical sample. Having one does not establish that the other is unnecessary.
Can transvaginal ultrasound be used during pregnancy?
It can be used when clinically appropriate, particularly in early pregnancy. The reason for the approach and alternatives should be explained, and your consent is required.
About this article
Consultation and individual assessment
Op. Dr. Cennet Ay TokObstetrics & Gynecology Specialist · Fatsa, Ordu
Editorial details
- Content preparation
- Editorial information prepared using the medical sources listed below.
- Medical review
- The content update date does not indicate that a physician has medically reviewed this article.
Sources
Medical references used to prepare this article. Links open the original publications in a new tab.
- Cambridge University Hospitals — Ultrasound scan of the pelviscuh.nhs.uk
- ACR/RSNA — Pelvic ultrasoundradiologyinfo.org
- Chelsea and Westminster Hospital — Pelvic ultrasoundchelwest.nhs.uk
- NHS — Consent to treatmentnhs.uk
- ASRM — Fertility evaluation (2026)asrm.org
This article provides general information and does not replace a medical consultation. Diagnosis, treatment suitability and follow-up are determined individually after a clinical assessment.
