Routes
The examination can be performed transabdominally, generally with a full bladder which acts as an acoustic window to achieve better visualization of pelvis organs, or transvaginally with a specifically designed vaginal transducer. Transvaginal imaging utilizes a higher frequency imaging, which gives better resolution of the ovaries, uterus and endometrium (the fallopian tubes are generally not seen unless distended), but is limited to depth of image penetration, whereas larger lesions reaching into the abdomen are better seen transabdominally. Having a full bladder for the transabdominal portion of the exam is helpful because sound travels through fluid with less attenuation to better visualize the uterus and ovaries which lies posteriorly to the bladder. The procedure is regarded as not painful and invasive. Scans are performed by health care professionals called sonographers, or gynecologists trained in ultrasound.
Read more about this topic: Gynecologic Ultrasonography
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—Terri Apter (20th century)