Transvaginal Scan

A transvaginal scan is a diagnostic test that uses high-frequency sound waves to produce images of the uterus, fallopian tubes, ovaries, cervix, and vagina. It is an internal examination, as the ultrasound is taken internally through the vagina.

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Can copper-T be the reason for my heavy and prolonged periods?

Query: Hi doctor, My baby is now 1 year old. I got copper T inserted after 3 months of my delivery. I still have prolonged and heavy periods followed by spotting lasting for up to 10-15 days. There is no other issue that I face. Is it because of copper T insertion or can there be some other reason too? W...  Read Full »

Dr. Purushottam Sah

Answer: Hi, Welcome to I have read and understood your problem. How was the bleeding before pregnancy and for 3 months after delivery? Was your delivery a normal or C-section? Whether the copper-T is properly placed or not or to see some other cause for heavy bleeding you need to take a tr...  Read Full »

Can you please interpret the transvaginal scan report of my wife?

Query: Hello doctor, I would like to discuss fertility issue of my wife. She is 39 years old and has had PCOD. Her transvaginal ultrasonography of uterus and adnexa shows: Uterus is bulky in size AP diameter about 4.1 cm and anteverted in position. Inhomogeneous area is seen in anterior wall of uterus ...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to I can understand your concern. It would be better if you would send me detailed history. Detailed scan report also needed, as in report regarding firboids and adenomyosis need to be clearly defined so better request detailed description of these pathologies from th...  Read Full »

Why are my periods heavy and painful after abortion?

Query: Hi doctor,I am having an issue. Now I had an abortion two months back when I was just a couple days past two months. Now since I did that, my periods have been heavy and very painful. Also, I keep having pelvic pain and sometimes stomach pain. Could I please get some advice on what might be the issu...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to It would be better if you could send me your detailed gynecology, obstetrics, medical, and drug history. Have healthy habits like daily exercise, walk, yoga and a healthy nutritious diet with less salt, sugar, oil and spice. Have a soft diet and complete check-up and t...  Read Full »

I have severe pain in my lower stomach and pubic area. Is it due to recurrent Bartholins cyst?

Query: Hello doctor, I am a female and have had an ulcer. Recently I started feeling severe pain in my lower stomach below the navel region and on my pubis, which goes on day and night. It feels worse when I eat or drink. I cannot sleep at night or day until I vomit all I have eaten. It also comes with ...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to It seems that some medical issue is also going on. It is better to have a consultation with a specialist. You should have transabdominal and transvaginal scans along with complete blood count, urea, creatinine, electrolytes, liver function tests, thyroid function tes...  Read Full »

Why is my endometrium shrinking on 13th day of cycle?

Query: Hello doctor, I am on a 13-day cycle. My endometrium has shrunk to 7.7 which was 7.9 on 11th day. I am on Ecosprin 75 mg, Progynova 2 mg twice a day, Estrogen cutaneous cream. I was on Viagra vaginal insert for five days from day two. Now it has stopped. So, my question is why is my endometrium shr...  Read Full »

Dr. Sameer Kumar

Answer: Hello, Welcome to A change of endometrial thickness from 7.9 to 7.7 mm is minimal and can be due to measuring bias. However, an ET of more than 7 and less than 8.5 mm by mid-cycle is an acceptable thickness for implantation. The medications that you are on are fine and should be continu...  Read Full »

I have delayed periods with a positive pregnancy test. But my transvaginal ultrasound was negative. Why so?

Query: Hello doctor, I missed my period last month, and I also used PT as a reference, and it was all positive. I went to a doctor yesterday to have a transvaginal ultrasound. But the report said negative. Why so? I have had delayed periods for a few months. Two months back, my period was delayed for ten...  Read Full »

Dr. Uzma Arqam

Answer: Hello, Welcome to I read your query and understand your concern. You must take a few blood tests (serum testosterone, serum prolactin, serum progesterone, serum insulin, and thyroid function test) for proper diagnosis. It is always better to confirm pregnancy with a blood pregnancy t...  Read Full »

As the scan was clear, had Medroxyprogesterone to get period. Now, UPT is positive. What to do?

Query: Hello doctor, I am 26 years old. I went to my PCP for a pregnancy test and it was positive. Had an ultrasound a few days later and the technician said he did not see pregnancy in my uterus so he performed a transvaginal ultrasound to see if I was pregnant in my uterus but I was not. I took a pregna...  Read Full »

Dr. Balakrishnan R

Answer: Hi, Welcome to How are you doing? You are about 14 weeks gestation, based on your last menstrual period. At this size, the embryo is easily visible. The blood test will also have high hormonal levels. Pregnancy hormone detected by scan and urine is serum beta hCG. If the fetus is heal...  Read Full »

What can be done to stop the bleeding after a miscarriage?

Query: Hi doctor,I had a miscarriage two weeks ago (three months pregnancy) and I went to the hospital. The doctor told me I have to flush everything out, which I did. But since then I have been having light bleeding with pain until last week. I had a heavy one with a thick clot and something else I cannot...  Read Full »

Dr. Uzma Arqam

Answer: Hi, Welcome to You had a miscarriage and it was managed medically. Post medical induction, you can have bleeding gradually but it can be in episodes and can be extended up to 2 to 3 weeks in form of mild spotting. Stopping of bleeding is not the solution actually. Have one transvagina...  Read Full »

Will the D and C procedures reduce my chances of getting pregnant?

Query: Hello doctor, I have been having the problem of sperm leakage from my vagina immediately after sex for some time now. It comes out in loads which were not like that in years back just before I had a D and C three years back. I have been trying to get pregnant but to no avail and I suspect this coul...  Read Full »

Dr. Eeshani Dutta

Answer: Hi, Welcome to Fertilisation of ova requires a single sperm, and a normal male ejaculate contains millions of them. So sperm leakage should not be the only concern causing your subfertility. You need to go through some tests for you and your partner to rule out other causes as well. D...  Read Full »

Is my pathology report complete without mention of microscopic section?

Query: Hello doctor, I recently underwent hysteroscopy and D and C, and laparoscopic surgery due to postmenopausal vaginal bleeding and a transvaginal ultrasound that showed 1 cm of thickness, a uterine polyp, and an endometrioma on the right ovary. The path report had a gross-section and a diagnosis secti...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to The full pathology report of any tissue includes a gross description, microscopic examination findings, and diagnosis. So, In this way, your report might be written. If cancer is present, then atypical malignant cells in microscopy are seen along with gross growth al...  Read Full »

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