What Is A Transvaginal Ultrasound?

Maybe your doctor thinks you have a cyst on your ovary and has ordered an ultrasound. Maybe your pregnancy test is positive and your doctor wants to do an ultrasound or you’ve been offered one at Collage to confirm that you’re really pregnant and establish a due date.

You’ve probably seen characters on television get ultrasounds, so you might be expecting a transabdominal ultrasound – for the doctor or sonographer (ultrasound technician) to put some gel on a curved probe and move it around on your stomach area. But if you’re in the early stages of pregnancy or if your doctor needs to get a really good look at your internal organs, a transabdominal ultrasound isn’t always sensitive enough. Your doctor will probably order a pelvic or transvaginal ultrasound.

So what’s that?

A transvaginal or pelvic ultrasound is an internal ultrasound.

What happens during this ultrasound?

The sonographer or doctor will ask you to undress from the waist down and put on a gown or cover your legs with a sheet. You’ll lie on an exam table with your knees bent. In this type of ultrasound, the transducer looks like a wand, a little bigger than a super tampon. The medical provider will cover the wand with a condom, then put some lubricating gel on the wand and insert it inside the vagina. The wand will produce sound waves that bounce off your internal organs to produce a picture, and the picture will display on a computer screen or TV monitor. The doctor or sonographer can see these images immediately, in real time.

Does it hurt?

Because the sonographer needs to move the wand around side to side, it may cause slight discomfort that usually feels like pressure. But that discomfort is temporary and will go away when the ultrasound ends. If your doctor is performing the ultrasound because of pelvic or abdominal pain, the internal ultrasound might cause more pain. Tell your doctor or the sonographer if the pain is severe during the ultrasound.

If I’m pregnant, what can the transvaginal ultrasound show?

The transvaginal ultrasound can confirm that you are pregnant, detect the baby’s heartbeat early in pregnancy, show the location and size of your uterus, and show whether you’re pregnant with more than one baby. A transvaginal ultrasound can also help detect an ectopic pregnancy more accurately, determine where any abnormal bleeding is coming from, or indicate any abnormalities in the placenta or with the cervix.

If I’m not pregnant, why would I need a transvaginal ultrasound?

A doctor may use a transvaginal or pelvic ultrasound to look for fibroids or cysts or polyps or endometriosis. If you have any abnormal bleeding, abnormal results from a pelvic exam, pelvic pain, or infertility, your doctor may order a transvaginal ultrasound to help figure out the cause.

Is it safe?

Vaginal ultrasounds are safe for both you and your baby, as long as your water hasn’t broken. If you’re allergic to latex or to any ingredients in lubricant gel, be sure to let your doctor know before the exam.

It’s normal to feel uncomfortable – this type of exam isn’t anyone’s favorite thing. But it will help if you’re prepared with what to expect. If you have any questions, ask your doctor or the sonographer. This is your body and your health, and you have the right to ask questions and have them answered.

If you have any other questions, please call us. Someone on our staff will be happy to talk with you, so you can be fully informed.

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How Does Abortion End My Pregnancy?

May 29, 2026

If you’ve recently learned you are pregnant unexpectedly, we understand how overwhelming this might feel right now. If you're considering abortion as an option, taking time to understand how the process works is important so you can make an informed decision. Collage is here to help provide you with confidential support and abortion information at no cost. We offer a safe space, free of judgment, where you can think calmly about your options, receive lab-quality pregnancy testing, and get a complimentary ultrasound so you can get the facts around your pregnancy and learn what options are available to you. Schedule your free appointment today. Medical Abortion Medical abortion, also known as the abortion pill, ends a pregnancy by using two drugs taken at different times. The first pill, mifepristone, works by blocking progesterone and causes the embryo’s death. The second drug, called misoprostol, is usually taken a day or two after and causes the uterus to contract, expelling the pregnancy tissue through cramping and bleeding. Common side effects can include bleeding and cramping, bleeding with blood clots, and a low-grade fever. Medical abortion is only approved through ten weeks of gestation by the FDA . Follow-up care is typically recommended after a medical abortion to make sure the process is complete. Surgical Abortion Surgical abortion terminates a pregnancy in a clinic or medical setting and involves removing pregnancy tissue from the uterus through a suction device or a tool called a curette. This can also be called dilation and evacuation or dilation and curettage . Common side effects of surgical abortions are bleeding and cramps. You may also have a late or early period as your uterus has to build a new lining after the procedure. What Are The Risks Of Abortion? Medical and surgical abortion both have possible risks that you should be aware of. Some women may also experience emotional responses afterward. Complications that can arise from abortion are: Infection. Scar tissue on the uterine wall, known as Asherman's syndrome . Heavy bleeding that may not stop. Diarrhea and digestive pain. An incomplete abortion. Confirm Your Pregnancy With An Ultrasound Before making a pregnancy decision, it is important to verify your pregnancy with an ultrasound. An ultrasound provides important medical details such as how far along you are, the location of the pregnancy, and whether a heartbeat is detected. These details are important since the abortion pill is not FDA-approved for over ten weeks, and it also rules out ectopic pregnancy, which requires urgent medical attention. As many as 26% of all pregnancies end in a miscarriage, and you can still get a positive pregnancy test result for days or weeks after a miscarriage because it takes time for hCG to leave the body. An ultrasound will confirm whether or not you have miscarried. We provide no-cost pregnancy services at our center, including limited OB ultrasounds, so you can get informed about your pregnancy and options. Get Pregnancy Support at College If you're considering your next step after learning you are unexpectedly pregnant, we are here to give you a safe place to ask questions and learn more about your options. Collage provides confidential appointments and no-cost pregnancy services, including medical-grade pregnancy testing, ultrasounds, and STD testing . You don’t have to figure this out alone. We are here to listen. Schedule your free confidential appointment to learn more about your options. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services.

