Women's Wellness 3 MIN READ 23 VIEWS July 30, 2025

What Does a Transvaginal Ultrasound Show? A Complete Guide

Written By HealthKart
Medically Reviewed By Dr. Aarti Nehra

what is a transvaginal ultrasound

When you’re early in your pregnancy, undergoing fertility evaluations, or experiencing unusual symptoms down there, your gynaecologist may suggest doing a transvaginal ultrasound over a traditional pelvic ultrasound.

While both techniques use sound waves for organ imaging, the former provides a closer and more detailed view of your reproductive organs. Scroll down to know the answers to what does a transvaginal ultrasound show, what to expect from the procedure, and other concerns.

What Is a Transvaginal Ultrasound?

A transvaginal ultrasound is a modern technique that utilises a specially designed probe to emit high-frequency sound waves for organ imaging. The probe is inserted into the vagina to create images of the uterus, ovaries, fallopian tubes, cervix, and surrounding tissues.

The pelvic ultrasound vs transvaginal ultrasound difference lies only in the procedure, while the technique remains the same, i.e., sound waves.

  • In a pelvic ultrasound, the probe device is used externally. It is moved in the abdomen and helps image a broader area. It can be done in stages of pregnancy.
  • In a transvaginal ultrasound, the probe is inserted into the vagina for better imaging and health assessment of internal organs. This one is only to check health status during the early stages of pregnancy.

Your doctor may prescribe either of these depending on what insights they’re seeking.

What Does A Transvaginal Ultrasound Show?

Your gynaecologist or obstetrician may recommend getting this test done as it can help reveal a variety of reproductive health conditions. As per an NIH study, the transvaginal ultrasound results may help detect:

What Does A Transvaginal Ultrasound Show?

  • Uterine fibroids and polyps
  • Ovarian cysts and tumours (PCOS/PCOD symptoms)
  • Endometrial thickness (linked to fertility or menstrual issues)
  • Pelvic inflammatory disease (PID)
  • Ectopic pregnancy or other early pregnancy complications
  • Fetal heartbeat during early pregnancy
  • Any structural abnormalities in the uterus
  • Miscarriage

If you’re planning for pregnancy or going through fertility treatments, this ultrasound can help track ovulation and increase your chances of conception.

Now that you have an idea about what does a transvaginal ultrasound shows, let’s take a look at the procedure involved.

Transvaginal Ultrasound Procedure

Understanding the process of a transvaginal ultrasound scan can help you plan accordingly and prepare in advance. This is the standard procedure:

  1. Before the scan, your doctor may ask you to drink a lot of water so that your bladder is full. In other cases, they may ask you to pee and empty your bladder before the scan. This is because fluids affect the propagation of sound waves and the visibility of the organs. In any case, they would let you know in advance.
  2. At the time of the scan, you’ll be positioned comfortably on the examination table as the technician does the ultrasound.
  3. A specialised device called a transducer will be inserted into the vagina to create images of your reproductive organs. 
  4. The technician will move the transducer to capture different angles and obtain the necessary images.
  5. The technician may take measurements of the structures and note any specific findings to assist in the evaluation. 

How long does a transvaginal ultrasound take? The entire process may take 15 minutes to 1 hour to complete, and have detailed images. 

There’s one more common question that women have: does a transvaginal ultrasound hurt? You may experience mild pressure or discomfort if you are tense, but it should not be painful. If you feel transvaginal ultrasound pain, inform your doctor beforehand.

Interesting fact about transvaginal ultrasound

As far as safety is concerned, transvaginal ultrasound early pregnancy is totally safe. There are no risks involved. Unlike radiation, ultrasound poses no risk to your health or the health of your baby.

It is also safe from a sanitation perspective. The probe is thoroughly sanitized and covered with a disposable sheath for hygiene.

Transvaginal Ultrasound Cost in India

In India, the cost of this ultrasound varies depending on the location and the type of medical facility. Typically, you can expect a bill ranging from ₹500 to ₹1,500. Some diagnostic centres have different pricing structures and may charge up to ₹2,500.

Read More: What is Cryptic Pregnancy and How Does It Go Unnoticed?

To Sum Up

A transvaginal ultrasound is a helpful scan that aids in diagnosing and managing women’s health issues by providing assessments of the internal organs, such as the ovaries, uterus, and bladder, as well as tracking ovulation.

It is beneficial for women when they face reproductive concerns or simply want to ensure their well-being. Consult your doctor and consider prices to make an informed decision about your health and well-being.

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