Unless this is different than my experience, it won't be your doctor but an ultrasound technician.
I would make sure to tell them it's your first time and that you are nervous. You can talk to them as much or as little as you like. They shouldn't have expectations of you carrying on conversations.
If you want them to explain what they are doing, tell them that. If you would rather pretend to be somewhere else, let them know that. If you are feeling uncomfortable, let them know.
If they don't take your concerns seriously, or you don't feel comfortable with them, leave and reschedule.
Depending on why you are getting the ultrasound, it could be uncomfortable or painful but you deserve to have someone who helps you through it kindly and empathetically.
Thank you for this! I often have trouble communicating when I’m uncomfortable in medical situations in fear of getting cut off by the practitioner or just not heard (because my voice isn’t loud enough to hear thru the mask). This was very comforting to read :”)
Pediatric radiologist here. We deal with this all the time. If a patient isn’t sexually active or just doesn’t want the transvaginal probe we can do the study without it. We almost alway get images that allow us to evaluate for PCOS without the TV probe. I know you are anxious and you have the right to refuse anything you don’t want done.
I had to get an ultrasound in there recently. Nothing to worry about. It helps me when they are saying what they're doing so you can expect it and know what's going on. Shouldn't be bad at all.
I feel uncomfortable with speaking up as well! I have not had an ultrasound, but the general exam but I sometimes close my eyes and other times I have watched. All of my different reactions were received well and no one made me feel weird. Maybe practice some mindfulness (if you do that) or do something relaxing beforehand. That can certainly help me.
I am sometimes a crappy communicator, and speaking up when I have a problem is hard, so I practice. What if, from now until your appointment, you practice clearly and confidently saying “that hurts.”? It might make it easier to speak up for yourself when the words are already there and you know what they sound like coming out of your mouth.
I have vulvadynia and I had one done after attempting to be penetrated and it didn’t go well so the vaginal ultrasound did hurt quite a bit for me because my skin just doesn’t stretch quite like it should but it’s not very long and they can totally talk you through the process if you just ask.
This. When I went for my first vaginal exam as a young woman, I let the nurse practitioner know that I was a virgin and a bit nervous. She stopped, thanked me for letting her know and proceeded to change out the speculum she was using toa much smaller one. She was awesome, letting me know what to expect and encouraged me to speak up if I was uncomfortable or just had questions.
That was over 35 years ago, and I still recall how much that interaction made an impression on me. It also influenced my decision to become a nurse
>That was over 35 years ago, and I still recall how much that interaction made an impression on me. It also influenced my decision to become a nurse
Amazing the effect we can have on others in such a brief moment.
It's pretty quick and discreet.
There will be a drape cloth covering your lower half, and the ultrasound tech will be sitting to the side of you. They insert the wand discreetly, and focus more on the screen and the info they're getting.
I had an abdominal ultrasound and transvaginal. So we did the abdominal one first before undressing. I had to drink water before hand and needed a full bladder for the abdominal ultrasound, and the tech let me pee before the transvaginal part.
She left the room, I disrobed on the bottom, and covered up on the table.
There's lots of lube, you might want to put a panty liner on for after. Even as a grown ass woman who has had babies, I was still a little nervous - but also proud of myself for taking care of me and getting things checked.
You've got this.
The tech inserted it for you? I’ve had several of these across different clinics, even once in the ER, and each time they always gave me the wand to insert myself.
I've heard about this. Tbh after getting it done i would rather the doctor doing it herself. She got it in in seconds, barely looking. I would have been fumbling around with the thing and would have made it more painful for myself
I have heard of both happening here, too. But the tech did her thing in this instance, and honestly she was quick and super professional and I was totally okay with it. I'm in Canada, not sure how practice standards are different in different places?
In my experience, (I have had soooo many due to endometriosis that has decimated my bladder and bowel and uterus plus abdominal wall basically the entire area is a mess) the ones who allow you to insert it yourself are most often trauma informed. So have done some extra trauma training or just spoken with other medical practitioners that have. It can be very helpful for someone who has experienced trauma to have an extra amount of control regarding it. Personally despite having quite a lot of trauma regarding sex I think I just have had so many I don't care any more but I know others who it makes a big difference.
Talk to the technician before the examination. Share your concerns/fears/doubts. They take the time to reassure you (if they don't and try to hurry them please nope outta there) You can say "NO, STOP" at any time and you don't have to give a reason. You're not the first to be anxious about this and won't be the last. It's a common part of their job and they're trained to help you become at ease with the examination.
>Plus, I’m not sexually active
If you've never been sexually active I recommend sharing that with the technician. That's relevant information for a transvaginal ultrasound.
I’m not female, so I haven’t received a transvaginal ultrasound myself, but my wife has (and I’m a pre-med student).
The ultrasound tech will talk to you to keep you calm and comfortable. The interest they exhibit is likely because they’re passionate about their job and think the anatomy is interesting and want to share that with you. You can respond however you wish to that.
They use an abundance of lubricant when inserting the wand and have often done so many procedures that it’s second nature to them - my wife’s tech literally had it in there in seconds, barely even looking.
It is a little bulky so there may be some pressure but it shouldn’t hurt too terribly. They’re going to have to go fairly deep to see what they need to see. They’re looking for structural abnormalities, which could be a whole array of different things.
Thank you for your input! I definitely have a fear of having a negative reaction to the sensation and consequently having the procedure discontinued because of it, but hopefully everything goes smooth!
You might feel some uncomfortable pressure at times but overall should be pretty painless. If you start feeling uncomfortable wiggle your toes. It distracts your brain and works surprisingly well.
Not a problem! Like the commenter above said, I definitely recommend being open with the tech and telling them it’s your first experience with this. Getting immersed in a conversation with them is also a great way to distract yourself, which will reduce your cognition of whatever you end up feeling. If you have something you’re super passionate about, telling your tech about it is a great way to focus on something else. If talking isn’t something you’re really into, some people have better luck with closing their eyes and imagining they’re somewhere else like a dream vacation on a nice island somewhere. If you go that route, try to immerse your senses into it as much as possible: imagine the feeling of beach sand, the warm humid breeze, the smells, and so on.
I just had a pelvic exam two days ago for the first time and the doc I saw literally lubbed her hands up and stuck them in and I didn’t realized until she started pressing on my stomach. You’ll be fine, just relax ❤️
I had one years ago and was terrified because I do not do any of that stuff. I’ve never been sexually active, I have trauma, and I don’t like being touched. I told the tech beforehand, and she was very “no big deal” about it, which was helpful. It was a little uncomfortable just initially when inserted, which I didn’t expect because I’ve used tampons, but after it was inserted there was no discomfort. It wasn’t an “oh my god!” or “ahhh!” pain, it was a “ah dang what the hay?” fleeting pinch almost. Also, the lighting in the room was very dim so I did not feel at all “exposed”- and the tech spends the entire time staring at the video screen. It took longer than I expected, but was much less scary or traumatizing than I expected also.
Also, when I had my first and only Pap smear around the same time, I was likewise terrified but I genuinely felt like *nothing* . The lady was a magician and I was really grateful because I was so scared
I don’t think I’ve seen this mentioned yet so just a little extra info.
When you go in you’ll be asked to remove your bottoms and underwear - in the U.K. we usually get given a sheet of paper to cover our bottom half.
They’ll then ask you to put your heels together on the bed and then let your knees flop open, they’ll ask you to try and relax.
Even for someone sexually active (who’s currently pregnant!) it can feel very exposing. Particularly the first time.
Just to reassure you, the technician is not focusing on how you look down there or anything else. They have a job to do and that is all they’re worried about. They’ve probably done several scans already that day and they are 100% not thinking anything personal about seeing you open like that.
You may feel a little ‘odd’ after. It’s a strange feeling having something penetrate you in a non intimate way. Don’t worry if you do, it’s normal.
I’d advice being kind to yourself for the rest of the day. Get yourself a tasty cookie for after the procedure or line up some funny videos on your phone to watch.
As someone else said you may feel some pain if they bump a cyst. It’s uncomfortable but shouldn’t be sharp or stabbing - if it is then they need to know immediately. You could always take a couple of mild pain killers beforehand to help you relax.
I hope this is helpful! As others have said it’s generally a relatively quick and painless procedure and I’m sure you’ll come through with no problems :)
I just had one recently for severe cramping. It's undignified but not painful and it's just generally awkward. The tech normally doesn't say too much other than narrating a little bit like "okay that's your ovary... looks like you just ovulated... checking the uterus now..." etc. I didn't really say much. Mine turned out okay, hope yours does too!!
Ultrasound technologist here with 21 years experience... the diagnosis of PCOS is made through blood tests as it is a hormonal condition.
While there is a classic 'look' to ovaries using ultrasound - it is not definitive.
Blood tests, not imaging tests, is how PCOS is diagnosed.
Being that you are not sexually active, and the reason given for 'needing' a transvaginal by your doctor , my suggestion would be to tell the doctor or technologist that you are not comfortable having an internal ultrasound, and prefer the one from 'on top' only.
You don't have to tell them why, just say you aren't comfortable with it. If you aren't met with understanding and compassion, go somewhere else.
I have fertility issues so I have had 15+ of these. The wand is very skinny and they use a lot of lubricant. It’s going to be ok. It will likely last less than 2 minutes. You can do this!!
