Learn what a transvaginal ultrasound is, what to expect during the procedure, and how it helps guide your treatment plan at Illume Fertility.
Schedule Fertility Testing Free Fertility AssessmentThis imaging test uses sound waves to produce clear, detailed visuals of your reproductive organs (ovaries, uterus, cervix, and fallopian tubes) by gently inserting a wand into the vagina.
It offers more precision than an abdominal ultrasound when evaluating internal pelvic structures, giving your provider critical information that helps them create the most effective treatment plan for your needs.
Learn more about why we perform transvaginal ultrasounds and how it all works.
A transvaginal ultrasound is a common fertility test that uses sound waves to create detailed images of your uterus and ovaries. It helps your provider understand your reproductive health and guides treatment decisions. This exam is safe, quick, and non-invasive.
This ultrasound allows us to check ovarian health, uterine structure, fibroids, cysts, and the endometrial lining. It is part of an initial fertility workup and also used to monitor treatment cycles such as IVF or IUI. The results help your team track progress and plan the next steps with accuracy.
You will lie on an exam table, similar to a pelvic exam, and stay covered with a drape. A warmed, gel-coated transducer is gently inserted a few inches into the vagina to create real-time images of your uterus, ovaries, and lining. Your provider may adjust the probe slightly for the best views.
Most patients describe the exam as mildly uncomfortable, like the sensation of a Pap smear, rather than painful. The process usually takes 5-10 minutes from start to finish. After your ultrasound, you can return to your normal routine immediately without any restrictions or recovery time.
For this exam, you will undress from the waist down and be given a drape for comfort. Depending on the purpose of the scan, your provider may ask you to arrive with either an empty or partially full bladder. No other preparation is necessary, and no special hygiene steps are required beforehand.
Once the ultrasound is complete, your provider will review the images and explain what they show. The results may confirm normal fertility health or reveal areas that need attention. This information helps guide your next steps, whether that means additional testing, adjusting your plan, or beginning treatment.
Get answers to commonly asked questions about this important fertility test.
Most patients describe the test as simply mildly uncomfortable (more like pressure), similar to a Pap smear, rather than painful.
In most cases, yes. Because it is considered a diagnostic procedure, many insurance plans cover it. Our financial coordinators can check your specific coverage.
If not covered by insurance, the cost typically ranges from $200–$500. Pricing may vary depending on your provider and whether the ultrasound is bundled into your fertility testing package.
Yes. In fact, ultrasounds are often scheduled early in the menstrual cycle to check ovarian reserve and baseline fertility health.
Yes. The procedure is non-invasive, uses no radiation, and has no known risks. It is safe to have multiple ultrasounds during fertility testing or treatment.
Explore detailed, expert-written guides and insights on the diagnostic process.
A transvaginal ultrasound is often one of the first steps in understanding your fertility health.
At Illume Fertility, our team of nine board-certified reproductive endocrinologists will guide you through every stage of testing and help you create a personalized plan for your family-building journey.
Schedule your fertility evaluation with Illume today and get closer to achieving your personal goals.
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