What should you pay attention to when doing gynecological color Doppler ultrasound examination through the vagina

Vaginal ultrasound is an examination performed using an instrument inserted into the vagina, so before the examination you must ask the patient whether she is a virgin. Also, vaginal examinations cannot be performed during menstruation or when there are symptoms of irregular vaginal bleeding, because the instrument needs to be inserted into the vagina, and if there is a wound, cross infection is very likely to occur.

What does vaginal ultrasound check?

Transvaginal color ultrasound is an examination item in the hospital and is sometimes used to check the patient's condition. But this is not a particularly commonly used examination, so many people don't know much about it. So, what does vaginal color Doppler ultrasound check? What diseases is it mainly used for?

Vaginal color ultrasound uses a high-frequency probe with powerful functions. It is mainly used for the examination of gynecological diseases. This technology can monitor the development of ovarian follicles, clearly observe pelvic organs and small lesions, and detect the blood flow of the uterus and ovaries. In addition, it can also diagnose early pregnancy, early ectopic pregnancy, uterine and ovarian tumors, early endometrial lesions, pelvic abscesses, inflammatory masses and other lesions, and the examination results are relatively accurate.

Since transvaginal color ultrasound requires a probe to be placed through the vagina, patients who have never had sexual intercourse in the past should never use this method. Generally, doctors will ask the patient about this before doing transvaginal color ultrasound. In addition, patients with heavy vaginal bleeding, such as those who are menstruating, have irregular vaginal bleeding or have vaginal inflammation, are not suitable for transvaginal color Doppler ultrasound because there may be a risk of infection and cross-infection. In addition, generally speaking, it is best to do transvaginal color Doppler ultrasound three to four days after the menstruation is over.

How to do vaginal color Doppler ultrasound

After understanding what vaginal color ultrasound examines, some people still want to know how it is done specifically and whether it will cause any damage. So, let me show you how to do transvaginal color ultrasound.

Vaginal color ultrasound examination is different from other examinations. It does not require holding urine. Married women and women who have had sexual life can do this examination. It can shorten the examination time and there is no need to wait. Raising the hips during the examination will help show the anterior pelvic structures. Transvaginal ultrasound can clearly show the shape, size, follicles, and blood flow of the uterus, endometrium, and bilateral ovaries. It is clearer than abdominal ultrasound and the diagnostic results are more accurate. However, please note that women who have not had sexual life are not suitable for this examination.

It is a method of inserting the B-ultrasound probe into the vagina or rectum for ultrasonic diagnosis. Another probe is added to the ultrasound machine, and the vaginal probe is covered with a disposable condom. The inside and outside of the condom are coated with a disinfectant coupling agent. The doctor or the patient wears gloves and inserts the probe into the vagina for examination. During the operation, the probe handle is tilted, pushed, pulled, and rotated to observe the entire pelvic structure, with a focus on examining the cervix and endometrium. Vaginal color ultrasound is particularly suitable for observing pelvic organs in the small pelvis, monitoring ovulation, confirming ectopic pregnancy, uterine space-occupying diseases, and diagnosing polycystic ovary syndrome and chocolate cysts.

Precautions for vaginal color Doppler ultrasound

Because transvaginal color ultrasound examines women's private parts, it generally has more taboos, so as to protect the patient's safety, health and privacy. So, what are the precautions for vaginal color Doppler ultrasound?

First of all, when doing transvaginal color Doppler ultrasound, doctors will generally ask patients whether they have had sexual intercourse. Because this is an examination that requires inserting the probe into the vagina, it is generally not suitable for women who have not had sexual intercourse. Secondly, this method is not suitable for people with vaginal bleeding, such as irregular vaginal bleeding during menstruation. It is also not suitable for people with infectious diseases (such as vaginitis, sexually transmitted diseases) and other cervical diseases, vaginal diseases and some vulvar diseases to prevent infection, cross-infection and bleeding and other adverse consequences. If you have problems in these areas, you should remind your doctor in time and avoid transvaginal color ultrasound. In addition, the lower body clothing must be taken off during the examination, so the patient can wear clothes and shoes that are easy to take off and change, which can also save time.

Because vaginal color ultrasound examination has the advantages of being non-toxic, harmless, and having no side effects, and its accuracy rate is relatively high, it has become an indispensable means of examining and diagnosing gynecological diseases. Understanding the special preparations required for vaginal color ultrasound examination, mastering the precautions for gynecological color ultrasound, and cooperating with the examination will facilitate the correct diagnosis of the disease.