UAG for PCOS Treatment: TVS & TAS Scans for Ovarian Health Assessment
Understand Your Body From the Inside Out With the Scan That Sees What Blood Tests Miss.
For many women experiencing symptoms like irregular periods, stubborn acne, or difficulties conceiving, the journey to understanding their health often begins with a fundamental diagnostic tool: a pelvic ultrasound. This non-invasive imaging technique is crucial in the diagnosis and ongoing management of Polycystic Ovary Syndrome (PCOS), allowing healthcare providers to visualize the ovaries and other reproductive structures in detail.
At Minnerva Clinic, led by the compassionate and highly experienced Dr. Pragya Gupta (MBBS, MD-OBGYN, DNB, FCG), we offer advanced ultrasound services tailored specifically for women's health. We provide both Transvaginal Sonography (TVS) and Transabdominal Sonography (TAS) scans, ensuring a comfortable and accurate experience regardless of your age, symptoms, or personal comfort levels. Our goal is to provide you with a clear, visual understanding of your ovarian health, complementing blood test results to give you a complete picture of your body's unique needs.
What is UAG (Ultrasound Abdomen & Pelvis)?
UAG, or Ultrasound Abdomen & Pelvis, is a safe, non-invasive imaging technique that uses high-frequency sound waves to create real-time images of internal organs. For women, a pelvic ultrasound specifically focuses on the reproductive organs, including the uterus, ovaries, fallopian tubes, and the endometrial lining.
In the context of PCOS, a pelvic ultrasound is an indispensable tool:
- Helps Confirm Diagnosis: It allows for the visual identification of the characteristic "polycystic morphology" of the ovaries.
- Monitors Progress: Regular scans can help monitor the effectiveness of treatments by observing changes in ovarian appearance.
- Tracks Ovulation: For those trying to conceive, detailed follicular monitoring via ultrasound can pinpoint ovulation.
At Minnerva Clinic, pelvic ultrasounds are performed in two primary ways to ensure accuracy and patient comfort: TVS (Transvaginal Sonography) and TAS (Transabdominal Sonography).
TVS vs. TAS – What’s the Difference?
Dr. Pragya Gupta will discuss the most appropriate option for you based on your needs and comfort.
| Feature | TVS (Transvaginal Sonography) | TAS (Transabdominal Sonography) |
|---|---|---|
| Probe Placement | An internal probe is inserted into the vaginal canal. | The external probe moved over the lower abdomen. |
| Image Resolution | Best resolution and clarity for detailed ovarian and uterine views. | Good overall view, but less detailed than TVS. |
| Comfort Level | May cause mild discomfort, but is generally well-tolerated. | Completely non-invasive and painless. |
| Preferred For | Accurate ovulation tracking, detailed assessment of ovarian morphology in PCOS. | Unmarried or adolescent girls, or those uncomfortable with an internal exam. |
| Bladder Prep | An empty bladder is required. | Full bladder required. |
| Key Advantage | More accurate for assessing polycystic ovarian morphology and subtle uterine issues. | Useful if TVS is not suitable or comfortable, or for initial broad screening. |
Why Are These Scans Important in PCOS?
Detect “String of Pearl” Appearance
A classic visual sign of PCOS where the ovaries appear enlarged with many small, immature follicles around the periphery.
Count Immature Follicles
An ultrasound accurately counts follicles to see if they meet the Rotterdam criteria for PCOS diagnosis (12 or more per ovary).
Check Ovarian Volume
PCOS ovaries are often enlarged. A volume greater than 10 cm³ is another diagnostic indicator measured precisely during the scan.
Assess Endometrial Lining
The scan assesses uterine lining thickness, which can become excessive in women with PCOS and infrequent periods.
Track Ovulation
For those trying to conceive, a series of scans can track if a mature follicle develops and ruptures, confirming ovulation.
Rule Out Other Abnormalities
Scans help rule out other conditions like ovarian cysts, uterine fibroids, or polyps that can mimic PCOS symptoms.
When Should You Get a PCOS Scan?
Dr. Pragya Gupta may recommend a scan if you present with any of the following:
Irregular or Missed Periods
This is often the primary reason, as a scan can identify if anovulation and polycystic ovaries are the cause.
Suspected Hormonal Imbalance
If blood tests show irregularities, a scan provides visual confirmation of ovarian involvement.
Trying to Conceive (TTC)
A scan helps assess ovarian health, track ovulation, and rule out structural barriers to conception.
Acne, Facial Hair, or Weight Gain
A scan helps confirm if underlying PCOS is contributing to these androgen-related symptoms.
Family History of PCOS
A baseline scan might be recommended even with subtle symptoms if PCOS runs in your family.
Monitoring During Treatment
To assess the effectiveness of medication or lifestyle changes on ovarian morphology and ovulation.
Step-by-Step UAG Process at Minnerva Clinic
We strive to make your ultrasound experience as comfortable, private, and informative as possible.
1. Consultation with Dr. Pragya Gupta
Your journey begins with a thorough consultation to discuss symptoms, medical history, and clarify the purpose of the scan.
2. Decide TVS or TAS
Based on your comfort level, age, and diagnostic needs, Dr. Gupta will recommend the most appropriate scan. Your comfort is our priority.
