A vaginal ultrasound is a procedure performed by obstetricians and gynecologists that uses high-frequency sound waves to image the uterus, ovaries, and surrounding tissues. A special probe inserted through the vagina allows for a clear assessment of the uterine lining, ovarian cysts , fibroids, infections, and early pregnancy. The procedure typically takes 5–10 minutes, is painless, and does not require anesthesia .

What is Vaginal Ultrasound (USG)? (Transvaginal / Endovaginal Ultrasound)

A vaginal ultrasound, also known as a transvaginal ultrasound or endovaginal ultrasound, is a radiological imaging method used to closely examine the female reproductive organs (uterus, ovaries, cervix, and surrounding tissues). It is performed using a thin ultrasound probe inserted through the vagina, rather than through the abdomen. This allows for much clearer visualization of conditions such as the endometrium, ovarian cysts, fibroids, or early pregnancy. This method is considered the gold standard , particularly in gynecological evaluations and early pregnancy checks . It is radiation-free, operates entirely using sound waves, and is safe.

How is a Vaginal Ultrasound (USG) Performed?

The procedure is usually performed by a radiology or obstetrician-gynecologist. The patient lies supine on an examination table, legs positioned in gynecological position. A protective sheath (usually a disposable condom) is placed over the ultrasound probe, and gel is applied. The probe is inserted a few centimeters into the vagina, and images are viewed on a monitor. The patient experiences no pain or discomfort during the procedure, only a slight pressure. It typically takes 5–10 minutes to complete.

In Which Diseases is Vaginal Ultrasound (USG) Performed?

Vaginal ultrasound is used to diagnose many conditions affecting the female reproductive system. Among the most frequently evaluated conditions are:

• Myoma, cysts and polyps

• Endometriosis

• Thickening of the uterine lining

• Ovarian reserve measurement

• Fluid accumulation in the tubes ( hydrosalpinx )

• Early pregnancy follow-up

• There is a risk of miscarriage or investigation of the causes of intrauterine bleeding.

This procedure is frequently preferred for monitoring ovulation, especially in women undergoing infertility treatment .

For Which Complaints is Vaginal Ultrasound Performed?

Doctors often request this examination for complaints such as irregular menstrual periods, pelvic pain, vaginal bleeding, post-coital pain, abdominal bloating, or suspected pregnancy. Additionally, in postmenopausal women experiencing bleeding, the thickness of the uterine lining is measured in detail with a vaginal ultrasound.

What can be seen with a vaginal ultrasound?

This method allows detailed examination of the uterus, endometrium, ovaries, cervix, and surrounding pelvic tissues. Because the image quality is clearer than with abdominal ultrasounds, smaller fibroids or cysts are more easily detected.

Preparation Before Vaginal Ultrasound

The bladder is generally required to be empty before the procedure . Therefore, the patient must have urinated. Fasting or any special medication preparation is not required. It can also be performed during menstruation; however, if there is excessive bleeding, the doctor may postpone the procedure.

What to Do After Vaginal Ultrasound

No special care is required after the procedure. Occasionally, a slight discharge from gel residue may occur, which is normal. You can return to your daily routine, work, or diet immediately. If you experience any pain, bleeding, or discomfort, please notify your doctor.

Vaginal Ultrasound Disadvantages and Risks

A vaginal ultrasound is not known to cause any harm because it does not involve radiation . However, some women may experience mild discomfort, embarrassment, or nervousness. This depends entirely on individual preferences. It is generally not performed on young girls who are not sexually active; an abdominal ultrasound is preferred instead.

Advantages of Vaginal Ultrasound

• Provides high resolution images.

• It is extremely valuable for early diagnosis.

• The condition of the embryo can be seen clearly in the first weeks of pregnancy.

• The procedure is quick, safe and painless.

Vaginal Ultrasound Alternative Methods

If a vaginal ultrasound is not suitable, an abdominal ultrasound (pelvic ultrasound) or, for further evaluation, an MRI ( Magnetic Resonance Imaging ) may be preferred. However, the most accurate results are obtained with vaginal ultrasound in early-stage gynecological conditions and pregnancy.

