Can vaginal ultrasound check the fallopian tubes?

Although vaginal ultrasound causes greater harm to the female body than B-ultrasound, in general, vaginal ultrasound can also detect various gynecological diseases. The fallopian tube is also an important channel in the female reproductive system. If the fallopian tube is blocked, it will affect the normal conception ability of the woman. So can the Premier League test detect the fallopian tube?

Vaginal ultrasound can detect cystic and solid space-occupying lesions in the fallopian tubes, but when the fallopian tubes are normal, vaginal ultrasound usually cannot clearly see the fallopian tubes. If fallopian tube obstruction is suspected clinically, there are generally several other examination methods. The most commonly used method is hysterosalpingography, which is simple, quick and has a relatively high diagnostic accuracy. The second is hysteroscopic tubal insufflation, which has the characteristics of direct vision, minimally invasive and safety. The third is laparoscopic tubal insufflation, which can not only examine the fallopian tubes, but also observe the pathological conditions of pelvic organs.

What are vaginal ultrasound and abdominal B-ultrasound?

Vaginal ultrasound, also known as vaginal B-ultrasound, also known as intracavitary B-ultrasound, is a method of ultrasonic diagnosis by inserting the B-ultrasound probe into the vagina or rectum. It is particularly suitable for observing pelvic organs in the small pelvis.

Abdominal B-ultrasound is a method of ultrasonic diagnostic examination in which the B-ultrasound probe is placed directly on the lower abdomen of the subject. It can be used to examine the liver, gallbladder, pancreas, spleen, kidneys, prostate, uterus and its appendages.

What is the difference between the two?

1. Abdominal B-ultrasound requires holding urine. You need to drink about 1000 ml of water half an hour to one hour before the examination and hold urine as much as possible until the bladder is full to a certain extent, which is conducive to observation. However, vaginal ultrasound requires urination, and the urine in the bladder must be emptied before the examination can be performed;

2. The examination methods are different. Abdominal B-ultrasound places the probe in the lower abdomen for observation, while vaginal ultrasound places the probe in the vagina for observation. For infertile female patients, it can evaluate ovarian function, observe follicle conditions, and see vaginal ultrasound conditions more clearly. Because the female ovaries are located relatively deep, and the probe of vaginal ultrasound is located in the posterior fornix of the vagina, which is closer to the ovaries.

3. Vaginal ultrasound can detect more female diseases. Because compared with abdominal B-ultrasound, vaginal ultrasound images are clearer and more realistic, and the results are more accurate, so vaginal ultrasound can detect female diseases that cannot be detected by abdominal B-ultrasound. For patients with thickened abdominal wall, deep ovaries, or difficulty in transabdominal examination, transvaginal ultrasound is also more suitable.