[Trans-vaginal sonography in gynecological practice]

Area of Science:

• Gynecologic imaging
• Obstetric ultrasonography
• Diagnostic medicine

Background:

• Transvaginal ultrasonography (US) is increasingly utilized in clinical practice.
• Its efficacy in gynecological and obstetric settings requires further elucidation.

Purpose of the Study:

• To evaluate the diagnostic utility and patient acceptance of transvaginal US in an office-based gynecological setting.
• To assess the impact of transvaginal US on the diagnosis of gynecological and obstetric conditions.

Main Methods:

• A retrospective analysis of 1,077 transvaginal ultrasonic studies performed in a gynecologist's office.
• Correlation of US findings with pelvic examinations and subsequent clinical management.

Main Results:

• Transvaginal US, combined with pelvic examination, enabled rapid and accurate diagnoses.
• Pathological findings were identified in approximately 30% of both gynecological and obstetric examinations.
• High patient acceptance was reported for the procedure.

Conclusions:

• Transvaginal ultrasonography offers significant diagnostic advantages for evaluating the endometrium in pre- and post-menopausal women.
• It provides new diagnostic possibilities for assessing the uterine cervix in advanced pregnancies.
• The technique can guide selective indications for procedures such as dilation and curettage (D&C) and cerclage.