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Old 02-29-2012
dr.dhruvdesai's Avatar
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Question Transvaginal USG

When and which are the indications for Transvaginal USG ?
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Old 02-29-2012
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*Transvaginal ultrasound may be done for the following problems:

Abnormal findings on a physical exam, such as cysts, fibroid tumors, or other growths
Abnormal vaginal bleeding and menstrual problems
Certain types of infertility
Ectopic pregnancy
Pelvic pain





*Transvaginal ultrasound is also used during pregnancy to:

Evaluate cases of threatened miscarriage
Listen to the unborn baby's heartbeat
Look at the placenta
Look for the cause of bleeding
Monitor the growth of the embryo or fetus early in the prgnancy
See if the cervix is changing or opening up when labor is starting early



*Some problems or conditions that may be found specifically in pregnant women include:

Ectopic pregnancy
More than one fetus (twins, triplets, etc.)
Miscarriage
Placenta previa
Placental abruption
Problems with the baby's growth or the fluid level around the baby
Shortened cervix, which increases the risk for preterm delivery or late miscarriage
Structural problems in the baby
Tumors of pregnancy, including gestational trophoblastic disease



*Tests and diagnosis for palcenta previa:
By Mayo Clinic staff

Placenta previa is diagnosed through ultrasound, either during a routine prenatal appointment or after an episode of vaginal bleeding.

A definitive diagnosis may require a combination of abdominal ultrasound and transvaginal ultrasound, which is done through a wand-like device placed inside your vagina. Your health care provider will closely monitor the location of the transducer in your vagina to prevent any bleeding. In rare instances, magnetic resonance imaging (MRI) may be used to clearly determine the placental location.

If your health care provider suspects that you may have placenta previa, he or she will avoid routine vaginal exams to reduce the risk of heavy bleeding. You may need additional ultrasounds to determine the exact location of your placenta before delivery. Your baby's heartbeat may be tracked as well.
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Old 02-29-2012
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is this usmle relevent as well??

coz.....while most of it seems right.... its a doubt whether to use it for Pl.Previa with active vaginal bleeding...reason being it mighht increase , aggravate the bleeding further.
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