Purpose of transvaginal ultrasound during menstruation

The purpose of doing transvaginal ultrasound on the third day of menstruation is to check the basic condition of the uterine wall, because this time reflects the most basic condition of the uterine wall. Vaginal ultrasound is very suitable for monitoring ovulation, diagnosing ectopic pregnancy, uterine space-occupying diseases, and diagnosing polycystic ovary syndrome and chocolate cysts. For women who have had sexual intercourse, vaginal examination can be performed, and for Virgos, duodenum can be examined by B-ultrasound.

Purpose of transvaginal ultrasound during menstruation

The purpose of doing transvaginal ultrasound during menstruation is mainly to check the size of the uterus and ovaries, the thickness of the uterine wall, the inflammation of both fallopian tubes and the number of antral ova in the uterus and ovaries, to evaluate the reserve function of the uterus and ovaries, to see whether the patient has ovarian cysts in the previous cycle, and to determine whether the patient's uterine and ovarian ovulation function is normal.

During the menstrual period, the immune system decreases and the cervix is ​​basically open to the outside world. When doing intravaginal ultrasound, the camera needs to enter the woman's vagina for examination. Blood may accumulate in the woman's vagina, which can easily cause the bacteria in the woman's vagina to spread and infect the uterine cavity and pelvis, causing gynecological diseases. Unless there are unique reasons, intravaginal color Doppler ultrasound examination is generally not recommended.

Scope of application

1. The sonographic manifestations of the uterine wall during a normal menstrual cycle and the perfect and immature follicles in normal uterine and ovarian follicles (the so-called "ovulation detection").

2. Benign uterine tumors: 1. Adenomyosis; 2. Uterine fibroids.

3. Uterine malignant tumors: 1. Endometrial cancer; 2. Cervical cancer.

4. Non-neoplastic cysts of the uterus and ovaries: 1. Polycystic ovary syndrome; 2. Chocolate cyst.

5. Uterine and ovarian tumors.

6. Confirm the diagnosis of early pregnancy as soon as possible.

7. Abnormal early pregnancy, especially ectopic pregnancy (i.e. "ectopic pregnancy"), because ectopic pregnancy is a clinical medical crisis, and if not treated promptly, it may lead to death.

Inspection method

1. Generally, a basic gynecological examination is performed first before the procedure is carried out.

2. Ask the patient to urinate and take the lithotomy position.

3. Cover the camera inside the vagina with a disposable condom and apply a disinfectant coupling agent inside and outside the condom.

4. The operator wears gloves, holds the camera handle with his left hand, and slowly inserts the camera into the vaginal vault.

5. During operation, tilt, slide the door, and rotate the camera handle to observe the entire pelvic structure.

6. The patient needs to lie flat on the bed, relax the body, and do not be nervous. Stress and anxiety will affect the test results.

Advantages of vaginal ultrasound

The intravaginal camera has certain advantages over abdominal exploration:

Blood pressure is sensitive to uterine artery and uterine ovarian blood and has a high information display rate.

Blood reduces inspection time and obtains accurate Doppler bands.

There is no need to fill the bladder to supplement.

Weight-bearing will not be affected by body obesity, abdominal scars, intestinal gas, etc.

At full term, the movement of the top of the camera is used to find the painful position of the pelvic organs and determine whether there is adhesion in the pelvis.