A transvaginal ultrasound uses a slim internal probe to obtain detailed images of the uterus, endometrium and ovaries. It is commonly recommended for pelvic pain, bleeding changes, ovarian assessment and fertility-related imaging.
Ultrasound uses sound waves rather than ionising radiation to create real-time images. Your examination is selected around your symptoms, clinical history and the body area that needs assessment.
At Victoria Medical, the scan is performed through an appropriate clinical pathway. The sonographer will explain the practical steps, and you will receive clear information about reporting and any recommended follow-up.
Written & reviewed by
Victoria Medical Clinical Team
Specialist sonography and consultant-led clinical pathways
What a Transvaginal Ultrasound Can Assess
The scan is optional and is performed only with your consent. A transabdominal scan or alternative plan can be discussed if you do not wish to have an internal examination.
| Area assessed | Why it may be examined |
|---|---|
| Uterus and endometrium | Shape, lining and structural features |
| Ovaries | Follicles, cysts and other visible changes |
| Pelvis | Relevant structures in the lower pelvis |
Preparation Before Your Appointment
Please empty your bladder immediately before the internal scan. If a combined external and internal pelvic examination is planned, arrive with a full bladder first; the team will explain when to empty it.
Preparation summary: Empty bladder — Use the toilet immediately before the internal scan.
What Happens During the Scan
A trained clinician explains the procedure, answers questions and obtains consent. You may request a chaperone and ask to stop at any time. The internal probe is covered and lubricated before gentle insertion.
- Bring any relevant referral letter, previous scan report or test result if you have one.
- Wear clothing that allows straightforward access to the area being examined.
- Tell the clinical team if you are unsure whether this is the right scan for your symptoms.
Results and Next Steps
The examination forms one part of your clinical assessment. Your report and the appropriate next step will depend on the scan findings, your symptoms and relevant history. We can help arrange GP, specialist or urgent-care follow-up where this is clinically appropriate.
When to Seek Urgent Medical Help
Seek urgent help for severe sudden pelvic pain, heavy bleeding, fainting, shoulder-tip pain in early pregnancy, fever with pelvic pain or suspected pregnancy complications.
Ultrasound is not a substitute for emergency assessment. If symptoms are severe, sudden, worsening or accompanied by fainting, breathing difficulty, fever, heavy bleeding or acute testicular pain, seek urgent medical help.
What to Expect at Your Appointment
Check your preparation
Use the toilet immediately before the internal scan.
Attend your appointment
Our clinic is at 170 Vauxhall Bridge Road, two minutes from Victoria Station.
Have your scan
The sonographer explains the examination and captures real-time images of the relevant area.
Understand next steps
You receive information about reporting and any clinically appropriate follow-up.
Frequently Asked Questions
References
- [1]National Institute for Health and Care Excellence. Diagnostic assessment and referral guidance relevant to ultrasound pathways.
- [2]Royal College of Radiologists. Standards for imaging services and patient communication.
- [3]British Medical Ultrasound Society. Professional guidance for safe, effective diagnostic ultrasound practice.
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