Is vaginal B-ultrasound painful? Tips to make vaginal B-ultrasound no longer a nightmare

Vaginal B-ultrasound is abbreviated as vaginal ultrasound. Like the B-ultrasound we usually say, it is an ultrasonic examination. This examination is common in clinical practice, and many kinds of diseases can be differentially diagnosed through vaginal B-ultrasound. In the identification of gynecological problems, abdominal B-ultrasound examinations often require holding urine, which patients usually feel inconvenient, but vaginal B-ultrasound does not have these troubles. The method of vaginal B-ultrasound examination is mainly to insert the B-ultrasound probe into the vagina for examination. Because it is a relatively private examination, many young women do not understand it well. When they are suddenly told by the doctor that they need or must do this examination, they often feel nervous and afraid, especially after hearing the operation steps, they will worry whether it is very painful and whether they can bear it. Today, let us learn about the relevant knowledge in this regard.

Ultrasound is a commonly used medical examination method and is widely used in obstetrics and gynecology.

Before vaginal B-ultrasound, we do gynecological examinations and ultrasound examinations through the abdominal wall. One disadvantage of abdominal color Doppler ultrasound is that it requires suffocating urine, filling the bladder, lifting the uterus, and then examining. It is also affected by the thickness of the abdominal wall. If the abdominal wall is thick, it is easy to see unclearly, affecting the examination results.

It can be said that scientists are very smart and have also considered our clinical situation, so they have developed vaginal B-ultrasound to avoid the inconvenience of urination and the effects of abdominal wall hypertrophy.

Vaginal B-ultrasound is mainly used for the examination of gynecological diseases. Since there is only a thin diaphragm between the female pelvic cavity and the vagina, it is obvious that the structure of the pelvic cavity is mainly the uterus, fallopian tubes and ovaries, and the probe is placed in the vagina. Mainly check whether the uterus is enlarged, whether there are uterine fibroids or abnormalities, whether the fallopian tubes are enlarged, whether there are lumps, whether there are lumps in the ovaries, etc. Such as uterine fibroids, ovarian cysts, ectopic pregnancy, hydrosalpinx, etc. Vaginal B-ultrasound is clearer than abdominal B-ultrasound and can detect some smaller lesions early. For example, in early pregnancy, you can see the gestational sac and embryo earlier. Especially if you suspect an ectopic pregnancy and no gestational sac is seen inside or outside the uterus, you can consider doing a vaginal B-ultrasound to find the gestational sac earlier.

In the second and third trimesters, if placenta previa is suspected, vaginal B-ultrasound is more advantageous than abdominal B-ultrasound. You can clearly see the placenta, whether it reaches the cervix or passes through the cervix. Also check the length and width of the cervical canal and whether there is cervical dysfunction.

In fact, the items of vaginal B-ultrasound and abdominal B-ultrasound are basically the same, but vaginal B-ultrasound clothing is more convenient than B-ultrasound and the examination is clearer.

1. Vaginal ultrasound examination steps Vaginal B-ultrasound examination is to cover the long probe with a thin film. The doctor inserts the probe into the vagina and moves it to perform the examination, focusing on the condition of the uterus. The steps are as follows: First, the patient urinates first, and then lies flat on the examination bed. Then, the doctor wraps the probe for examination with a special film, applies disinfectant and lubricant, and then needs to insert the probe into the vagina, and must insert it into the vaginal vault, maintaining appropriate force to avoid causing harm. Finally, the doctor will rotate the probe handle to observe the pelvic structure and give the corresponding diagnosis. It should be noted that the doctor must perform the entire operation aseptically. Vaginal ultrasound examination should be performed 3-7 days after the menstruation is over. If vaginal B-ultrasound is needed to monitor follicles, it should be checked every 2 days, starting from 8 days after menstruation, or once a day until ovulation begins.

2. Does vaginal ultrasound examination hurt? After understanding the steps of vaginal ultrasound examination, many women will worry that it will be painful. In fact, this examination is a painless operation. It may cause discomfort due to the first contact, but as long as the patient does not get nervous, relaxes and cooperates with the doctor, it will be fine. Compared with general B-ultrasound, vaginal ultrasound images are relatively clearer and more accurate, providing a more effective basis for the diagnosis of diseases. It can see the situation inside the vagina and cervix more clearly, and make better decisions based on the situation.