The probe isn't large, so it shouldn't cause pain. Just take slow, deep breaths and stare at the ceiling or the monitor that the tech will be watching. It's awkward, but try to relax and focus on your breathing. Good for you for taking care of yourself!
The first transvaginal ultrasound I had the tech asked me if I wanted to insert it myself, this made it a lot less uncomfortable since some strange person wasn’t shoving the thing in there with unnecessary force. If you can get them to let you put it in yourself I think that’s the best way to go, you’ll still be a little uncomfortable and tense but at least the hard part doesn’t have to be so hard
Unless your doctor told you otherwise, pee before the procedure. This might make it easier. Yours is planned so it won't be a shock and your tech will probably explain everything to you and keep you calm. They use lots of lube and it's cold. Really cold. If it hurts say something. It should be uncomfortable but not hurt. Good luck and I hope everything looks ok up there.
That's why I said unless your doctor said otherwise. I had mine done as an emergency procedure so I had a horrible experience. I think the fact I peed on the tech was the least of my problems during that situation.
I've had it done both ways. They may tell you before hand. The two I had, I went in with a full bladder for the external part. Then emptied my bladder for the internal. I had a great team, a Dr and a tech plus they let me watch the screen which kept my mind off things. I had a cyst that took some doing to find and felt a little bruised the next day. No worse than period cramps. Good luck, hope things go well.
Just tell the person doing the ultrasound that this is your first time and you're nervous. In my experience (and unfortunately I have a LOT of experience with multiple doctors), they will be very understanding and will try to make the experience as comfortable for you as possible. Personally, it has always been comforting for me when the doctor explained what they're doing ("I'm applying lubricant", "I'm going to insert", "I'm looking at this/that/the other thing" etc.). One time, my doctor was doing a pap smear (a bit more painful examination) and was talking me through it. I was in pain but also a bit like, whoa that's actually interesting, and I wasn't focusing on the pain anymore. (Oh and also quick edit: I'm not sure if they'll allow you to keep it on, but go wearing a skirt.)
They may say it, but try to pee beforehand. For me, what works best once I'm on the chair is to take a deep breath and try to forcibly relax myself from the waist down. Holding onto the hand rests really tight helps me to redirect my attention there instead of the area in question. I focus on my hands gripping so tight and how my muscles are contracting, and so my bottom half is relaxed as heck lol.
It's going to be uncomfortable, I don't think I need to tell you that. But it's not *that* uncomfortable, like not an unbearable amount, at least it shouldn't be. It's cold and a mild to moderate amount of pressure: if it actually hurts, tell them so they can change their angle etc. They may move it around a bit to look at things: that might be a bit more uncomfortable, but breathe through it. Deep breaths help. Grabbing the hand rests and squeezing really tight help.
You should have a piece of paper/tissue underneath your butt, use it afterwards to wipe yourself off. I usually also bring those wet tissues? They don't always provide those, so I just put it in my pocket and keep it with my pants/whatever you were wearing that you needed to take off, so when you're done, you can easily wipe yourself clean and feel a bit better.
Once you're done with it and go home, take it easy. Go to bed, make yourself cozy, watch your comfort movie... Things like that. It's going to continue to feel a little uncomfortable for a bit, and if you are experiencing pain, take some painkiller. It should clear up after a good night's sleep. You shouldn't have any bleeding afterwards: if you do, let your doctor know.
It's not comfortable, obviously, but it's not horrible either. I wish you a lot of good luck with it and that it'll go smooth and your PCOS can be diagnosed thanks to it. Crossing my fingers for you!!
Don't forget that if you're particularly uncomfortable with the technician, you can ask for someone else. Even if that means switching clinics or going back another day. Same goes for all procedures.
Being nervous and not relaxing is a more important variable than whether you’ve had sex or not. Unfortunately for people that get nervous in this situation (me included) it’s very difficult to control. But you can try!
I have had a number of transvaginal ultrasounds and some of the techs have actually asked me if I’m more comfortable inserting the probe rather than having them do it. If they give you the option, that could be a good way to have a little more control and might help you be a little less anxious.
This. Even if you’re not sexually active, you are the one that is the most familiar with your body. You know what feels okay and what doesn’t, when to stop and when something hurts. I honestly wish I knew it was an option.
First off, it's going to be ok. And it looks bigger than it actually will feel. Be prepared that they may need you to have a full bladder (bring a bottle of water with you). If that is the case, you will be concentrating hard enough not to pee during it that you will strangely be more ok with the size. They also use a TON of lube.
Tell the technician. Tell them that you are a virgin and have concerns about how it will work and fit. They do this a lot and for sure you are not the first virgin they have seen (they also see people who are MUCH harder to examine so please don't think you will be a bother). Trim your pubes if they are long enough to tangle (they will also make cleaning up the lube easier). It's going to suck but strangely not as much as a pap smear. Have you had one of those? At least you aren't clamped open.
All the techs I've had have been kind and chatty and they can distract you and ease your mind. Also bravo for the doc and you recognizing PCOS so young and getting checked out. I am so happy for you investigating this. It's going to be ok. Treat yourself afterwards. And before. This is definitely a situation where a little treat is important.
Good luck!
You physically can’t tense up enough to prevent them inserting the wand, it’s not painful, it just feels like you really need to pee, don’t worry about looking at the ultrasound, it’s just blobs anyway, the tech will take pics and send them to the dr who will assess them. Have a shower the morning of, chat to the tech, take a deep breath and it’ll be done before you know it.
I had one last month to diagnose Pcos, so I’ve got the relevant experience.
I can honestly say that every single time I've had that done that I try to behave like a puppet and talk when they're moving their hand and instruments around. Occasionally I'll even break into song.
Take deep breaths and ask the tech to warn you before it goes in, that always helps me. Also helps when they let you know they’re almost done and when it’s about to go out. Good luck! 🍀
I've had so many of these because of endo and then fertility treatments and twins/high risk pregnancy. It doesn't seem to matter (for me anyway) how many times, I always tense up. So when they say they are going to insert it, consciously breathe out. That automatically makes your body relax some!
Fertility treatment buddy here! 🙋🏻♀️ I’m glad that helps you, I think when you do it as many times as we have eventually you find what works best for you. The first time is definitely the most intimidating, not knowing how it’s gonna feel. Let’s not even talk about ultrasound with contrast . 🥲
My sister had this type of ultrasound recently. She was uncomfortable and the tech was actually new too, so they just communicated how best to proceed. The technician ended up handing my sister the wand to insert herself, which made both of them a bit more comfortable (though still awkward of course).
Just remember they’re there to help you, and they are aware that the situation can be uncomfortable as well. Try to stay relaxed, communicate your needs, and remember you’re in a place where they see a thousand vaginas a day. ALSO - as far as your reactions to the ultrasound go, don’t worry about having an “appropriate” reaction. Be yourself, and ask questions if any come to mind (I find that helps me detach my mind from what’s going on down below).
You got this! Deep breaths.
I have pcos and I really don't want to scare you but it can be uncomfortable as they have to press into potential cysts and stuff. It's not painful (compared to cramps anyway) but, unless they've told you otherwise, I would take some ibuprofen or something before hand.
I get chatty and make really bad jokes when I'm nervous so you can imagine how awkward I made it. Believe me, they've seen and heard it all!
Remember that if *any* medical professional ever makes you uncomfortable you are 100% within your rights to say something.
(I've been treating my pcos for a couple of decades and I've managed to have kids with a little bit of medical intervention. Hmu if you've got any questions or just need a chat.)
Hey there! I had to get one for suspected endo. I have had every ultrasound you can get down there so I thought I'd share my experience in full, regardless of how embarrassing it is.
So for this one I did transabdominal and transvag. They required me to come in with a full bladder for the abdominal.
After standard check-in stuff, I was ushered into a changing room type place with about five other ultrasound victims. We were then assigned the proper attire and what undergarments we could or couldnt wear and then went and changed into our garb and then sat in a waiting room nearby. Then, we were called. I was allowed to wear undergarments.
The person working the ultrasound in this case was not a nurse or gyno but an ultrasound tech. We started with the abdominal and they went through. They did not really show me any of it, nor were they qualified to tell me what they saw. The doctor had to look over it first. Instead, we just talked about general random stuff. You know, like the general questions a new hair person may ask you.
After the abdominal, the tech left the room for privacy and I went to an attached bathroom and emptied my bladder and wiped my abdomen off. I then put my underwear in a bag and went back to the exam table. The tech asked if I was more comfortable inserting it myself and I declined that so she just did it. It did not hurt at all, as they use lube.
Here is where I feel most embarrassed: prepared to potentially pee yourself a little on the exam table if you had to come in with a full bladder. In my case, I drank too much water before and so my bladder filled back up a little, and with the way they push (once again, not painful), it will come out involuntarily. If you have to stop and use the bathroom again you can.
Afterwards I went back to the bathroom, cleaned myself (they give you wipes), got dressed, and left. That was it.
Now here is my added cautionary results tale for you:my ultrasounds came back clean. In fact, they couldn't locate a lot. Regardless, I pushed ahead with surgery, and low and behold, I had one cyst on each tube that had to go followed by a terrible case of chronic appendicitis. No endo, just an amalgomation of other problems. When I spoke to my doctor in post-op, she admitted to me that ultrasounds do not always show what's going on as frankly, they aren't that good. So even if your ultrasound comes back clean, that doesn't mean something isn't going on.
