Can I do vaginal ultrasound in early pregnancy?

Vaginal ultrasound examination can be performed during early pregnancy, and there is no need to hold urine during the examination. Don't be nervous and try to relax your body as much as possible during the examination. Being too nervous will affect the examination. There is no need to worry about gynecological and infectious diseases, because disposable condoms will be put on the instrument during the examination.

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 (i.e. "ectopic pregnancy"), is a clinical emergency and may lead to death if not treated in time.

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.

6. The patient needs to lie flat on the bed, relax the body and don't be nervous. Excessive nervousness will affect the examination results.

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 pelvic adhesion.