Ultrasound for Endometriosis Diagnosis in Kathmandu
Non-invasive imaging to detect ovarian endometriomas and deep infiltrating endometriosis.
What is Transvaginal Ultrasound?
Transvaginal ultrasound is a specialized imaging technique where a small ultrasound probe is gently inserted into the vagina to obtain detailed images of the pelvic organs. It's one of the first-line imaging tests for suspected endometriosis and can detect certain types of endometriosis lesions.
What Ultrasound Can Detect
- ✓Ovarian endometriomas (chocolate cysts)
- ✓Deep infiltrating endometriosis (DIE)
- ✓Adhesions between organs
- ✓Endometriosis affecting bladder or bowel
- ✓Uterine abnormalities (adenomyosis)
Types of Ultrasound
Transvaginal Ultrasound (TVUS)
The most effective type for endometriosis. Provides high-resolution images of pelvic organs from inside the vagina.
- • Best for detecting ovarian cysts
- • Can identify deep endometriosis
- • More detailed than abdominal ultrasound
- • Takes 15-20 minutes
Transabdominal Ultrasound
Performed over the abdomen. Less detailed but useful for overall pelvic assessment.
- • Non-invasive external scan
- • Good for large cysts
- • May be combined with TVUS
- • Requires full bladder
Transvaginal Sonography (TVS) with Bowel Preparation
Advanced technique for detecting deep infiltrating endometriosis affecting the bowel.
- • Requires bowel preparation (enema)
- • Best for deep endometriosis
- • Higher accuracy for DIE
- • Specialized technique
The Procedure
1. Preparation
Empty bladder before transvaginal scan. No special preparation usually needed. Wear comfortable clothing.
2. Positioning
Lie on examination table with knees bent. Similar position to pelvic exam.
3. Scanning
Ultrasound probe covered with protective sheath and gel is gently inserted. Probe moved to capture different angles. May feel slight pressure but should not be painful.
4. Duration
Typically takes 15-30 minutes. Immediate results available. No recovery time needed.
Accuracy & Limitations
High Accuracy For:
- • Ovarian endometriomas (90-95% sensitivity)
- • Deep infiltrating endometriosis (80-90%)
- • Bladder endometriosis
- • Rectovaginal endometriosis
Limitations:
- • Cannot detect superficial peritoneal lesions
- • May miss small implants
- • Operator-dependent accuracy
- • Cannot definitively diagnose without biopsy
💡 Important Note
A normal ultrasound does NOT rule out endometriosis. Many women with confirmed endometriosis have normal ultrasound findings, especially those with superficial peritoneal disease. If symptoms persist despite normal ultrasound, further evaluation with MRI or laparoscopy may be needed.
Cost in Kathmandu
Transvaginal ultrasound costs in Kathmandu typically range from NPR 1,500 to NPR 3,500 depending on:
- • Facility (hospital vs diagnostic center)
- • Type of scan (basic vs specialized)
- • Radiologist expertise
- • Additional imaging (3D/4D ultrasound)
Contact GyneNepal for current pricing and to schedule your ultrasound.
When Ultrasound is Recommended
- →Suspected ovarian cysts or masses
- →Chronic pelvic pain evaluation
- →Infertility workup
- →Monitoring known endometriomas
- →Pre-surgical planning
- →Post-treatment follow-up
Need an Ultrasound for Endometriosis?
Expert ultrasound imaging in Kathmandu.