Transvaginal Ultrasound Scan in London

At the Gynaecology Clinic in South Kensington, London, we offer specialist transvaginal ultrasound scans to provide an accurate and clear visual of the female reproductive organs. This modern ultrasound method enables our highly qualified consultants to scan the cervix, ovaries, uterus and pelvic structures in high detail; thereby aiding in diagnosing conditions, monitoring fertility, and also assisting in early pregnancy care.

What is transvaginal scan (TVS)?

The term ‘transvaginal’ refers to an internal scan through the vagina. TVS probes have remarkable resolution and can give exceptional information about placenta, foetal anatomy, cervix, womb and other vital structures.

Technically, TVS examination in pregnancy is the same as gynaecological ultrasound. The person doing transvaginal scan during pregnancy must have extremely high level of experience and skill in this field. TVS scan is not mandatory and you may choose to steer clear of this kind of test. Note that we never provide you with TVS in case we are able to get adequate information regarding your pregnancy and baby through transabdominal scan.

When is it necessary to carry out TVS?

• Early pregnancy scan to assess foetal development and viability.
• Cervical length measurement
• Vasa previa screening
• Scan for anomalies in the placenta
• Scan of the scar post C-section
• Other specific circumstances

Why do I require a vaginal ultrasound?

There are a number of reasons why your physician may organise for you to undergo a vaginal ultrasound including:

• Unexplained bleeding from the vagina
• Abnormal abdominal or pelvic examination
• Chronic pain in the pelvis
• Bleeding after the menopause
• Urinary or bladder problems
• To look for abnormalities such as fibroids, cysts, tumours and polyps
• Irregular, heavy or painful periods
• Not having periods
• Swelling of the abdomen
• Ectopic pregnancy – when a fertilised egg implants outside the womb, usually in a fallopian tube.
• To monitorif your intrauterine device (IUD) is in its proper place

Your consultant might also recommend an ultrasound during pregnancy to:

• Confirm your pregnancy during the early stages
• Examine your cervix (the opening of the womb) for any irregularities that may cause miscarriage or premature delivery
• Monitor your baby’s heartbeat
• Scan any unusual bleeding
• Confirm a suspected miscarriage
• Examine the placenta for any irregularities

How to Prepare for a Vaginal Ultrasound?

A vaginal ultrasound will usually take no or minimal preparation. Please empty your bladder just before the transvaginal scan. Even small quantities of urine in the bladder will alter the position of the womb and will degrade the quality of image.

Some preparation that you can do prior to your vaginal ultrasound include:

• Wear loose clothes on your lower half for easy removal
• Take out your tampon if you are menstruating
• Inform your clinician if you are allergic to latex

What does a vaginal ultrasound involve?

Your vaginal ultrasound will be carried out by your gynaecologist. You will need to take your clothes off from the waist down and your clinician will provide you with a sheet to cover up your lower half. You will be required to lie on the examining table with your knees bent and legs apart. If this is uncomfortable, you might be able to lie on your side with your legs pulled up into your chest.

The ultrasound probe is wrapped in a protective sheath (similar to a condom) and lubricated with gel. Your clinician will place the probe into your vagina gently. The probe is quite thin (not much thicker than a finger) and should not hurt but can be a little uncomfortable. You have the option to put the probe in yourself.

The clinicianwill move the probe around gently and examine the images on the screen. A vaginal ultrasound usually lasts for about fifteen minutes to half an hour.

Recovering from Vaginal Ultrasound

No recovery is needed after vaginal ultrasound and you will be able to go home immediately after your test. You should be able to resume normal activities like driving and going back to work immediately.

Why choose Gynaecology Clinic for a vaginal ultrasound?

At Gynaecology Clinic, we possess the expertise and experience to deliver the optimum care and results for our patients. As a patient at our clinic, you can anticipate the highest quality of care including:

• Flexible appointment times and locations to suit your schedule
• Personalised treatment regimes guided by consultant that meet your individual needs
• Safe and comfortable private facilities kept in order by highly skilled multidisciplinary teams
• Standard private ensuite rooms for testing
• Low-cost, fixed-price packages including aftercare
• Flexible payment plans to assist you in funding your care

Frequently Asked Questions

Are vaginal ultrasounds painful?

A vaginal ultrasound should not be painful, but you will experience mild discomfort when the probe is inserted in your vagina. Let your clinician know if you have any pain during your vaginal ultrasound.

Can a vaginal ultrasound diagnose cancer?

A vaginal ultrasound may be able to find a mass or tumour, but it cannot determine whether one is cancerous (malign) or not (benign). If a mass is found, you will have another test called a biopsy where cells are removed and sent to the lab for examination.

Are vaginal ultrasounds safe?

Yes, vaginal ultrasounds are extremely safe. Ultrasound examinations do not utilise ionizing radiation like other scans that include CT scans and X-rays. There are no known risks with vaginal ultrasound exams.

Is it okay to have sex prior to a vaginal ultrasound?

Yes, you can carry on with all your usual activities prior to your vaginal ultrasound. Having sexual intercourse prior to your test will not affect your outcome.

Can a vaginal ultrasound lead to miscarriage?

Vaginal ultrasound is a harmless procedure, and most practitioners recommend it in early pregnancy. There is no known evidence that a vaginal ultrasound will lead to miscarriage.

How long does a vaginal ultrasound take?

Vaginal ultrasound usually takes between 15 and 30 minutes to perform.

Can I get a vaginal ultrasound if I’m menstruating?

Yes. Having your period will not affect the outcome of your vaginal ultrasound. If you would rather postpone your appointment until you are not having your period, please contactyour provider or clinician to arrange an alternative slot for your TVS. 

If you prefer to visit a consultant at our Gynaecology Clinic or find out more about vaginal ultrasound, schedule your appointment online now or callus straight away on 02071832153.