Is vaginal ultrasound painful? How long does it take?

Vaginal ultrasound is the abbreviation of vaginal B-ultrasound. The process is to insert the B-ultrasound probe into the vagina or rectum for examination. It usually does not take long, about five minutes, and there is no need to hold urine. The pain is within the acceptable range for the human body. The image of vaginal ultrasound is clearer than that of abdominal B-ultrasound, and the results are more accurate. Therefore, there is no need to be nervous during the examination, just relax.

1. Advantages of vaginal ultrasound:

Vaginal probe has certain advantages over abdominal exploration:

1. It has high sensitivity and display rate to uterine artery and ovarian blood flow.

2. Shorten the inspection time and obtain accurate Doppler spectrum.

3. No need to fill the bladder.

4. Not affected by body type obesity, abdominal scars, intestinal gas distension, etc.

5. Use the movement of the probe tip to find the tenderness of the pelvic organs to determine whether there is adhesion in the pelvis.

2. Indications

1. Sonographic manifestations of the endometrium during a normal menstrual cycle and the mature and immature follicles in normal ovaries (the so-called "ovulation detection").

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

3. Uterine malignancies: 1. Endometrial cancer; 2. Cervical cancer.

4. Non-neoplastic ovarian cysts: 1. Polycystic ovary syndrome; 2. Chocolate cyst.

5. Ovarian tumor.

6. Make a clear diagnosis of early pregnancy as early as possible.

7. Abnormal early pregnancy, especially ectopic pregnancy (also known as "ectopic pregnancy"), is a clinical emergency and may lead to death if not promptly treated.

3. Inspection method

1. It is usually performed after a routine gynecological examination.

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

3. Cover the vaginal probe with a disposable condom and apply disinfectant coupling agent inside and outside the condom.

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

5. Tilt, push, pull, and rotate the probe handle during operation to observe the entire pelvic structure.