ULTRASOUND SCAN
It is done by abdominal and vaginal route :
A full bladder is needed for the abdominal scan, while the bladder needs to be empty for the transvaginal scan(TVS). Both the scans can be done even after a meal. The TVS involves the insertion of a slender lubricated .condom protected probe and causes very little discomfort very similar to a bimanual examination by the doctor. The uterus and the ovaries can be imaged easily. The lining of the uterus is also well seen as a TRIPLE LINE indicating good estrogen secretion. The hormonal changes are usually reflected in the endometrium. The ovaries and the adnexae are also imaged alongside. The tubes are not seen in a plain ultrasound. In cases of doubt, an MRI scan (eg for multiple fibroids) will be needed