Why Is the TVS Test Done? Common Reasons and Uses
Expert Insights by Dr. Manju Khurana – Gobind Fertility & IVF Centre
A TVS test, also known as Transvaginal Sonography, is one of the most important diagnostic tools in gynecology and fertility care. It provides clear and detailed images of the female reproductive organs, helping doctors diagnose a wide range of conditions related to menstrual irregularities, pelvic pain, and infertility.
At Gobind Fertility & IVF Centre, Dr. Manju Khurana, a renowned fertility specialist, routinely recommends the TVS test as part of comprehensive women’s health and infertility evaluations.
What Is a TVS Test?
TVS (Transvaginal Scan or Transvaginal Ultrasound) is an internal ultrasound procedure in which a small probe is gently inserted into the vagina to obtain high-resolution images of the:
- Uterus
- Endometrium (uterine lining)
- Ovaries
- Fallopian tubes (when visible)
- Pelvic cavity
Because the probe is placed close to the pelvic organs, TVS provides more accurate results than abdominal ultrasound, especially in early pregnancy and fertility assessments.
Why Is the TVS Test Done?
The TVS test is performed for multiple diagnostic and monitoring purposes in gynecology and fertility care.
1. TVS Test for Infertility Evaluation
One of the most common reasons for a TVS scan is infertility assessment. According to Dr. Manju Khurana at Gobind Fertility & IVF Centre, TVS plays a vital role in identifying conditions that may affect conception.
TVS helps evaluate:
- Ovarian reserve (antral follicle count)
- Follicular growth during ovulation
- Endometrial thickness and receptivity
- Uterine abnormalities affecting implantation
2. Monitoring Ovulation and Follicular Development
TVS is extensively used for follicular monitoring, especially in women undergoing:
- Ovulation induction
- IUI (Intrauterine Insemination)
- IVF (In Vitro Fertilization)
It helps track:
- Size and number of developing follicles
- Timing of ovulation
- Response to fertility medications
Accurate monitoring improves treatment success rates.
3. Diagnosing Menstrual Irregularities
TVS helps identify causes of:
- Irregular periods
- Heavy menstrual bleeding
- Missed periods
- Painful menstruation
Conditions such as PCOS, fibroids, endometrial polyps, and adenomyosis can be clearly visualized using a transvaginal ultrasound.
4. Detecting Ovarian Cysts and Pelvic Masses
TVS is highly effective in diagnosing:
- Ovarian cysts
- Dermoid cysts
- Endometriomas
- Pelvic masses
Early detection allows timely treatment and prevents complications like ovarian torsion or rupture.
5. TVS Test in Early Pregnancy
In early pregnancy, a TVS scan is preferred because it can:
- Confirm pregnancy location
- Detect ectopic pregnancy
- Identify fetal heartbeat early
- Assess gestational age
Dr. Manju Khurana emphasizes that TVS is safe in early pregnancy and provides crucial information when abdominal ultrasound is not sufficient.
6. Evaluation of Pelvic Pain
Unexplained pelvic or lower abdominal pain can be evaluated using TVS to diagnose:
- Endometriosis
- Pelvic inflammatory disease (PID)
- Ovarian torsion
- Uterine abnormalities
7. Assessing Uterine Abnormalities
TVS helps detect:
- Uterine fibroids
- Endometrial thickness issues
- Congenital uterine anomalies
- Scarring or adhesions
Such conditions may impact fertility and pregnancy outcomes.
TVS Test Procedure: What to Expect
- The patient lies comfortably on the examination table
- A covered and lubricated ultrasound probe is gently inserted into the vagina
- The procedure takes about 10–15 minutes
- It is generally painless, though mild discomfort may be felt
At Gobind Fertility & IVF Centre, patient comfort and privacy are always prioritized.
Is the TVS Test Safe?
Yes, the TVS test is:
- Completely safe
- Non-invasive (no surgery or needles)
- Radiation-free
- Can be repeated multiple times if needed
Dr. Manju Khurana assures patients that TVS poses no risk to fertility or pregnancy.
When Should You Get a TVS Test?
You may be advised a TVS scan if you experience:
- Difficulty conceiving
- Irregular or painful periods
- Abnormal uterine bleeding
- Pelvic pain
- Suspected ovarian cysts
- Early pregnancy concerns
Early diagnosis helps in timely treatment and better fertility outcomes.
Why Choose Gobind Fertility & IVF Centre for TVS Test?
- Expert evaluation by Dr. Manju Khurana
- Advanced ultrasound technology
- Accurate fertility-focused diagnostics
- Personalized treatment planning
- Compassionate and confidential care
Conclusion
The TVS test (Transvaginal Sonography) is an essential diagnostic tool in modern gynecology and fertility care. From infertility evaluation to early pregnancy monitoring, TVS provides accurate insights that help doctors plan effective treatment.
At Gobind Fertility & IVF Centre, under the expert guidance of Dr. Manju Khurana, TVS scans are performed with precision, safety, and patient comfort—ensuring the best possible reproductive care.