A transvaginal ultrasound involves the insertion of an ultrasound probe into the vagina to provide us with the clearest images of your pelvic structures. The procedure should not be painful. Unlike an abdominal ultrasound, the bladder does not need to be full.  

The ultrasonographer will visualize the uterus, ovaries, and sometimes the fallopian tubes. The ultrasound provides information regarding the presence and location of fibroids in the uterus as well as the thickness and appearance of the lining of the uterine cavity (where a pregnancy will implant). Additionally, the ultrasound visualizes the ovaries and allows us to assess how many small follicles are present on your ovaries (antral follicles) as well as the presence of any ovarian cysts.  

Depending on the individual patient and diagnosis, an ultrasound may be performed at a certain time in relation to your menstrual cycle. It may also be repeated to monitor your progress during treatment.