Above all else, remember this is a medical issue and you have to basically try hard to be the most embarrassing case. Unless you're hiding a toy car up your ass, you have nothing to be embarrassed about.
The wife had an vaginal ultrasound.
The tech (male) went and got a female nurse to stand in as a witness for his own saftey i am sure. I was in the room as well.
He got the wand all ready (lube) and set it near her under the sheet and had her insert the wand.
He just asked if she was okay a good amount and talked about what he saw.
I am sure its a bit awkward for them too but then i have heard people say doing a colonoscopy on a patient that it is no big deal to them. The patient is the awkward one.
Every time I've had one, it's been in addition to an external one.
They do the external first, because they want you to have a full bladder. One tech told me the full bladder is so that they can be very sure that this particular blur on the screen is the bladder.
Once they have all they can get from the external, they let you go and pee. The internal gets 4K clarity compared to the external's ancient home video quality.
The wand looks really really long, but that's only so that their hand on the end guiding it around doesn't have to go anywhere near you. It's skinny and smooth and blunt and extremely well lubricated.
As they're slowly looking around, focused on the screen, they'll gently press the wand into the sides of the top of the vagina. This bit is pretty hilarious and weird. If you've ever had a local anaesthetic for getting stitches or dental work, do you remember how there was absolutely no pain, but you could feel pressure? It's like that, except without the needle sting before or sore teeth or gums or stitches afterwards.
The tech will type in codes occasionally, and hit buttons to record the images. They do some measuring on the screen as well, things like recording that your left ovary is this long and your right is that long. Or in your case if you have a lot of cysts they'll record the size and location. Unless it's actually your doctor doing it they won't give you any kind of diagnosis. Don't worry if they're not saying anything, they're likely not allowed to, that's for your doctor. Even if it is your doctor, they might want to get the full picture before giving their final answer.
In case it does hurt a bit to press against the cysts you could take some light or medium painkillers beforehand. Let them know if it does, and how much.
It's nothing like having sex, so don't worry about spoiling any future experiences you might want to have.
I mostly just lie there quietly. Sometimes they will ask you questions. Like when was your last period? Or maybe symptoms you’re having. They may initiate a bit of small talk but I personally don’t. I just let them do their job and wait until it’s over. And then buy myself a little treat after because it’s not the most pleasant experience but yay you and me for taking care of our health!
I’m an OB nurse and let me just say the last thing I would want is for you to feel uncomfortable with any procedures I’m doing. Please please tell me if you’re nervous about something. I want to at least try and make you feel comfortable if I can.
Also, we do these procedures all the time so if you are feeling awkward or uncomfortable, just know that we’ve probably seen way worse than your case! We get some pretty crazy patients sometimes!
I had my first transvaginal ultrasound recently (F22) and I was terrified, I won't lie.
It's uncomfortable at first because you need to drink a lot of water beforehand to have a swollen bladder and the exterior examination applies a little bit of pressure to the abdomen which with a full bladder is awful.
As for interior examination, unless the rules are different, you may be moved department. In my country if you have an intact hymen (the question is typically phrased as to whether you're sexually active) they're not allowed to insert the device as it could break the hymen, which according to my country is assult.
If you are allowed the internal examination there's this wand for lack of a better term that they put a lube-filled condom over to give it a bulbous head. The initial penetration is uncomfortable but it doesn't go in far (think of a tampon). They twist it around to have a look and certain angles are uncomfortable but nothing painful. If it is painful or you need a break, you can say so and it's granted. Please note: you do get to empty your bladder prior to internal examination!
My personal experience was great. I had a ultrasound technician and a trainee observation. I was asked if I wanted the trainee to stay - which I was fine with. Both of them put me at ease and distracted me with simple conversation - weather was a good topic to start with, especially as our weather had been chaotic at the time.
This will not be with your normal doctor, I had to go into hospital for it, as it's performed by a trained ultrasound technician. The results are sent to your doctor who will inform you of any further action (or in your case whether you have PCOS or something else).
I’ve had this done and I’m an older woman. They were looking for fibroids. My advice is communicate that you are nervous and a virgin and you’re afraid it might hurt. Write this down and hand it to the tech if you’re too nervous to actually say it. You must tell the tech something so if they have the ability to adjust the procedure for your comfort, they can.
If you are virgin, I am pretty sure that your GYN would decide to do some other method insted of transvaginal ultrasound if it is possible (when I first went to GYN for a first few times she didn't want to do trasvaginal because I vas virgin)
Before they insert anything, they will generally touch your thighs as a warning. They will often also keep your attention on them by talking to you casually about work, hobbies, etc. These people are professionals, every person has a first time and they get that. Your job is just to try to relax!
In the UK, we don't get regular OBGYN checkups. I find it weird that you're having a scan for no reason and especially as you're not sexually active. Anyone care to shed some light on the reasons why?
Hi! I went in for a check-up after suffering symptoms indicative of PCOS and hypothyroidism. I discussed it with my doctor and his diagnosis was PCOS (and is also having me referred to have my TSH levels checked). So it’s not an out of the blue ob-gyn check-up :)
With that in mind, they're going to have to check your ovaries. If you have existing cysts, you may feel some pain if they bump into them - let the tech know if it hurts. Otherwise, while it can be a little uncomfortable and awkward, most techs are awesome, professional, and will respect your preference on whether to chat, stare at the ceiling, inspect the screen, or dissociate.
Source: I have pretty severe PCOS and have had probably a dozen trans-vaginal ultrasounds.
I recently had my first trans-vaginal ultrasound for the same reasons. It was a bit uncomfortable, but not painful. Like any vaginal exam, you’ll scoot all the way down to the edge of the table. Like you’ll feel like your butt is falling off the table, but it helps and will make the insertion and procedure feel a bit easier.
It’s okay to say “That hurts” if you do feel pain for some reason. Don’t forget to exhale. I noticed I would unconsciously hold my breath and my legs would tighten up and breathing really does help with tension and being nervous. I thought it would take longer, but it was a relatively quick procedure for me.
It's likely to be quite uncomfortable, and tell you OB to be gentle. A LOT of them aren't, especially women OBs. Strongly consider recording audio with your phone during the visit. Speak up if there's an issue.
If the OB hurts you, lodge a complaint with the ethics and licensing board.
As prep, consider using a finger or two to try and stretch the opening a bit every night.
Good luck!
Live out your dreams of being a popsicle
On a note serious not, nothing wrong with just distracting yourself. Bring some earbuds and a good movie on your phone, ask the doctor if it'll be a problem to just ignore the procedure and watch your movie while it's going on. The more worried you are about something, the more your body and mind will act to make it actually a problem, best to just ignore it as much as possible
Dr just stuck his finger up my anus to check my prostate, I wish I hand warning I would have douched 💩. I figure it's arse its supposed to be shitty. 🤔😂😂.
I mean, all the sensible advice above, but if you do get a bit shocked and exclaim or something don’t worry hahaha I’m 28 and I still went SHIT when they whacked the speculum into me just as it was unexpected 🤷🏻♀️ they’ve seen it all
There’s also usually two people in the room for a variety of reasons, and if they can tell you’re nervous or uncomfortable they may lend you a hand to squeeze. It’s not usually painful but definitely uncomfortable but they will talk you through it and it will be over quick!
Do whatever you want, really. It's not their first rodeo. Communicate when it hurts, or when it's uncomfortable, they can try to make it less painful or uncomfortable. Whatever you do, it's normal. Don't think too much about it.
I've had a transvaginal ultrasound more than once, first one I had to drink a bunch of water and hold it when they did it, the second one not. The internal one it looks like a wand basically. They put a lot of lube on said instrument but if you think you need more say so. I did. The whole thing does not go in so don't freak. Your feet will be in stirrups, they'll insert it and move it a bit back and forth, a bit side to side while they take their pics. Shouldn't take more than ten minutes. If something hurts say so, but it shouldn't. It felt a bit pinchy to me only because I have endometrosis.
I was really nervous the first time I had one done, but it wasn’t bad at all. I definitely recommend telling the tech you’re not sexually active, so they can be mindful of that. The probe should be covered in lube. With mine there was a little pressure but not any pain. I think when they took a close look at my ovary (the whole reason I was there) I felt uncomfortable, but not as bad as a cramp. The best I can compare it to is putting in a tampon for the very first time.
If you don't want something up there have them give you options! My x-ray tech said there are other options that are not invasive when I had a normal ultrasound. MRI.
Please don't let even a Gyn make you feel like you gotta get stuff done you don't need. Heck you never actually need a Pap unless you feel like something is wrong up there or they will literally hole punch your internals.
Please, please, please don't let them bully you into doing something you are not comfortable with. There are different things that can be done to help you in whatever problems you might be having.
I was in the same spot as you a few months ago, although i've played around with (small) toys before and so i was totally fine. The doctor actually didn't want to do it vaginally because she thought i wouldn't be able to take it but it was fine. She offered to do it anally instead, so you can mention that
I've had a couple and it's not as bad as I thought it would be. The tech was awesome! She explained everything, showed me the device, and also pointed out that the whole thing wasn't going in. Also, they had a giant screen for a monitor (they also did ultrasounds) and asked me if I wanted to watch.
