Is office use of vaginal ultrasonography feasible?

Technical advances involving ultrasonographic equipment in the last years enabled the wide use of the high-resolution, 5.0 to 7.5 MHz transducers as endovaginal probes. The clear images produced are easy to interpret and, if obtained at the same time, can be used effectively to complement a routine bimanual pelvic examination. Formal teaching of the technique is imperative. This should be done by means of incorporating ultrasonography, in general, and transvaginal sonography, in particular, in formal residency training. The reasons for incorporating transvaginal sonographic examination in the standard pelvic examination done in the office or the emergency room are discussed.