Transvaginal ultrasound is performed with a scanning probe inserted into the vagina. The probe is covered and a lubricant is applied to the tip before it is inserted. The transvaginal ultrasound is inserted a short distance from the reproductive organs and produces clear images on the monitoring screen. Even the smallest fibroids and other abnormalities can be detected. Ultrasound examinations are relatively painless and take only a few minutes to perform.
Should the doctor notice any abnormalities, such as fibroids or unusual growths, he or she may order additional testing or recommend a procedure for addressing these conditions, before moving forward with fertility treatment. But in most cases, this test simply confirms that conditions are healthy, assuring the patient and doctor that steps toward treatment can continue.