Transvaginal Ultrasound

Experiences vary, but most patients describe pressure or mild discomfort, not pain. You shouldn't feel that you have to endure significant discomfort to complete the scan. Tell the provider if something hurts or if you need them to slow down, adjust the probe, pause, or stop.

For a more detailed walkthrough, read What Is a Transvaginal Ultrasound and Does It Hurt?

Yes. Ultrasound creates images using sound waves rather than ionizing radiation or X-rays. It is routinely used to evaluate pelvic organs, investigate possible causes of infertility, and monitor fertility treatment. It is safe to have multiple ultrasounds during fertility testing or treatment.

Your physician will recommend the timing and number of scans appropriate for your individual evaluation or treatment plan.

Source: ACOG

Yes. A baseline fertility ultrasound is commonly scheduled on Cycle Days 2–5, so you may still be menstruating at the time of your appointment.

This early-cycle timing allows your Care Team to evaluate the uterine lining, check that the ovaries are at baseline and perform an antral follicle count when indicated. Menstrual bleeding does not usually prevent the scan from being completed.

A transvaginal ultrasound provides important information, but it cannot offer a complete assessment of fertility on its own. It does not measure egg quality, predict whether you will become pregnant, or confirm that every aspect of your reproductive health is typical.

Your physician will interpret the scan alongside your age, blood work, medical history, and any additional testing you may need. Antral follicle count (AFC) is most useful for estimating ovarian response and egg quantity—not reproductive potential independently of age.

Source: ASRM

A standard transvaginal ultrasound cannot reliably determine whether the fallopian tubes are open or blocked.

To evaluate tubal patency, most patients undergo a hysterosalpingogram (HSG). During an HSG, contrast fluid and X-ray imaging are used to view the uterus and follow the fluid through the fallopian tubes.

Learn more by reading What is an HSG Test?

No. A standard transvaginal ultrasound creates images of the pelvic organs without placing fluid inside the uterus.

During a sonohysterogram (SHG), a small amount of sterile saline is introduced through the cervix. The fluid gently separates the uterine walls, allowing your provider to examine the uterine cavity more closely for issues such as polyps, fibroids, or scar tissue.

Learn more by reading What is a Saline Sonogram (SHG)?

The provider performing your scan will usually share an initial verbal summary, including your antral follicle count when one is performed. A complete report is generally available within 1–2 days.

Your physician will interpret the images alongside your blood work and other test results before you discuss any recommended next steps together.