Preparing for Your First Transvaginal Ultrasound: A Guide for Women

If your physician has ordered a transvaginal ultrasound, it’s totally okay to experience a twinge of curiosity and apprehension—particularly if it’s your first time. Although the name can sound ominous, the process is a routine, harmless, and efficient method of inspecting the female reproductive tract more thoroughly.
Here’s what you should know to feel better prepared and more at ease prior to your appointment.
What Is a Transvaginal Ultrasound?
A transvaginal (or internal) ultrasound is a type of pelvic imaging that utilizes high-frequency sound waves to create images of the cervix, ovaries, and uterus, as well as the surrounding tissues. Unlike an abdominal ultrasound, which images from outside the body, this scan utilizes a thin, wand-like probe that is inserted gently into the vaginal canal.
This technique produces better and more precise images, which are particularly useful when assessing symptoms such as pelvic pain, irregular bleeding, or early pregnancy.
Why It’s Done
Physicians can order this scan for many reasons:
- To check abnormal periods or spotting
- To evaluate pelvic pain or potential ovarian cysts
- To track fertility therapy or pregnancy
- To check on uterine conditions such as fibroids or polyps
In most clinics providing TV ultrasound in the Philippines, the procedure is routine for early pregnancy scans and gynecological check-ups.
How to Prepare for Your Appointment
1. Ask Your Doctor for Specific Instructions
Some doctors will require you to come with an empty bladder, but others might need a half-full one depending on what will be checked. Always check ahead of time.
2. Wear Comfortable Clothing
You will be requested to remove your clothes from the waist down, so it’s easier if you wear a skirt or loose pants.
3. Express Any Concerns
It’s perfectly all right to inform your doctor or sonologist if you feel anxious. They are professionals trained to take you through the procedure with tact and professionalism.
4. Timing Your Scan
If you are not pregnant, the date of your scan may be related to your menstrual cycle. For certain conditions, it is optimal at a specific point in the cycle — you’ll be advised by your OB-GYN accordingly.
What to Expect During the Procedure
You’ll lie on an exam table, usually with your knees bent. The probe is covered with a sheath and gel for comfort and hygiene. While it may feel unusual, it shouldn’t be painful. Most scans are completed in about 15 to 30 minutes.
If you are not sure if this procedure is for you, an online consultation can assist. On sites like NowServing PH, you can consult with a licensed OB-GYN in the comfort of your own home and receive professional guidance before scheduling a transvaginal ultrasound at a local clinic. Being prepared and knowing what to expect can make your process easier, less stress-inducing, and more empowering.