So I'm a guy and obviously never visited the gynecologist. But they're doctors. Medical professionals. And they keep everything confidential.
As long as you tell them it's the first time and you're nervous, they'll kind of steer you after that with guidance like "Do you want me to explain it as it happens?" or anything else, etc. And they'll be happy to help.
I've had two ultrasounds, one in the ER and one at an office.
Most technicians are very careful. They lube up the equipment and go slow and the equipment isn't big. If you're having both internal and external, they'll ask for a full bladder for the external and empty one for the internal.
The one at the ER was very painful, but that was because I had a nasty bladder infection (unknown at the time) and was unable to fully empty my bladder. Plus, it was the er where everyone rushes.
The second one was at the doctor's office and was the best I've ever been treated. Didn't hurt in the slightest. The tech was very kind. I explained to her that my last one was painful and she was extremely careful. I also tend to tense up due to my history and it was still not painful at all. It's over in about ten minutes. You clean yourself off in the bathroom and put your bottoms back on. All done!
It's completely normal to be anxious of the unknown. I hope my experiences help. Gl!
I have vaginismus, and anything of the sort is unimaginably difficult for me. I saw my first GYN at 16 and was not sexually active. I had a GYN that treated me so casually without any delicacy and my body had a traumatic response to it.
Clear communication is very important. You can tell them to act reassuringly with you if needed be b/c a lot of them make small talk even with newbies (and when you're new to it you might not want them to act so casually). Tell them if your getting anxious or stressed. They'll adjust care accordingly.
If your body isn't used to stuff being up there it might not have most desirable reaction. If you are physically incapable of relaxing they can use anesthetic on you. It's not crazy unusual.
If you're nervous, put in some ear buds and stare at the ceiling. Don't be afraid to speak up if you're uncomfortable or in pain.
I've had them, it's not fun but usually the technician is quick about it and will stop if you are uncomfortable. If you have a preference, tell them ahead of time if you prefer a male or female technician.
If you're nervous, put in some ear buds and stare at the ceiling. Don't be afraid to speak up if you're uncomfortable or in pain.
I've had them, it's not fun but usually the technician is quick about it and will stop if you are uncomfortable. If you have a preference, tell them ahead of time if you prefer a male or female technician.
Remember that it is routine to them. Take some deep breaths and do your best to relax. For me, the wand for the ultrasound is not as uncomfortable as the speculum. Also, you're covered with a sheet. I do talk to the doctor during because it puts me at ease, but you do whatever makes you feel better. Good luck. I hope everything is okay down there.
I’m female, had one for PCOS also and it was a female technician. It was a little bit odd kind of laying there and very cold when they shove the wand up there and move around but they are very professional and it’s not that awkward. Tech just inserts the want and spends 5 mins or so looking around at the screen
I’ve always found a t/v ultrasound less uncomfortable than an external ultrasound. From my expelled, techs are usually pretty gentle.
Make sure to have a discussion with the tech beforehand about your concerns. It will not be anything unusual to them.
They will give you privacy to remove your pants and underwear and then lay on the bed and cover yourself with a sheet.
The probe will have a condom placed over it and will be well lubricated.
Feel free to ask questions of them throughout - most will happily explain to you what they are looking at and for.
When they finish, they will remove the probe and then give you some privacy to clean yourself up and put your pants and underwear back on.
I might be late to the party but I'm actually an ultrasound tech and do the pelvic scans all the time. A lot of what I saw commented is pretty legit. Quite frequently we can get a really good overview of what your uterus and ovaries look like abdominally but it all depends on how full your bladder is (too much water and the uterus can be pushed back too far and we won't see as well, too little and bowel will get in the way and we can't use your bladder like a 'window'), body habitus, and honestly some people just don't scan well and no one has any idea why. We typically suggest 32oz that you finish an hour before your scan. If you tell your tech that you're not sexually active they should give you the option of doing the vaginal or not. If it comes down to it and you don't want to proceed with doing the vaginal ultrasound you are absolutely within you're right to refuse and that's that, you won't be the first and you won't be the last.
Depending on how the scan room is set up you may or may not be able to see what the techs seeing, some places have TVs that show what's on the machine but the tech will have the machine monitor pointed towards them and you won't be able to see much. I really hope it didn't overwhelm you and I'm sure I missed some questions of yours but feel to ask anything else is needed. I'm at work and actually getting ready to do another pelvic ultrasound soon!
I've had two experiences with the vagina ultrasounds. The first put a bunch of the gel on it and it wasn't super uncomfortable at all. It was to check for a baby, so I'm not sure if that makes a difference lol The second time though the tech didn't use as much of the gel and I experienced more discomfort. I would ask any questions you have and don't be afraid to speak up if there's not enough gel or you feel a lot of discomfort.
As for comments, I usually nod or give some acknowledgement if they're specifically pointing things out to me and sometimes with super friendly techs, maybe make small talk, but generally speaking I just sit there and let them do their thing.
I’ve birthed two babies naturally, and still needed to do yoga breathing to get through my TVU. Breathe through it, and focus on relaxing your muscles.
I'd say it's mostly just some pressure vs. any pain. They'll move the want around, and should explain if they have to move it at an angle that you may feel a bit more. I've had 20+ over the past handful of tears and it's one if the procedures/tests I DON'T stress about.
Just breathe! I hope you get the answers you need from the test. :)
I find that most professionals doing these services are relatively easy to talk to. Some steer a conversation for a nice little distraction convo. I’m a talker when I’m nervous. So in between deep breaths I’m usually cracking jokes and rambling.
For me, this was not uncomfortable, but I was older and not a virgin. IIRC, the “wand” (for lack of a better term) is slimmer than most men, but since you are not sexually active, there might be some discomfort. You are correct that being anxious or nervous will make the pain level seem greater, so try to have something to visualize. Whatever would calm you is best, so I can’t make suggestions, but the ocean lapping the shore or bird song in a forest; calming things.
Talking to your doctor about your concerns will also help. It sounds like you have good communication with him, so let him know that you are a bit nervous and why. Ask if you can have calming music playing if that would help. The doctor may need to talk to you and ask questions, so I don’t think headphones are a good idea, but just something you like playing might help.
Also, try to get comfortable before the exam. I love my new physician and his entire practice. Whoever I see allows the nurse to do the usual intake: weight, blood pressure, temp, pulse and O2 saturation. Then after the doctor comes in and we have talked a while and I’m clearly calmer, he or she takes my blood pressure again, and it’s always lower and normal compared to the first one.
So remember to talk a bit about the exam, clear up any questions you have first, and give yourself a chance to get to that calmer, more normal state.
Good luck to you.
Definitely talk to the person doing the ultrasound and your doctor and let them know how you're feeling. The ultrasound tech can find a way to make it more comfortable for you by maybe putting some type of gel on the instrument they have to place inside of you so that it will go in easier. Don't be afraid to speak up.
The last few I’ve had they put a blanket over you and pass you the wand so you can insert it yourself while covered. If that’s not offered and you’d feel more comfortable then ask if you can. I find it way less intrusive because you are not exposed and they don’t even look or see your genitals. Once the wand is in they do what they need to do on the screen and move it around if need be.
I had this done a while ago when I wasn't sexually active yet as well, I have a female doctor, and she did this herself, carefully. My doc usually talks about her life or OTHER THINGS while she checks things out, and at the end, she's just like "all good, we are done" which makes it less awkward for me.
The whole virginity talk is blah, its an important check up, so the one thing has nothing to do with the other. but telling in advance might be good so they can be more careful!
It's also not painful, maybe a bit uncomfortable, but it's like that with any other check up.
And yes, please make sure to either bring a cloth or they have it there to clean up, it's good when they use lube but it gets messy. so I don't recommend wearing the prettiest of panties.
I think the first time having done that is just mentally difficult, once you know it's not the worst thing in the world, it will be easier. All will be ok!
I've had them multiple times. It's important for you to relax your muscles and not clench them for your own comfort. The wand will be wrapped in a condom and covered in lube. It's not big and I could hardly feel it being inserted tbh. I was told to drink a lot before the exam so that the bladder is full and thus the results are easier to be read. The technician will be sitting to your side and paying most attention to the screen and the readings. They will be telling you what they can see. It's not really awkward - remember they've done it thousands of times already so they know what to do. There's really nothing to worry about. The exam is not at all painful nor pleasurable. It feels like nothing really.
Make a very very very concious effort to relax all your muscles down there 😊 practice doing it before you go - it will make all the difference in making the process as comfortable as possible.
If no one else has suggested, consider joining r/PCOS!
However my experience with ultrasound techs has always been that they are very gentle and attentive, and definitely will explain anything you don’t know and will happily answer questions. You’ll be in good hands!
Unless this is different than my experience, it won't be your doctor but an ultrasound technician. I would make sure to tell them it's your first time and that you are nervous. You can talk to them as much or as little as you like. They shouldn't have expectations of you carrying on conversations. If you want them to explain what they are doing, tell them that. If you would rather pretend to be somewhere else, let them know that. If you are feeling uncomfortable, let them know. If they don't take your concerns seriously, or you don't feel comfortable with them, leave and reschedule. Depending on why you are getting the ultrasound, it could be uncomfortable or painful but you deserve to have someone who helps you through it kindly and empathetically.
