Routine gynecological ultrasound

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Detailed gynecological ultrasounds

The routine gynecological ultrasound is recommended to monitor pelvic health and can be indicated for women of any age, especially in cases of symptoms such as pelvic pain, menstrual irregularities, or for monitoring gynecological conditions.

How is the gynecological ultrasound performed? 

The gynecological ultrasound is a non-invasive diagnostic procedure that uses high-frequency sound waves to create images of the pelvic organs. The ultrasound probe is moved over the lower abdomen with a conducting gel applied to the skin. This method provides a general view of the pelvic area and is usually used for general assessments. 

Why is this examination important? 

Routine gynecological ultrasounds are essential for maintaining women's health, providing detailed and accurate information about the state of the pelvic organs. This examination is a cornerstone of women's health care, offering safety, guidance, and a basis for maintaining reproductive well-being throughout different life stages.

Indications

Who should undergo this examination?

The routine gynecological ultrasound is indicated for women at any stage of reproductive and post-reproductive life, namely:
  • ✔
    Women with persistent or recurrent pelvic pain
  • ✔
    Women with menstrual irregularities, abnormal bleeding, or absence of menstruation
  • ✔
    Women monitoring previously diagnosed conditions, such as fibroids, cysts, or endometriosis
  • ✔
    Women undergoing routine annual check-ups, even without symptoms, as part of preventive care
  • ✔
    Women in perimenopause or menopause, for evaluation of the endometrium and ovaries
  • ✔
    Women planning to become pregnant, as part of a pre-conception evaluation
One of the most commonly used examinations

It is one of the most commonly used examinations in gynecology, both for preventive evaluation and for investigating specific symptoms.

The procedure

How is the gynecological ultrasound performed?

You don't have to wait for symptoms - regular monitoring is, in itself, the primary form of prevention. However, there are signs that justify a consultation as soon as possible:
  • ✔
    Changes in the menstrual cycle
  • ✔
    Persistent pelvic pain or pain during intercourse
  • ✔
    Abnormal vaginal discharge
  • ✔
    ​
    Nodules or changes in the breast
  • ✔
    Symptoms of menopause
  • ✔
    Difficulty becoming pregnant
15-20 minutes

Average duration of the examination

2 approaches

Abdominal and transvaginal, depending on the clinical indication

Preparation

How should I prepare for the examination?

Abdominal ultrasound

It is recommended to present with a relatively full bladder, as this helps to obtain clearer images of the pelvic organs. To do this, simply drink water about an hour before the appointment and avoid urinating until the examination.

Transvaginal ultrasound

The procedure is more comfortable with an empty bladder.

Good practices

It is recommended to wear comfortable and easily removable clothing, and fasting is not necessary. If you are menstruating, the examination can usually be performed, except in cases where medically indicated otherwise.

Why is it important

Benefits of routine gynecological ultrasound

Routine gynecological ultrasounds are essential for maintaining women's health, providing detailed and accurate information about the state of the pelvic organs - from adolescence to menopause.

Early detection of anomalies

Identification of structural changes in the reproductive organs, often before the appearance of symptoms.

Monitoring of chronic diseases

Facilitates the monitoring of diseases such as endometriosis, fibroids, or ovarian cysts.

Peace of mind for the patient

Detailed evaluation of gynecological health, offering safety and confidence in well-being.

Support for clinical decision-making

Provides the doctor with objective information to decide on complementary examinations or treatment initiation.

No invasive preparation

Quick, painless examination without the need for hospitalization or recovery.

Clinical evaluation

What is evaluated during the gynecological ultrasound

01

Uterus evaluation

Observes the shape, size, and presence of changes such as fibroids or other uterine masses.

02

Ovarian evaluation

The ovaries are examined to detect cysts, tumors, or other anomalies.

03

Endometrium

Evaluates the thickness and structure of the endometrium, the tissue that lines the uterus, which is particularly important in cases of irregular bleeding.

04

Fallopian tubes

Although they are not visible on ultrasound, unless dilated, changes can be observed that indicate infection or inflammation.

05

Blood flow

Using Doppler images, blood flow in the pelvic organs is analyzed, helping to detect abnormal conditions.

Frequency

When to repeat the examination

The recommended frequency varies depending on age, medical history, and the presence of symptoms, but in general, it is recommended to perform this examination as part of the annual gynecological routine check-up, and it can be brought forward if symptoms such as persistent pelvic pain, menstrual changes, or abnormal bleeding appear.
1x/year

Minimum recommended frequency

Which to choose

Routine ultrasound vs. specialized ultrasound

It is common to wonder about the difference between the two modalities. At Aeger Prima, the doctor indicates which one is most suitable for each situation, avoiding unnecessary examinations and ensuring that the patient always undergoes the right examination for their case.

Routine ultrasound

It is intended for a general assessment of the pelvic organs, and is indicated for annual surveillance consultations or for a first investigation of symptoms.

Specialized ultrasound

Recommended when a more detailed analysis is necessary — for example, in the precise characterization of a fibroid, in the in-depth study of ovarian reserve, or in the monitoring of a complex gynecological condition already diagnosed.

mais sobre a ecografia especializada

Frequently asked questions

Common questions about the exam

Does gynecological ultrasound hurt?

No. It is a painless exam. In transvaginal ultrasound, there may be a slight sensation of pressure, but it is not painful.

Do I need to bring anything to the consultation?

It is not necessary to bring anything in particular, but it is useful to have the date of the last menstruation and, if applicable, previous exams for comparison.

Can I have the exam during pregnancy?

Routine gynecological ultrasound is distinct from obstetric ultrasound, which specifically follows pregnancy. If you are pregnant, the doctor will indicate the type of ultrasound most suitable for the stage of pregnancy.

How long does it take to get the results?

In most cases, the doctor discusses the results with the patient immediately after the exam, during the same consultation.

What is evaluated during urinary incontinence treatment

01.

Uterus evaluation:

Observes the shape, size, and presence of changes such as fibroids or other uterine masses.

02.

Ovaries evaluation:

The ovaries are examined to detect cysts, tumors, or other anomalies.

03.

Endometrium:

Evaluates the thickness and structure of the endometrium, the tissue that lines the uterus, which is particularly important in cases of irregular bleeding.

04.

Fallopian tubes:

Although they are not visible on ultrasound, unless they are dilated, changes can be observed that indicate infecções or inflammation.

05.

Blood flow:

Using Doppler images, blood flow in the pelvic organs is analyzed, helping to detect abnormal conditions.

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