Transvaginal Ultrasound

Transvaginal ultrasound is an internal ultrasound which involves scanning with the ultrasound probe placed just inside the vagina. This type of ultrasound is ideal when imaging your pelvis area as the transducer is positioned close to relevant structures.

The transducer is usually placed on the abdomen or pelvis to obtain diagnostic images. The success of this method is limited by the ability of the sound waves to reach the area of interest. The closer these sound waves are to the organs, the more detailed the resulting images.

In some cases examination of the female pelvis can be performed via pelvic ultrasound, transabdominally (with the transducer being placed on the stomach). However, as the ovaries and uterus lie deep beneath the abdominal surface it can be difficult to obtain clear images.

Your doctor can often obtain more information from a transvaginal ultrasound examination than from scanning through the abdomen. A vaginal transducer brings the ultrasound beam very close to the uterus and ovaries, making it much easier to obtain detailed images of the pelvic organs.

In most instances, transvaginal ultrasound will be offered in addition to transabdominal ultrasound, when the clinical question has not been clearly answered.

Transvaginal ultrasound is used to check for infertility problems, ectopic (tubal) pregnancies, first trimester pregnancies, examining the lining of the uterus in abnormal bleeding and examining the ovaries of post-menopausal women for ovarian cancer.

Image Services Ultrasound Transvaginal


  • Preparation before your ultrasound is very important. Please follow the instructions given to you at the time of booking carefully and thoroughly. We recommend you wear a separate top to bottoms during your appointment as this makes changing for the examination easier.

    When a pelvic (transabdominal) ultrasound examination is requested, a full bladder is necessary to provide a clear window to the uterus.

    Once the decision has been made to perform a transvaginal ultrasound examination, you will be asked to empty your bladder.

  • Transvaginal ultrasounds are performed alongside a normal ultrasound and are useful as it allows the sonographer to get closer to the area they are imaging. This part of the scan will only take a short amount of time and the sonographer will do everything they can to make you feel comfortable.

    You will be asked to empty your bladder before this part of the scan. For the transvaginal ultrasound examination the vaginal transducer is covered in a disposable, protective rubber sheath. Usually, the patient is asked to insert the transducer into the vagina with assistance from the sonographer. The insertion of the vaginal transducer is similar to the insertion of the vaginal speculum that most women have experienced, during a pap smear examination.

    Once the transducer is in position, the sonographer moves it to image the pelvic organs. Only a small portion of the transducer will be placed in the vagina. The transducer’s long length provides a handle for the sonographer to grasp. The transvaginal ultrasound examination is recognised as being safe, with minimal discomfort.

  • Each of our practices use a variety of equipment including Philips, Toshiba and GE machines.

    Your ultrasound will be performed by a sonographer who is a specially trained medical professional.

    The images captured by the sonographer are viewed by a radiologist who will provide a report of findings.

Watch: Having a Transvaginal Ultrasound with Queensland X-Ray

How much will it cost?

Fees for radiology procedures will vary depending on a variety of factors. We will advise you about the cost of your service at the time of booking but if you do have any questions, contact us and one of our team will be happy to help with your query. You can read more about our billing information here.

How do I access my images?

At Queensland X-Ray, we provide our patients with their images and results online. To access your images and results, you’ll need to register for an account when you visit one of our practices. If you’ve already registered, you can access the Patient Portal here.

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