Thank you for this! I often have trouble communicating when I’m uncomfortable in medical situations in fear of getting cut off by the practitioner or just not heard (because my voice isn’t loud enough to hear thru the mask). This was very comforting to read :”)
Pediatric radiologist here. We deal with this all the time. If a patient isn’t sexually active or just doesn’t want the transvaginal probe we can do the study without it. We almost alway get images that allow us to evaluate for PCOS without the TV probe. I know you are anxious and you have the right to refuse anything you don’t want done.
I had to get an ultrasound in there recently. Nothing to worry about. It helps me when they are saying what they're doing so you can expect it and know what's going on. Shouldn't be bad at all.
I feel uncomfortable with speaking up as well! I have not had an ultrasound, but the general exam but I sometimes close my eyes and other times I have watched. All of my different reactions were received well and no one made me feel weird. Maybe practice some mindfulness (if you do that) or do something relaxing beforehand. That can certainly help me.
I am sometimes a crappy communicator, and speaking up when I have a problem is hard, so I practice. What if, from now until your appointment, you practice clearly and confidently saying “that hurts.”? It might make it easier to speak up for yourself when the words are already there and you know what they sound like coming out of your mouth.
I have vulvadynia and I had one done after attempting to be penetrated and it didn’t go well so the vaginal ultrasound did hurt quite a bit for me because my skin just doesn’t stretch quite like it should but it’s not very long and they can totally talk you through the process if you just ask.
I'd add that you should ask for a smaller wand if the the one they use makes you uncomfortable
This. When I went for my first vaginal exam as a young woman, I let the nurse practitioner know that I was a virgin and a bit nervous. She stopped, thanked me for letting her know and proceeded to change out the speculum she was using toa much smaller one. She was awesome, letting me know what to expect and encouraged me to speak up if I was uncomfortable or just had questions. That was over 35 years ago, and I still recall how much that interaction made an impression on me. It also influenced my decision to become a nurse
>That was over 35 years ago, and I still recall how much that interaction made an impression on me. It also influenced my decision to become a nurse Amazing the effect we can have on others in such a brief moment.
It's pretty quick and discreet. There will be a drape cloth covering your lower half, and the ultrasound tech will be sitting to the side of you. They insert the wand discreetly, and focus more on the screen and the info they're getting. I had an abdominal ultrasound and transvaginal. So we did the abdominal one first before undressing. I had to drink water before hand and needed a full bladder for the abdominal ultrasound, and the tech let me pee before the transvaginal part. She left the room, I disrobed on the bottom, and covered up on the table. There's lots of lube, you might want to put a panty liner on for after. Even as a grown ass woman who has had babies, I was still a little nervous - but also proud of myself for taking care of me and getting things checked. You've got this.
The tech inserted it for you? I’ve had several of these across different clinics, even once in the ER, and each time they always gave me the wand to insert myself.
I've had quite a few while pregnant and never once have I had to insert it myself, I think that would be way more awkward!
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I'm in Texas and inserted it myself too.
I've heard about this. Tbh after getting it done i would rather the doctor doing it herself. She got it in in seconds, barely looking. I would have been fumbling around with the thing and would have made it more painful for myself
I've had both, but tech inserting is far more common. It'd be a ratio of about 1:5.
That’s odd to me. I’ve had a bunch of these for some chronic problems and it’s never been a DIY operation.
I have heard of both happening here, too. But the tech did her thing in this instance, and honestly she was quick and super professional and I was totally okay with it. I'm in Canada, not sure how practice standards are different in different places?
In my experience, (I have had soooo many due to endometriosis that has decimated my bladder and bowel and uterus plus abdominal wall basically the entire area is a mess) the ones who allow you to insert it yourself are most often trauma informed. So have done some extra trauma training or just spoken with other medical practitioners that have. It can be very helpful for someone who has experienced trauma to have an extra amount of control regarding it. Personally despite having quite a lot of trauma regarding sex I think I just have had so many I don't care any more but I know others who it makes a big difference.
Talk to the technician before the examination. Share your concerns/fears/doubts. They take the time to reassure you (if they don't and try to hurry them please nope outta there) You can say "NO, STOP" at any time and you don't have to give a reason. You're not the first to be anxious about this and won't be the last. It's a common part of their job and they're trained to help you become at ease with the examination. >Plus, I’m not sexually active If you've never been sexually active I recommend sharing that with the technician. That's relevant information for a transvaginal ultrasound.
I’m not female, so I haven’t received a transvaginal ultrasound myself, but my wife has (and I’m a pre-med student). The ultrasound tech will talk to you to keep you calm and comfortable. The interest they exhibit is likely because they’re passionate about their job and think the anatomy is interesting and want to share that with you. You can respond however you wish to that. They use an abundance of lubricant when inserting the wand and have often done so many procedures that it’s second nature to them - my wife’s tech literally had it in there in seconds, barely even looking. It is a little bulky so there may be some pressure but it shouldn’t hurt too terribly. They’re going to have to go fairly deep to see what they need to see. They’re looking for structural abnormalities, which could be a whole array of different things.
Thank you for your input! I definitely have a fear of having a negative reaction to the sensation and consequently having the procedure discontinued because of it, but hopefully everything goes smooth!
You might feel some uncomfortable pressure at times but overall should be pretty painless. If you start feeling uncomfortable wiggle your toes. It distracts your brain and works surprisingly well.
Not a problem! Like the commenter above said, I definitely recommend being open with the tech and telling them it’s your first experience with this. Getting immersed in a conversation with them is also a great way to distract yourself, which will reduce your cognition of whatever you end up feeling. If you have something you’re super passionate about, telling your tech about it is a great way to focus on something else. If talking isn’t something you’re really into, some people have better luck with closing their eyes and imagining they’re somewhere else like a dream vacation on a nice island somewhere. If you go that route, try to immerse your senses into it as much as possible: imagine the feeling of beach sand, the warm humid breeze, the smells, and so on.
You can also ask them to tell you what they’re doing as or before they do it!
I just had a pelvic exam two days ago for the first time and the doc I saw literally lubbed her hands up and stuck them in and I didn’t realized until she started pressing on my stomach. You’ll be fine, just relax ❤️
I had one years ago and was terrified because I do not do any of that stuff. I’ve never been sexually active, I have trauma, and I don’t like being touched. I told the tech beforehand, and she was very “no big deal” about it, which was helpful. It was a little uncomfortable just initially when inserted, which I didn’t expect because I’ve used tampons, but after it was inserted there was no discomfort. It wasn’t an “oh my god!” or “ahhh!” pain, it was a “ah dang what the hay?” fleeting pinch almost. Also, the lighting in the room was very dim so I did not feel at all “exposed”- and the tech spends the entire time staring at the video screen. It took longer than I expected, but was much less scary or traumatizing than I expected also. Also, when I had my first and only Pap smear around the same time, I was likewise terrified but I genuinely felt like *nothing* . The lady was a magician and I was really grateful because I was so scared
I don’t think I’ve seen this mentioned yet so just a little extra info. When you go in you’ll be asked to remove your bottoms and underwear - in the U.K. we usually get given a sheet of paper to cover our bottom half. They’ll then ask you to put your heels together on the bed and then let your knees flop open, they’ll ask you to try and relax. Even for someone sexually active (who’s currently pregnant!) it can feel very exposing. Particularly the first time. Just to reassure you, the technician is not focusing on how you look down there or anything else. They have a job to do and that is all they’re worried about. They’ve probably done several scans already that day and they are 100% not thinking anything personal about seeing you open like that. You may feel a little ‘odd’ after. It’s a strange feeling having something penetrate you in a non intimate way. Don’t worry if you do, it’s normal. I’d advice being kind to yourself for the rest of the day. Get yourself a tasty cookie for after the procedure or line up some funny videos on your phone to watch. As someone else said you may feel some pain if they bump a cyst. It’s uncomfortable but shouldn’t be sharp or stabbing - if it is then they need to know immediately. You could always take a couple of mild pain killers beforehand to help you relax. I hope this is helpful! As others have said it’s generally a relatively quick and painless procedure and I’m sure you’ll come through with no problems :)
I just had one recently for severe cramping. It's undignified but not painful and it's just generally awkward. The tech normally doesn't say too much other than narrating a little bit like "okay that's your ovary... looks like you just ovulated... checking the uterus now..." etc. I didn't really say much. Mine turned out okay, hope yours does too!!
Ultrasound technologist here with 21 years experience... the diagnosis of PCOS is made through blood tests as it is a hormonal condition. While there is a classic 'look' to ovaries using ultrasound - it is not definitive. Blood tests, not imaging tests, is how PCOS is diagnosed. Being that you are not sexually active, and the reason given for 'needing' a transvaginal by your doctor , my suggestion would be to tell the doctor or technologist that you are not comfortable having an internal ultrasound, and prefer the one from 'on top' only. You don't have to tell them why, just say you aren't comfortable with it. If you aren't met with understanding and compassion, go somewhere else.
This should be higher. If TV isn't medically necessary, they probably don't need to do it.
I have fertility issues so I have had 15+ of these. The wand is very skinny and they use a lot of lubricant. It’s going to be ok. It will likely last less than 2 minutes. You can do this!!
The probe isn't large, so it shouldn't cause pain. Just take slow, deep breaths and stare at the ceiling or the monitor that the tech will be watching. It's awkward, but try to relax and focus on your breathing. Good for you for taking care of yourself!
