TVS - ADDITIONAL CHARGES ULTRASOUND SCAN
Also Known As
Lab Test
₹300
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About The Test
- 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.
What is TVS - Additional Charges Ultrasound Scan?
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.
Types of TVS - Additional Charges Ultrasound Scan
- 2D TVS: Routine grey-scale imaging.
- 3D/4D TVS: Adds volume rendering for endometrial cavity or ovarian morphology.
- Doppler TVS: Measures blood-flow velocity in uterine or ovarian vessels.
List of Parameters
- 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
Why This Test
- Early ectopic pregnancy detection
- Evaluation of abnormal bleeding causes
- Pre-IVF follicle tracking
- Post-menopausal bleeding assessment
- Endometriosis or adenomyosis suspicion
When to Take Test
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.
Benefits
Benefits of the TVS - Additional Charges Ultrasound Scan
- 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.
Illnesses Diagnosed
Condition | Typical Findings |
---|---|
Uterine fibroids | Hypoechoic, well-circumscribed masses |
Endometrial polyps | Focal echogenic thickening with vascular stalk |
PCOS | Enlarged ovaries > 10 ml, ≥ 12 small follicles |
Ectopic pregnancy | Empty uterus, adnexal mass with yolk sac |
Preparing for test
- 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.
Pre-requisites
- 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
Best Time to Schedule
- 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.
Eligibility
- 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.
Procedure at Cadabams Diagnostics
- Check-in at reception → verify prescription & ID.
- Change into gown in private cubicle.
- Lie on the couch with knees bent; probe covered with sterile latex-free sheath and gel.
- Images captured in real-time (10–20 min).
- Immediate wipe-down; you can dress and leave. No downtime required.
Caution Before the Test
- Inform staff of latex allergy or recent pelvic surgery (< 6 weeks).
- Right to halt the procedure if discomfort exceeds tolerance.
Test Results
Results and Interpretations
Finding / Observation | Description | Normal Range & Significance |
---|---|---|
Endometrial thickness | Measured on sagittal view | 4–8 mm (menstrual), 8–12 mm (proliferative), 7–16 mm (secretory) |
Dominant follicle | Largest follicle diameter | 18–25 mm indicates imminent ovulation |
Free fluid in POD | Small anechoic area | < 10 mm physiological; > 10 mm may suggest ruptured cyst or blood |
Risks & Limitations
- 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.
FAQs
Why is there an extra charge for TVS compared to abdominal ultrasound?
The single-use probe sheath, higher-frequency transducer, and specialised reporting justify the fee.
Is the scan painful?
Most feel mild pressure; pain is rare. A smaller probe (17 mm) is used for virginal or sensitive patients.
Can I take the test during periods?
Yes, unless the doctor specifically requests follicular-phase timing.
How soon will I get the report?
Within 2 hours via email/SMS; urgent cases prioritised in 30 minutes.
Is insurance coverage available?
Many insurers cover TVS under maternity or diagnostic benefits—check with your provider.
Do I need a full bladder?
No. An empty bladder gives clearer images and reduces discomfort.