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Facing an unexpected pregnancy brings up a lot of questions, and it makes complete sense that you want to understand every option before deciding anything. If you're considering the abortion pill, knowing what it actually involves, including its side effects, is an important part of making a decision based on the facts. You don't have to sort through this alone. Schedule a no-cost appointment with Collage today to get your questions answered. How the Abortion Pill Works The abortion pill uses two drugs taken in sequence. The first, mifepristone, blocks progesterone, a hormone that supports the growth and development of the pregnancy. Without it, the pregnancy detaches from the uterine lining. The second drug, misoprostol, is typically taken at home and causes the uterus to contract and expel the pregnancy tissue. Heavy bleeding and cramping will be part of this process, and some women have described the pain as more severe than they anticipated. Side Effects to Know Beyond bleeding and cramping, the abortion pill can also cause these side effects : Upset stomach Vomiting Diarrhea Headache Fever Chills These side effects vary from woman to woman, which is one reason having a healthcare provider involved matters. Without medical oversight, it can be difficult to know what's within the range of normal and what requires immediate attention. Your personal health history also plays a role in how your body responds. Speaking with a medical professional before proceeding is an important step in protecting your well-being. Why an Ultrasound Matters First Before considering any pregnancy option, an ultrasound provides information that a pregnancy test simply cannot. It can confirm whether the pregnancy is progressing, rule out an ectopic pregnancy , and tell you how far along you are. The FDA approves the abortion pill only through 10 weeks gestation, making that last detail a critical piece of information for your safety. We're Here for You Whatever you're feeling right now, there’s no pressure here. At Collage, we genuinely care about you and want to make sure you have everything you need to make a sound decision. We offer lab-quality pregnancy testing and limited obstetrical ultrasounds, and our team is ready to talk through all your options, parenting, adoption, and abortion, in a warm, supportive environment. Schedule your no-cost appointment today. We're so glad you reached out. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. All abortion information in this blog is based on accurate information at the time of writing.

3 Things to Know if You Are Considering Mail-Order Abortion

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Facing an unexpected pregnancy can bring a lot of emotions, and often, a sense of urgency to make a decision quickly. You may have seen options online to order abortion pills by mail and wondered if it’s a simple solution. Before making a decision, it’s important to understand how this option could affect your health and what steps you can take to make a fully informed decision. 1. Your Health Should Always Come First Mail-order abortion often skips important medical safeguards. In many cases, there is no in-person evaluation before receiving the drugs. That means key health factors, such as your medical history and potential risks, will not be fully considered. There can also be uncertainty about the source of the drugs, including how they were handled, stored, or dosed. In fact, the FDA does not recommend this option because the drugs’ quality, safety, and effectiveness cannot be guaranteed. Taking time to understand your health first is a smart and proactive way to protect yourself. 2. You Need Clear Answers About Your Pregnancy A pregnancy test alone doesn’t give you the full picture. Before considering abortion, it’s important to confirm details about your pregnancy through an ultrasound. An ultrasound can tell you: How far along are you? Whether the pregnancy is developing (or if you’ve miscarried ) Where the pregnancy is located These details matter more than you might think. Abortion pills are FDA-approved only through 10 weeks of gestation, and without accurate dating, it’s possible to miscalculate how far along you are. An ultrasound can also detect an ectopic pregnancy , which occurs outside the uterus and requires immediate medical attention. Abortion pills will not treat this condition. What’s more, if you’ve experienced a miscarriage, you may require medical follow-up to prevent complications. Getting these details first helps ensure your safety. We offer limited OB ultrasounds following positive lab-quality pregnancy testing with us. 3. It’s Important to Understand the Process and Risks Mail-order abortion may sound straightforward, but it’s important to know what it may actually involve. The process includes significant cramping and bleeding as the body expels the pregnancy, with some women describing the pain as being unexpectedly severe . Other side effects can include: Nausea or vomiting Fever or chills Diarrhea Headaches There are also potential risks , such as heavy bleeding, infection, or an incomplete abortion that may require additional medical care. Without in-person support, it can be difficult to know what’s expected and when something may need medical attention. You Don’t Have to Figure This Out Alone When everything feels overwhelming, it can help to take a moment to evaluate your next steps and get the information you need. At Collage, we provide no-cost, confidential services so you can ask questions, gather accurate information, and explore your options at your own pace in a one-on-one setting. Schedule your appointment today. Collage does not provide or refer for abortions; however, we do offer pre-abortion screening through our no-cost services. All abortion information sourced in this blog is based on accurate information at the time of writing.