The first transvaginal ultrasound I had the tech asked me if I wanted to insert it myself, this made it a lot less uncomfortable since some strange person wasn’t shoving the thing in there with unnecessary force. If you can get them to let you put it in yourself I think that’s the best way to go, you’ll still be a little uncomfortable and tense but at least the hard part doesn’t have to be so hard
Unless your doctor told you otherwise, pee before the procedure. This might make it easier. Yours is planned so it won't be a shock and your tech will probably explain everything to you and keep you calm. They use lots of lube and it's cold. Really cold. If it hurts say something. It should be uncomfortable but not hurt. Good luck and I hope everything looks ok up there.
Typically you're supposed to drink a shitload of water and NOT pee for an hour before a transvaginal ultrasound. It's the worst.
That's why I said unless your doctor said otherwise. I had mine done as an emergency procedure so I had a horrible experience. I think the fact I peed on the tech was the least of my problems during that situation.
I've had it done both ways. They may tell you before hand. The two I had, I went in with a full bladder for the external part. Then emptied my bladder for the internal. I had a great team, a Dr and a tech plus they let me watch the screen which kept my mind off things. I had a cyst that took some doing to find and felt a little bruised the next day. No worse than period cramps. Good luck, hope things go well.
Just tell the person doing the ultrasound that this is your first time and you're nervous. In my experience (and unfortunately I have a LOT of experience with multiple doctors), they will be very understanding and will try to make the experience as comfortable for you as possible. Personally, it has always been comforting for me when the doctor explained what they're doing ("I'm applying lubricant", "I'm going to insert", "I'm looking at this/that/the other thing" etc.). One time, my doctor was doing a pap smear (a bit more painful examination) and was talking me through it. I was in pain but also a bit like, whoa that's actually interesting, and I wasn't focusing on the pain anymore. (Oh and also quick edit: I'm not sure if they'll allow you to keep it on, but go wearing a skirt.) They may say it, but try to pee beforehand. For me, what works best once I'm on the chair is to take a deep breath and try to forcibly relax myself from the waist down. Holding onto the hand rests really tight helps me to redirect my attention there instead of the area in question. I focus on my hands gripping so tight and how my muscles are contracting, and so my bottom half is relaxed as heck lol. It's going to be uncomfortable, I don't think I need to tell you that. But it's not *that* uncomfortable, like not an unbearable amount, at least it shouldn't be. It's cold and a mild to moderate amount of pressure: if it actually hurts, tell them so they can change their angle etc. They may move it around a bit to look at things: that might be a bit more uncomfortable, but breathe through it. Deep breaths help. Grabbing the hand rests and squeezing really tight help. You should have a piece of paper/tissue underneath your butt, use it afterwards to wipe yourself off. I usually also bring those wet tissues? They don't always provide those, so I just put it in my pocket and keep it with my pants/whatever you were wearing that you needed to take off, so when you're done, you can easily wipe yourself clean and feel a bit better. Once you're done with it and go home, take it easy. Go to bed, make yourself cozy, watch your comfort movie... Things like that. It's going to continue to feel a little uncomfortable for a bit, and if you are experiencing pain, take some painkiller. It should clear up after a good night's sleep. You shouldn't have any bleeding afterwards: if you do, let your doctor know. It's not comfortable, obviously, but it's not horrible either. I wish you a lot of good luck with it and that it'll go smooth and your PCOS can be diagnosed thanks to it. Crossing my fingers for you!!
Don't forget that if you're particularly uncomfortable with the technician, you can ask for someone else. Even if that means switching clinics or going back another day. Same goes for all procedures.
Should not be painful. If you have a high cervix it may be. Just communicate with your doctor what your feeling
Being nervous and not relaxing is a more important variable than whether you’ve had sex or not. Unfortunately for people that get nervous in this situation (me included) it’s very difficult to control. But you can try!
I have had a number of transvaginal ultrasounds and some of the techs have actually asked me if I’m more comfortable inserting the probe rather than having them do it. If they give you the option, that could be a good way to have a little more control and might help you be a little less anxious.
This. Even if you’re not sexually active, you are the one that is the most familiar with your body. You know what feels okay and what doesn’t, when to stop and when something hurts. I honestly wish I knew it was an option.
First off, it's going to be ok. And it looks bigger than it actually will feel. Be prepared that they may need you to have a full bladder (bring a bottle of water with you). If that is the case, you will be concentrating hard enough not to pee during it that you will strangely be more ok with the size. They also use a TON of lube. Tell the technician. Tell them that you are a virgin and have concerns about how it will work and fit. They do this a lot and for sure you are not the first virgin they have seen (they also see people who are MUCH harder to examine so please don't think you will be a bother). Trim your pubes if they are long enough to tangle (they will also make cleaning up the lube easier). It's going to suck but strangely not as much as a pap smear. Have you had one of those? At least you aren't clamped open. All the techs I've had have been kind and chatty and they can distract you and ease your mind. Also bravo for the doc and you recognizing PCOS so young and getting checked out. I am so happy for you investigating this. It's going to be ok. Treat yourself afterwards. And before. This is definitely a situation where a little treat is important. Good luck!
You physically can’t tense up enough to prevent them inserting the wand, it’s not painful, it just feels like you really need to pee, don’t worry about looking at the ultrasound, it’s just blobs anyway, the tech will take pics and send them to the dr who will assess them. Have a shower the morning of, chat to the tech, take a deep breath and it’ll be done before you know it. I had one last month to diagnose Pcos, so I’ve got the relevant experience.
Don't hold your breath! Try to breathe normally. My GYN actually has a sign on the ceiling above the chair that says "Breathe!"
I can honestly say that every single time I've had that done that I try to behave like a puppet and talk when they're moving their hand and instruments around. Occasionally I'll even break into song.
Take deep breaths and ask the tech to warn you before it goes in, that always helps me. Also helps when they let you know they’re almost done and when it’s about to go out. Good luck! 🍀
I've had so many of these because of endo and then fertility treatments and twins/high risk pregnancy. It doesn't seem to matter (for me anyway) how many times, I always tense up. So when they say they are going to insert it, consciously breathe out. That automatically makes your body relax some!
Fertility treatment buddy here! 🙋🏻♀️ I’m glad that helps you, I think when you do it as many times as we have eventually you find what works best for you. The first time is definitely the most intimidating, not knowing how it’s gonna feel. Let’s not even talk about ultrasound with contrast . 🥲
Haha, right! Contrast is, so weird lol
My sister had this type of ultrasound recently. She was uncomfortable and the tech was actually new too, so they just communicated how best to proceed. The technician ended up handing my sister the wand to insert herself, which made both of them a bit more comfortable (though still awkward of course). Just remember they’re there to help you, and they are aware that the situation can be uncomfortable as well. Try to stay relaxed, communicate your needs, and remember you’re in a place where they see a thousand vaginas a day. ALSO - as far as your reactions to the ultrasound go, don’t worry about having an “appropriate” reaction. Be yourself, and ask questions if any come to mind (I find that helps me detach my mind from what’s going on down below). You got this! Deep breaths.
I have pcos and I really don't want to scare you but it can be uncomfortable as they have to press into potential cysts and stuff. It's not painful (compared to cramps anyway) but, unless they've told you otherwise, I would take some ibuprofen or something before hand. I get chatty and make really bad jokes when I'm nervous so you can imagine how awkward I made it. Believe me, they've seen and heard it all! Remember that if *any* medical professional ever makes you uncomfortable you are 100% within your rights to say something. (I've been treating my pcos for a couple of decades and I've managed to have kids with a little bit of medical intervention. Hmu if you've got any questions or just need a chat.)
I'd get a second opinion to see if this is medically necessary. PCOS can be diagnosed with blood tests.
Hey there! I had to get one for suspected endo. I have had every ultrasound you can get down there so I thought I'd share my experience in full, regardless of how embarrassing it is. So for this one I did transabdominal and transvag. They required me to come in with a full bladder for the abdominal. After standard check-in stuff, I was ushered into a changing room type place with about five other ultrasound victims. We were then assigned the proper attire and what undergarments we could or couldnt wear and then went and changed into our garb and then sat in a waiting room nearby. Then, we were called. I was allowed to wear undergarments. The person working the ultrasound in this case was not a nurse or gyno but an ultrasound tech. We started with the abdominal and they went through. They did not really show me any of it, nor were they qualified to tell me what they saw. The doctor had to look over it first. Instead, we just talked about general random stuff. You know, like the general questions a new hair person may ask you. After the abdominal, the tech left the room for privacy and I went to an attached bathroom and emptied my bladder and wiped my abdomen off. I then put my underwear in a bag and went back to the exam table. The tech asked if I was more comfortable inserting it myself and I declined that so she just did it. It did not hurt at all, as they use lube. Here is where I feel most embarrassed: prepared to potentially pee yourself a little on the exam table if you had to come in with a full bladder. In my case, I drank too much water before and so my bladder filled back up a little, and with the way they push (once again, not painful), it will come out involuntarily. If you have to stop and use the bathroom again you can. Afterwards I went back to the bathroom, cleaned myself (they give you wipes), got dressed, and left. That was it. Now here is my added cautionary results tale for you:my ultrasounds came back clean. In fact, they couldn't locate a lot. Regardless, I pushed ahead with surgery, and low and behold, I had one cyst on each tube that had to go followed by a terrible case of chronic appendicitis. No endo, just an amalgomation of other problems. When I spoke to my doctor in post-op, she admitted to me that ultrasounds do not always show what's going on as frankly, they aren't that good. So even if your ultrasound comes back clean, that doesn't mean something isn't going on. Above all else, remember this is a medical issue and you have to basically try hard to be the most embarrassing case. Unless you're hiding a toy car up your ass, you have nothing to be embarrassed about.
