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Pelvic Imaging

Ultrasound (2D & 3D)

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LHA also offers 2D and 3D Ultrasound to help diagnose symptoms that include pelvic pain, abnormal bleeding and other menstrual problems. Pelvic images are taken to evaluate the bladder, ovaries, uterus, cervix and fallopian tubes to help identify palpable masses such as ovarian cysts or ovarian and uterine cancers.
A transvaginal ultrasound is usually performed to view the endometrium or the lining of the uterus, including its thickness and any associated ovarian abnormality. Transvaginal ultrasounds evaluate the muscular walls of the uterus, called the myometrium to detect uterine anomalies, scars, polyps, fibroids and cancer.
Preparation
You should wear comfortable, loose-fitting clothing for your ultrasound exam. You may need to remove all clothing and jewelry in the area to be examined.
You may be asked to wear a gown during the procedure.
Procedure
The procedure of pelvic imaging is simple and to the point, but the area being studied determines the procedure:

Transabdominal

  • You will start the exam positioned lying face-up on an examination table that can be tilted or moved.
  • A clear water-based gel is applied to the area of the body being studied to help the transducer make secure contact with the body and eliminate air pockets between the transducer and the skin that can block the sound waves from passing into your body.
  • Your radiologist will then press the transducer firmly against the skin in various locations, sweeping over the area of interest or angling the sound beam from a farther location to see an area of concern better.

Transvaginal

  • Transvaginal ultrasound is performed very much like a gynecologic exam and involves the insertion of the transducer into the vagina after emptying the bladder.
  • The tip of the transducer is smaller than the standard speculum used when performing a Pap test.
  • A protective cover is placed over the transducer, lubricated with a small amount of gel, and then inserted into the vagina.
  • Only two to three inches of the transducer end are inserted into the vagina.
  • The images are obtained from different orientations to get the best views of the uterus and ovaries.

Transvaginal ultrasound is usually performed with the patient lying on her back, possibly with her feet in stirrups similar to a gynecologic exam.

Transrectal

  • A protective cover is placed over the transducer, before it is lubricated and then placed into the rectum.
  • The patient usually lies on her side, facing away from the examiner, with the knees and hips slightly flexed.
  • When the examination is complete, the patient may be asked to dress and wait while the ultrasound images are reviewed.

All three ultrasound examinations are usually completed in 30 minutes