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Pelvic Ultrasound and Transvaginal
Ultrasound
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What is the test?
Ultrasound uses sound waves
instead of radiation to generate snapshots or moving pictures of structures
inside the body. This imaging technique works in a manner similar to
radar and sonar, developed in World War II to detect airplanes, missiles,
and submarines that were otherwise invisible. After coating your skin
with a lubricant to reduce friction, a radiologist or ultrasound technician
places an ultrasound transducer, which looks like a microphone, on
your skin and may rub it back and forth to get the right view. The
transducer sends sound waves into your body and picks up the echoes
of the sound waves as they bounce off internal organs and tissue. A
computer transforms these echoes into an image that is displayed on
a monitor.
Pelvic organ ultrasound is
used to monitor pregnancy, find cysts on your ovaries, examine the
lining of your uterus, look for causes of infertility, and find cancers
or benign tumors in the pelvic region. Depending on the view needed,
the ultrasound sensor is placed either on your abdomen (pelvic ultrasound)
or in your vagina (transvaginal ultrasound).
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How do I prepare for the
test?
Your doctor might ask you
to drink a few glasses of water before the test because a full bladder
lifts your intestines out of the way and provides a clearer view of
your pelvic organs. If you're having a transvaginal ultrasound and
have a tampon in place, you'll need to remove it before the test.
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What happens
when the test is performed?
You lie on your back on a
table for the test. For a pelvic ultrasound, after squirting some clear
jelly onto your lower abdomen to help the ultrasound sensor slide around
easily, a doctor or technician places the sensor against your skin.
For a transvaginal ultrasound, the doctor or technician covers a sensor
with a condom and some jelly before inserting it into your vagina.When
the sensor is in place, a picture will appear on a video screen. The
technician or doctor moves the sensor on your abdomen or in your vagina
to see the uterus and ovaries from many different views.
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What risks are there
from the test?
None.
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Must
I do anything special after the test is over?
No.
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How
long is it before the result of the test is known?
If a doctor does the test,
you might be able to get preliminary results immediately; this will
not be possible if a technician performs the test.Whether a doctor
or technician performs the test, he or she records it on a videotape
so that it can be formally reviewed by a radiologist. Your doctor should
receive the radiologist's report in a day or two.
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