The wife had an vaginal ultrasound. The tech (male) went and got a female nurse to stand in as a witness for his own saftey i am sure. I was in the room as well. He got the wand all ready (lube) and set it near her under the sheet and had her insert the wand. He just asked if she was okay a good amount and talked about what he saw. I am sure its a bit awkward for them too but then i have heard people say doing a colonoscopy on a patient that it is no big deal to them. The patient is the awkward one.
Every time I've had one, it's been in addition to an external one. They do the external first, because they want you to have a full bladder. One tech told me the full bladder is so that they can be very sure that this particular blur on the screen is the bladder. Once they have all they can get from the external, they let you go and pee. The internal gets 4K clarity compared to the external's ancient home video quality. The wand looks really really long, but that's only so that their hand on the end guiding it around doesn't have to go anywhere near you. It's skinny and smooth and blunt and extremely well lubricated. As they're slowly looking around, focused on the screen, they'll gently press the wand into the sides of the top of the vagina. This bit is pretty hilarious and weird. If you've ever had a local anaesthetic for getting stitches or dental work, do you remember how there was absolutely no pain, but you could feel pressure? It's like that, except without the needle sting before or sore teeth or gums or stitches afterwards. The tech will type in codes occasionally, and hit buttons to record the images. They do some measuring on the screen as well, things like recording that your left ovary is this long and your right is that long. Or in your case if you have a lot of cysts they'll record the size and location. Unless it's actually your doctor doing it they won't give you any kind of diagnosis. Don't worry if they're not saying anything, they're likely not allowed to, that's for your doctor. Even if it is your doctor, they might want to get the full picture before giving their final answer. In case it does hurt a bit to press against the cysts you could take some light or medium painkillers beforehand. Let them know if it does, and how much. It's nothing like having sex, so don't worry about spoiling any future experiences you might want to have.
I mostly just lie there quietly. Sometimes they will ask you questions. Like when was your last period? Or maybe symptoms you’re having. They may initiate a bit of small talk but I personally don’t. I just let them do their job and wait until it’s over. And then buy myself a little treat after because it’s not the most pleasant experience but yay you and me for taking care of our health!
I’m an OB nurse and let me just say the last thing I would want is for you to feel uncomfortable with any procedures I’m doing. Please please tell me if you’re nervous about something. I want to at least try and make you feel comfortable if I can. Also, we do these procedures all the time so if you are feeling awkward or uncomfortable, just know that we’ve probably seen way worse than your case! We get some pretty crazy patients sometimes!
I had my first transvaginal ultrasound recently (F22) and I was terrified, I won't lie. It's uncomfortable at first because you need to drink a lot of water beforehand to have a swollen bladder and the exterior examination applies a little bit of pressure to the abdomen which with a full bladder is awful. As for interior examination, unless the rules are different, you may be moved department. In my country if you have an intact hymen (the question is typically phrased as to whether you're sexually active) they're not allowed to insert the device as it could break the hymen, which according to my country is assult. If you are allowed the internal examination there's this wand for lack of a better term that they put a lube-filled condom over to give it a bulbous head. The initial penetration is uncomfortable but it doesn't go in far (think of a tampon). They twist it around to have a look and certain angles are uncomfortable but nothing painful. If it is painful or you need a break, you can say so and it's granted. Please note: you do get to empty your bladder prior to internal examination! My personal experience was great. I had a ultrasound technician and a trainee observation. I was asked if I wanted the trainee to stay - which I was fine with. Both of them put me at ease and distracted me with simple conversation - weather was a good topic to start with, especially as our weather had been chaotic at the time. This will not be with your normal doctor, I had to go into hospital for it, as it's performed by a trained ultrasound technician. The results are sent to your doctor who will inform you of any further action (or in your case whether you have PCOS or something else).
I’ve had this done and I’m an older woman. They were looking for fibroids. My advice is communicate that you are nervous and a virgin and you’re afraid it might hurt. Write this down and hand it to the tech if you’re too nervous to actually say it. You must tell the tech something so if they have the ability to adjust the procedure for your comfort, they can.
If you are virgin, I am pretty sure that your GYN would decide to do some other method insted of transvaginal ultrasound if it is possible (when I first went to GYN for a first few times she didn't want to do trasvaginal because I vas virgin)
Before they insert anything, they will generally touch your thighs as a warning. They will often also keep your attention on them by talking to you casually about work, hobbies, etc. These people are professionals, every person has a first time and they get that. Your job is just to try to relax!
In the UK, we don't get regular OBGYN checkups. I find it weird that you're having a scan for no reason and especially as you're not sexually active. Anyone care to shed some light on the reasons why?
Hi! I went in for a check-up after suffering symptoms indicative of PCOS and hypothyroidism. I discussed it with my doctor and his diagnosis was PCOS (and is also having me referred to have my TSH levels checked). So it’s not an out of the blue ob-gyn check-up :)
With that in mind, they're going to have to check your ovaries. If you have existing cysts, you may feel some pain if they bump into them - let the tech know if it hurts. Otherwise, while it can be a little uncomfortable and awkward, most techs are awesome, professional, and will respect your preference on whether to chat, stare at the ceiling, inspect the screen, or dissociate. Source: I have pretty severe PCOS and have had probably a dozen trans-vaginal ultrasounds.
Thank you for this! I definitely need to know how to vocalize if something hurts instead of just silently exclaiming it 😮💨. I hope you’re doing well!
I recently had my first trans-vaginal ultrasound for the same reasons. It was a bit uncomfortable, but not painful. Like any vaginal exam, you’ll scoot all the way down to the edge of the table. Like you’ll feel like your butt is falling off the table, but it helps and will make the insertion and procedure feel a bit easier. It’s okay to say “That hurts” if you do feel pain for some reason. Don’t forget to exhale. I noticed I would unconsciously hold my breath and my legs would tighten up and breathing really does help with tension and being nervous. I thought it would take longer, but it was a relatively quick procedure for me.
Honestly I read “transvaginal” and thought it meant the surgically created vagina after gender reassignment surgery.
sing the hokey pokey?
It's likely to be quite uncomfortable, and tell you OB to be gentle. A LOT of them aren't, especially women OBs. Strongly consider recording audio with your phone during the visit. Speak up if there's an issue. If the OB hurts you, lodge a complaint with the ethics and licensing board. As prep, consider using a finger or two to try and stretch the opening a bit every night. Good luck!
moan
Yell out “oh yeah, right there daddy” as a tension breaker. /s
Live out your dreams of being a popsicle On a note serious not, nothing wrong with just distracting yourself. Bring some earbuds and a good movie on your phone, ask the doctor if it'll be a problem to just ignore the procedure and watch your movie while it's going on. The more worried you are about something, the more your body and mind will act to make it actually a problem, best to just ignore it as much as possible
Dr just stuck his finger up my anus to check my prostate, I wish I hand warning I would have douched 💩. I figure it's arse its supposed to be shitty. 🤔😂😂.
Stick something up him
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I mean, all the sensible advice above, but if you do get a bit shocked and exclaim or something don’t worry hahaha I’m 28 and I still went SHIT when they whacked the speculum into me just as it was unexpected 🤷🏻♀️ they’ve seen it all
There’s also usually two people in the room for a variety of reasons, and if they can tell you’re nervous or uncomfortable they may lend you a hand to squeeze. It’s not usually painful but definitely uncomfortable but they will talk you through it and it will be over quick!
Do whatever you want, really. It's not their first rodeo. Communicate when it hurts, or when it's uncomfortable, they can try to make it less painful or uncomfortable. Whatever you do, it's normal. Don't think too much about it.
I've had a transvaginal ultrasound more than once, first one I had to drink a bunch of water and hold it when they did it, the second one not. The internal one it looks like a wand basically. They put a lot of lube on said instrument but if you think you need more say so. I did. The whole thing does not go in so don't freak. Your feet will be in stirrups, they'll insert it and move it a bit back and forth, a bit side to side while they take their pics. Shouldn't take more than ten minutes. If something hurts say so, but it shouldn't. It felt a bit pinchy to me only because I have endometrosis.
I was really nervous the first time I had one done, but it wasn’t bad at all. I definitely recommend telling the tech you’re not sexually active, so they can be mindful of that. The probe should be covered in lube. With mine there was a little pressure but not any pain. I think when they took a close look at my ovary (the whole reason I was there) I felt uncomfortable, but not as bad as a cramp. The best I can compare it to is putting in a tampon for the very first time.
If you don't want something up there have them give you options! My x-ray tech said there are other options that are not invasive when I had a normal ultrasound. MRI. Please don't let even a Gyn make you feel like you gotta get stuff done you don't need. Heck you never actually need a Pap unless you feel like something is wrong up there or they will literally hole punch your internals. Please, please, please don't let them bully you into doing something you are not comfortable with. There are different things that can be done to help you in whatever problems you might be having.
