Tvs - Additional Charges Ultrasound Scan

• Quick snapshot: A narrow, lubricated probe is placed inside the vagina to capture close-up images of the uterus, ovaries, cervix, and surrounding structures.
• Why the extra fee? The single-use probe cover, specialised 3D/4D or Doppler capabilities, and extended radiologist reporting justify the additional cost.

Definition and Alternate Names

• Also referred to as endovaginal ultrasound, pelvic endosonography, or simply TVS scan.
• Uses frequencies of 5–12 MHz for detail far superior to abdominal probes (2–5 MHz).

How It Differs from a Standard Abdominal Ultrasound

• No full bladder needed; probe sits 2–3 cm from target organs.
• Detects structures as small as 2–3 mm earlier than abdominal scans.

1. 2D TVS: Routine grey-scale imaging.
2. 3D/4D TVS: Adds volume rendering for endometrial cavity or ovarian morphology.
3. Doppler TVS: Measures blood-flow velocity in uterine or ovarian vessels.

• Uterus size, shape, and position (anteverted, retroverted)
• Endometrial thickness & texture
• Ovarian volume, follicle count, corpus luteum presence
• Adnexal masses, free fluid, or tubal patency signs

• Early ectopic pregnancy detection
• Evaluation of abnormal bleeding causes
• Pre-IVF follicle tracking
• Post-menopausal bleeding assessment
• Endometriosis or adenomyosis suspicion

Common Symptoms Prompting Referral

• Unexplained pelvic pain or cramping
• Heavy, irregular, or post-menopausal bleeding
• Suspected ectopic pregnancy or miscarriage
• Infertility work-up

Age & Gender Considerations

• Women ≥ 18 years or post-menarche.
• Pregnancy: 1st-trimester viability checks, cervical length screening, or suspected miscarriage.

• Higher resolution: Detects 2 mm polyps or 1 mm endometrial changes.
• Earlier diagnosis: Viable gestational sac seen at 4.5–5 weeks vs 6+ weeks abdominally.
• Zero radiation: Safe in early pregnancy; can be repeated as needed.

• Clothing: Wear a loose skirt or trousers for quick undressing.
• Bladder: Empty bladder 10 minutes before scan to improve comfort and image clarity.
• Mental comfort: Ask for a female sonographer—available on request at Cadabams Diagnostics.

• Valid doctor’s prescription
• Menstrual cycle day noted on requisition (Day 2–5 for follicular study; Day 21–23 for luteal phase)
• Signed consent acknowledging internal probe use

• Follicular phase: Days 2–5 for baseline antral follicle count.
• Luteal phase: Days 21–23 to assess endometrial receptivity.
• Emergency: Same-day slots available for suspected ectopic pregnancy or severe pain.

• Adult women or minors post-menarche with guardian consent.
• Virgin patients: Rectal approach or abdominal scan can be substituted; extra charge may not apply.
• Pregnancy: Suitable up to 12 weeks; thereafter, abdominal or trans-perineal approach preferred.

1. Check-in at reception → verify prescription & ID.
2. Change into gown in private cubicle.
3. Lie on the couch with knees bent; probe covered with sterile latex-free sheath and gel.
4. Images captured in real-time (10–20 min).
5. Immediate wipe-down; you can dress and leave. No downtime required.

• Inform staff of latex allergy or recent pelvic surgery (< 6 weeks).
• Right to halt the procedure if discomfort exceeds tolerance.

• Minimal risks: Mild discomfort, rare spotting.
• Limitations: Severe obesity, large fibroids, or if the patient is unable to tolerate internal examination can limit image quality.