3. Scan Done in a Private, Sanitized Setting
The ultrasound is performed in a dedicated, private room with modern technology. All equipment is thoroughly sanitized for your safety.
4. Immediate Image Review with Patient
Dr. Gupta reviews the images with you immediately, explaining the findings in clear, easy-to-understand language and answering your questions.
5. Follow-up Plan
Based on the scan and any accompanying test results, Dr. Gupta will develop a personalized follow-up plan for treatment or further monitoring.
Is the Scan Painful or Risky?
No — both TVS and TAS scans are safe, quick, and radiation-free. They use sound waves, not ionizing radiation like X-rays, making them extremely safe, even for repeated use.
TVS may cause mild discomfort, but it’s well tolerated. While an internal probe is used, it's thin and inserted gently. You might feel some pressure, similar to a pelvic exam, but it's brief. Our team prioritizes your comfort.
The entire process typically takes only 15–30 minutes, allowing you to quickly resume your daily activities.
How Often Should Scans Be Repeated?
The frequency depends on your individual needs:
- Diagnosis (Baseline Scan): One initial scan is usually performed to establish a baseline.
- Ovulation Tracking: This may require a series of 3–5 scans per cycle to track follicle growth.
- Monitoring Specific Concerns: If you have persistent cysts or are undergoing certain treatments, scans will be done as advised.
- After Ovarian Drilling: 1–2 cycles of scans may be recommended to confirm ovulation has resumed.
Why Choose Minnerva Clinic for UAG?
Female-Led & Privacy-Focused
Dr. Pragya Gupta leads our clinic, ensuring a welcoming, discreet, and respectful environment for your privacy.
Option of Female-Only Staff
We accommodate requests for female-only staff during your procedure, ensuring maximum comfort and trust.
TVS and TAS are Both Available
We offer both internal and external ultrasound options, allowing you to choose the method you are most comfortable with.
Same-Day Results & Consultation
Dr. Gupta reviews findings with you immediately, providing clarity and discussing next steps in real-time.
Trusted by 5000+ Women
Our clinic has earned the trust of thousands for its compassionate care, accurate diagnostics, and effective treatment.
Patient Testimonials
"I was very nervous about the internal scan, as it was my first time. But Dr. Pragya explained everything so gently, step by step. The process was smooth, quick, and gave me all the clarity I needed about my PCOS. I felt completely comfortable."
"We were trying to conceive, and Dr. Pragya used TVS for my follicular monitoring. It was amazing to see my follicles growing on the screen, and she helped us pinpoint my ovulation exactly. It gave us so much confidence in our fertility journey."
"My teenage daughter had irregular periods, and we were worried about PCOS. Dr. Pragya recommended a TAS scan, which made my daughter feel much more comfortable. The doctor was so kind and explained the results clearly. It was a reassuring experience for both of us."
FAQs
What’s the best day of the cycle for a PCOS scan?
For an initial baseline diagnosis of PCOS morphology, the scan is often best performed between Day 2 and Day 5 of your menstrual cycle. For follicular monitoring to track ovulation, multiple scans may be performed across different days of your cycle.
Can I get a scan without being on my period?
Yes, you can. While certain assessments are often preferred during specific cycle days, the scan can still provide valuable information at any time, especially if you have very irregular or absent periods.
Is a full bladder required?
For TAS (Transabdominal Sonography), a full bladder is usually required. For TVS (Transvaginal Sonography), an empty bladder is preferred for better image quality and comfort. Our team will provide clear instructions.
Is TVS safe for unmarried women?
Yes, TVS is completely safe and routinely performed for unmarried women when medically indicated. The decision is based on clinical need and patient consent, not marital status. Your comfort and privacy are always respected.
Can PCOS be diagnosed with just an ultrasound?
No, PCOS cannot be diagnosed with just an ultrasound. The diagnosis requires a combination of clinical symptoms (like irregular periods), specific ultrasound findings, and ruling out other conditions. It's a comprehensive assessment.
Will the scan tell me if I’m ovulating?
A single scan provides a snapshot. To definitively tell if you are ovulating, a series of scans called follicular monitoring is performed over several days to track the growth of follicles and confirm if one ruptures (indicating ovulation).
Related PCOS Services at Minnerva Clinic
PCOS/PCOD Diagnosis – Combining ultrasound with lab tests for an accurate diagnosis.
Medical Management – Tailored hormonal treatments based on your results.
TVS with Follicular Monitoring – Precise tracking of egg release to enhance fertility.
Ovarian Drilling for PCOS – Using scans to monitor changes post-surgery.
Laser Hair/Acne Treatment – Addressing visible symptoms correlated with PCOS.
Don’t guess what your body’s going through, see it. Understand it. Treat it right.
Your health journey deserves clarity. A professional pelvic ultrasound at Minnerva Clinic provides the visual insights you need to truly understand your body and address your PCOS effectively. We are here to offer compassionate care and expert guidance every step of the way.
Take the informed step towards better health.
Other Important Links
Infertility treatments in Lucknow
Things to Know before any Infertility treatments
Our Clinic Location in Lucknow
Meet Dr Pragya Gupta (MBBS, MD, DNB Obstetrician and Gynaecologist)
Contact Minnerva Clinic