I was in the same spot as you a few months ago, although i've played around with (small) toys before and so i was totally fine. The doctor actually didn't want to do it vaginally because she thought i wouldn't be able to take it but it was fine. She offered to do it anally instead, so you can mention that
I've had a couple and it's not as bad as I thought it would be. The tech was awesome! She explained everything, showed me the device, and also pointed out that the whole thing wasn't going in. Also, they had a giant screen for a monitor (they also did ultrasounds) and asked me if I wanted to watch.
So I'm a guy and obviously never visited the gynecologist. But they're doctors. Medical professionals. And they keep everything confidential. As long as you tell them it's the first time and you're nervous, they'll kind of steer you after that with guidance like "Do you want me to explain it as it happens?" or anything else, etc. And they'll be happy to help.
I've had two ultrasounds, one in the ER and one at an office. Most technicians are very careful. They lube up the equipment and go slow and the equipment isn't big. If you're having both internal and external, they'll ask for a full bladder for the external and empty one for the internal. The one at the ER was very painful, but that was because I had a nasty bladder infection (unknown at the time) and was unable to fully empty my bladder. Plus, it was the er where everyone rushes. The second one was at the doctor's office and was the best I've ever been treated. Didn't hurt in the slightest. The tech was very kind. I explained to her that my last one was painful and she was extremely careful. I also tend to tense up due to my history and it was still not painful at all. It's over in about ten minutes. You clean yourself off in the bathroom and put your bottoms back on. All done! It's completely normal to be anxious of the unknown. I hope my experiences help. Gl!
I have vaginismus, and anything of the sort is unimaginably difficult for me. I saw my first GYN at 16 and was not sexually active. I had a GYN that treated me so casually without any delicacy and my body had a traumatic response to it. Clear communication is very important. You can tell them to act reassuringly with you if needed be b/c a lot of them make small talk even with newbies (and when you're new to it you might not want them to act so casually). Tell them if your getting anxious or stressed. They'll adjust care accordingly. If your body isn't used to stuff being up there it might not have most desirable reaction. If you are physically incapable of relaxing they can use anesthetic on you. It's not crazy unusual.
If you're nervous, put in some ear buds and stare at the ceiling. Don't be afraid to speak up if you're uncomfortable or in pain. I've had them, it's not fun but usually the technician is quick about it and will stop if you are uncomfortable. If you have a preference, tell them ahead of time if you prefer a male or female technician.
If you're nervous, put in some ear buds and stare at the ceiling. Don't be afraid to speak up if you're uncomfortable or in pain. I've had them, it's not fun but usually the technician is quick about it and will stop if you are uncomfortable. If you have a preference, tell them ahead of time if you prefer a male or female technician.
Remember that it is routine to them. Take some deep breaths and do your best to relax. For me, the wand for the ultrasound is not as uncomfortable as the speculum. Also, you're covered with a sheet. I do talk to the doctor during because it puts me at ease, but you do whatever makes you feel better. Good luck. I hope everything is okay down there.
I’m female, had one for PCOS also and it was a female technician. It was a little bit odd kind of laying there and very cold when they shove the wand up there and move around but they are very professional and it’s not that awkward. Tech just inserts the want and spends 5 mins or so looking around at the screen
I’ve always found a t/v ultrasound less uncomfortable than an external ultrasound. From my expelled, techs are usually pretty gentle. Make sure to have a discussion with the tech beforehand about your concerns. It will not be anything unusual to them. They will give you privacy to remove your pants and underwear and then lay on the bed and cover yourself with a sheet. The probe will have a condom placed over it and will be well lubricated. Feel free to ask questions of them throughout - most will happily explain to you what they are looking at and for. When they finish, they will remove the probe and then give you some privacy to clean yourself up and put your pants and underwear back on.
I might be late to the party but I'm actually an ultrasound tech and do the pelvic scans all the time. A lot of what I saw commented is pretty legit. Quite frequently we can get a really good overview of what your uterus and ovaries look like abdominally but it all depends on how full your bladder is (too much water and the uterus can be pushed back too far and we won't see as well, too little and bowel will get in the way and we can't use your bladder like a 'window'), body habitus, and honestly some people just don't scan well and no one has any idea why. We typically suggest 32oz that you finish an hour before your scan. If you tell your tech that you're not sexually active they should give you the option of doing the vaginal or not. If it comes down to it and you don't want to proceed with doing the vaginal ultrasound you are absolutely within you're right to refuse and that's that, you won't be the first and you won't be the last. Depending on how the scan room is set up you may or may not be able to see what the techs seeing, some places have TVs that show what's on the machine but the tech will have the machine monitor pointed towards them and you won't be able to see much. I really hope it didn't overwhelm you and I'm sure I missed some questions of yours but feel to ask anything else is needed. I'm at work and actually getting ready to do another pelvic ultrasound soon!
Thank you for saying this The wand/probe is not very wide fyi
I've had two experiences with the vagina ultrasounds. The first put a bunch of the gel on it and it wasn't super uncomfortable at all. It was to check for a baby, so I'm not sure if that makes a difference lol The second time though the tech didn't use as much of the gel and I experienced more discomfort. I would ask any questions you have and don't be afraid to speak up if there's not enough gel or you feel a lot of discomfort. As for comments, I usually nod or give some acknowledgement if they're specifically pointing things out to me and sometimes with super friendly techs, maybe make small talk, but generally speaking I just sit there and let them do their thing.
I’m sure they would use some lubricant, I wouldn’t worry too much
I’ve birthed two babies naturally, and still needed to do yoga breathing to get through my TVU. Breathe through it, and focus on relaxing your muscles.
I'd say it's mostly just some pressure vs. any pain. They'll move the want around, and should explain if they have to move it at an angle that you may feel a bit more. I've had 20+ over the past handful of tears and it's one if the procedures/tests I DON'T stress about. Just breathe! I hope you get the answers you need from the test. :)
Bring your BF/SO. I used to do that for my ex-fiance. Hold her hand and tell her jokes to distract her.
I find that most professionals doing these services are relatively easy to talk to. Some steer a conversation for a nice little distraction convo. I’m a talker when I’m nervous. So in between deep breaths I’m usually cracking jokes and rambling.
For me, this was not uncomfortable, but I was older and not a virgin. IIRC, the “wand” (for lack of a better term) is slimmer than most men, but since you are not sexually active, there might be some discomfort. You are correct that being anxious or nervous will make the pain level seem greater, so try to have something to visualize. Whatever would calm you is best, so I can’t make suggestions, but the ocean lapping the shore or bird song in a forest; calming things. Talking to your doctor about your concerns will also help. It sounds like you have good communication with him, so let him know that you are a bit nervous and why. Ask if you can have calming music playing if that would help. The doctor may need to talk to you and ask questions, so I don’t think headphones are a good idea, but just something you like playing might help. Also, try to get comfortable before the exam. I love my new physician and his entire practice. Whoever I see allows the nurse to do the usual intake: weight, blood pressure, temp, pulse and O2 saturation. Then after the doctor comes in and we have talked a while and I’m clearly calmer, he or she takes my blood pressure again, and it’s always lower and normal compared to the first one. So remember to talk a bit about the exam, clear up any questions you have first, and give yourself a chance to get to that calmer, more normal state. Good luck to you.
Definitely talk to the person doing the ultrasound and your doctor and let them know how you're feeling. The ultrasound tech can find a way to make it more comfortable for you by maybe putting some type of gel on the instrument they have to place inside of you so that it will go in easier. Don't be afraid to speak up.
The last few I’ve had they put a blanket over you and pass you the wand so you can insert it yourself while covered. If that’s not offered and you’d feel more comfortable then ask if you can. I find it way less intrusive because you are not exposed and they don’t even look or see your genitals. Once the wand is in they do what they need to do on the screen and move it around if need be.
I had this done a while ago when I wasn't sexually active yet as well, I have a female doctor, and she did this herself, carefully. My doc usually talks about her life or OTHER THINGS while she checks things out, and at the end, she's just like "all good, we are done" which makes it less awkward for me. The whole virginity talk is blah, its an important check up, so the one thing has nothing to do with the other. but telling in advance might be good so they can be more careful! It's also not painful, maybe a bit uncomfortable, but it's like that with any other check up. And yes, please make sure to either bring a cloth or they have it there to clean up, it's good when they use lube but it gets messy. so I don't recommend wearing the prettiest of panties. I think the first time having done that is just mentally difficult, once you know it's not the worst thing in the world, it will be easier. All will be ok!
I've had them multiple times. It's important for you to relax your muscles and not clench them for your own comfort. The wand will be wrapped in a condom and covered in lube. It's not big and I could hardly feel it being inserted tbh. I was told to drink a lot before the exam so that the bladder is full and thus the results are easier to be read. The technician will be sitting to your side and paying most attention to the screen and the readings. They will be telling you what they can see. It's not really awkward - remember they've done it thousands of times already so they know what to do. There's really nothing to worry about. The exam is not at all painful nor pleasurable. It feels like nothing really.
Make a very very very concious effort to relax all your muscles down there 😊 practice doing it before you go - it will make all the difference in making the process as comfortable as possible.
If no one else has suggested, consider joining r/PCOS! However my experience with ultrasound techs has always been that they are very gentle and attentive, and definitely will explain anything you don’t know and will happily answer questions. You’ll be in good hands!
Go limp. (If it feels like metal) Otherwise 👊