Vaginal Ultrasound Uses

• Pregnancy follow-up (early weeks)

• Infertility treatment

• Postmenopausal evaluation

• Monitoring of uterine and ovarian masses

• Ovarian monitoring in in vitro fertilization (IVF) applications

Vaginal Ultrasound (USG) Social Security and Private Insurance Payments

The Social Security Institution (SGK) covers vaginal ultrasounds ordered by a doctor and deemed medically necessary. Private health insurance companies also generally cover this procedure, depending on the policy. However, private hospitals without insurance agreements may charge an additional fee.

In Which Department Is Vaginal Ultrasound Performed?

The procedure is usually performed in the Radiology department or the Obstetrics and Gynecology unit. The reporting process is carried out by a radiologist.

Who Should Not Have Vaginal Ultrasound?

It is not performed on patients with no sexual experience, as vaginal insertion does not allow for the probe to be inserted. Furthermore, the procedure may be postponed in cases of active vaginal infection or painful vaginal conditions.

What Does a Vaginal Ultrasound Show?

With this method, intrauterine polyps, myomas , ovarian cysts, causes of bleeding, gestational sac, intrauterine adhesions and fluid accumulations related to the tubes can be clearly seen.

Where can I get a Vaginal Ultrasound (USG) in Ankara?

Many private hospitals, medical centers, and public hospitals in Ankara offer this procedure. Ankara Magnet Hospital, in particular , offers same-day appointments and expedited reporting.

Vaginal Ultrasound (USG) Prices

Vaginal ultrasound prices vary in private hospitals. Prices may vary depending on the city where the hospital is located, the doctor's level of expertise, and the patient's insurance status.

Vaginal Ultrasound Ankara Magnet Hospital Same Day Appointment

Same-day vaginal ultrasounds are available by appointment at Ankara Magnet Hospital. The hospital has a social security agreement with the Social Security Institution (SGK), and radiologists perform the scans, and the results are typically delivered to the patient within 30 minutes.

Frequently Asked Questions

When will the results be available?

It is usually reported on the same day.

How many cm is the vaginal ultrasound device?

A vaginal ultrasound probe is usually 2–3 cm in diameter and 10–12 cm long. Only a few centimeters of it is inserted into the vagina.

What is checked with a vaginal ultrasound?

With this ultrasound, the uterus, endometrium, ovaries, tubes and surrounding tissues are examined in detail.

Is vaginal ultrasound painful?

It's usually not painful; you may only feel a slight pressure. Because a thin, gel-filled probe is used, the procedure is quite comfortable.

Can ovaries be seen in vaginal ultrasound?

Yes, the ovaries are clearly visualized. This allows for assessment of ovulation status, cysts, or polycystic appearance.

How many minutes does a vaginal ultrasound take?

The process usually takes 5–10 minutes to complete. This time may be longer if a detailed examination is required.

Is vaginal ultrasound dangerous?

No, it's a harmless and safe procedure. It doesn't involve radiation; imaging is done using only sound waves.

Can uterine cancer be seen on a vaginal ultrasound?

Yes, findings such as thickening or irregularity in the uterine wall can raise suspicion of uterine cancer. However, a biopsy is required for a definitive diagnosis.

Can a vaginal ultrasound be performed during menstruation?

It is not generally preferred because bleeding can obscure vision. However, if deemed necessary by your doctor, it can be performed during menstruation.

Is the vaginal ultrasound device hygienic?

Yes, before each use, a disposable protective cover (condom) is placed and the probe is sterilized with special solutions.

Can a cyst be seen in a vaginal ultrasound?

Yes, ovarian cysts can be clearly detected with a vaginal ultrasound. The cyst's size, structure, and fluid content are easily assessed.

Does vaginal ultrasound break virginity?

No, it is not possible. For single and virgin women, an abdominal (pelvic) ultrasound is performed instead of a vaginal ultrasound.

Can fibroids be seen in vaginal ultrasound?

Yes, fibroids (fibroids) inside or outside the uterus can be visualized in detail. Ultrasound is very effective in determining the location and size of the fibroid.

What is the difference between a vaginal ultrasound and a regular ultrasound?

A standard (abdominal) ultrasound provides imaging through the skin; a vaginal ultrasound provides a closer and clearer image from inside the vagina. The structures of the uterus and ovaries, in particular, are examined in greater detail.

At what week is the sac seen on vaginal ultrasound?

The gestational sac can usually be seen on a vaginal ultrasound between weeks 4 and 5. This is the most sensitive imaging technique for detecting early pregnancy.