Ultrasound of the pelvic organs does not visualize the left ovary

Ultrasound diagnostics of the ovaries allows you to quickly identify existing pathology and assess the size and structure of organ tissue without additional preparation on the part of the patient.
However, sometimes the ovary is not visualized; what this means is the main question that worries patients.

Without additional examinations, it is difficult to answer why the gland is not visible, however, the most likely reasons are the onset of menopause, hormonal imbalance, and disturbances in the functioning of neighboring organs.

Ovaries are not located: what does this mean?

The glands may not be visible because they are located behind the uterus and bladder. Often they are blocked by the intestines. It is especially difficult to examine the ovaries during menopause, when the size of the organs decreases naturally and they are not visualized.

The left ovary is not detected on ultrasound when the bladder is not full. Patients underestimate the importance of following the doctor's recommendations in preparing for the examination. The reason is a lack of understanding of the essence of the process.

During ultrasound diagnostics of the pelvic organs, the sensitivity of the sensor must be adjusted. If the sensitivity level is exceeded, the device readings may be unreliable and the ovary is not visualized. Often the right ovary is not detected on ultrasound, access to which is blocked by parametrium tissue (peri-uterine tissue) and bone structures.

The approach of menopause causes a number of changes in a woman’s body:

the number of follicles in the glands decreases;
the production of the hormone estrogen decreases;
Connective tissue develops, gradually replacing the cortex with numerous follicles.

As a result of the changes, the size of the organs decreases; they are not visualized during the examination.

In a woman of reproductive age, the volume of the ovary is on average 8 cm 3, however, during the premenopausal period, an enlarged organ is a deviation from the norm. Its volume should not be more than 5 cm 3, this condition is regarded as pathological, and the difference between paired organs should not exceed 1.5 cm 3.

During menopause, scanning must be done with a transvaginal probe, otherwise the ovaries will not be visible. By choosing a transabdominal approach, the risk of the glands not being imaged on the monitor increases by 30-50%; the gland is not visualized.

Possible reasons why the ovary is not visualized on ultrasound

In addition to menopause, flatulence, and improper preparation for diagnosis, there are other reasons why the ovary is not located:

congenital structural features of internal organs;
development of adhesions after inflammation of the appendages, surgery;
increased size of the uterus;
displacement of other organs.

Common reasons why the gland is not visible on ultrasound include:

Taking oral contraceptives.
Intestinal disorders.
Hormonal disbalance.
Anovulatory cycle.
Surgical interventions.

If an ovary is not found on the ultrasound, you need to tell your doctor about taking birth control pills. The hormones included in their composition contribute to the inhibition of the functions of the gland. It is not visible on the monitor, and diagnosis cannot be considered an informative examination method.

You should not overload your intestines before the examination. Overeating and consumption of gas-forming foods are a common reason for unreliable examination results and the reason why the gland is not visible.

If the ovary is not visualized on ultrasound, the reasons may be hormonal imbalance caused by stress, disruption of the endocrine system, or other concomitant diseases. The examination includes taking a number of hormones:

Do not be surprised if the ovary is not visualized on ultrasound during an anovulatory cycle. The absence of the natural process of egg maturation indicates an imbalance of hormones. If anovulation is accompanied by weight gain, deterioration in the condition of the skin and hair is observed, and the gland is not visible for 2 months in a row, you should consult a gynecologist-endocrinologist.

Removal of the ovaries is a necessary necessity, and the patient, as a rule, is aware of the surgical procedures performed. In this case, the gland is not visualized, but this should not cause suspicion.

Another reason why organs are not visible is stress suffered during surgery. Even if the ovary is not removed, it may shrink and be no more than 0.5 cm in diameter.

What to do if the ovary is not visible on ultrasound

If the appendages are not detected, this means either a more serious change in hormonal levels, which occurs when taking contraceptives during menopause, or a peculiarity of the current state of the internal organs.

When re-examining with an abdominal sensor, you must:

3 days before the manipulations, give up carbonated drinks, as well as foods that cause flatulence (legumes, black bread, cabbage, fresh baked goods, sweets);
a few hours before the examination, take the sorbent;
in the evening take a laxative or cleanse the intestines with an enema.

Assessing the condition of the glands using a vaginal sensor does not require special preparation.

Conclusion

If the ovary is not visualized, the doctor will tell you what this means. It is recommended to carry out the diagnosis again, having prepared for the process. In most cases, following all recommendations for preparing for the examination has a positive effect. If the gland is not visualized again, you need to take tests to check your hormonal levels.

Ultrasound examination allows you to quickly and accurately detect pathological changes in the reproductive system and determine the size and structure of the ovaries.

Sometimes a medical professional will tell a patient that her ovary cannot be visualized. To find out why the gonad is not visible on the monitor, you need to undergo additional research.

But most often, the lack of visualization is a consequence of menopause, hormonal disorders, and pathologies of the pelvic organs.

Why are the ovaries not visible on ultrasound?

When a medical specialist says that the ovaries are not visualized, he means that the gonads are not visible on the monitor.

Lack of visualization can be both a sign of pathological changes and a consequence of errors in the work of the gynecologist.

The doctor may not be experienced or qualified enough to distinguish female glands on the ultrasound machine screen, or may not set the sensor correctly.

A healthy ovary has an uneven and clear border. If the border is vague, then we can assume a cyst, an inflammatory process, or a corpus luteum.

Visualization may be absent if the patient has not properly prepared for the procedure. Before a transabdominal test (where a transducer is moved across the abdomen), the woman should drink as much water as possible to inflate her bladder.

If during the study the bladder is empty, the left ovary may hide under the uterus. Before a transvaginal ultrasound (where the probe is inserted into the vagina), the patient needs to empty the bladder and intestinal tract.

A transvaginally inserted sensor is close to the pelvic organs, and the contents of these organs make it difficult to see the gonads.

Other reasons for lack of visualization

The ovaries may not be visible on the ultrasound machine monitor if:

undergone surgery in the pelvic area;
congenital absence of gonads;
the onset of menopause, accompanied by drying out of the ovaries;
flatulence and intestinal fullness with feces;
displaced location of the pelvic organs as a result of congenital or previous pathologies;
serious diseases of the uterus, accompanied by proliferation of uterine tissue.

No visualization of the left ovary

The reason for the invisibility of the left ovary on the monitor is most often the empty state of the bladder. Many patients do not understand why it is necessary to come to an ultrasound with a full bladder. As a result, the doctor’s recommendation is ignored, which makes the study ineffective.

Source: https://ginekologiya-urologiya.ru/diagnostika/pri-uzi-organov-malogo-taza-ne-vizualiziruetsya-levyj-yaichnik

What to do if the ovary is not visible on ultrasound

When re-examining with an abdominal sensor, you must:

3 days before the manipulations, give up carbonated drinks, as well as foods that cause flatulence (legumes, black bread, cabbage, fresh baked goods, sweets);
a few hours before the examination, take the sorbent;
in the evening take a laxative or cleanse the intestines with an enema.

Attention! 2 hours before visiting a doctor, you should drink 1 liter of water and not urinate until the ultrasound diagnostic procedure (with an empty bladder, the ovaries are not visible).

Assessing the condition of the glands using a vaginal sensor does not require special preparation.

The only obstacle to obtaining a clear picture may be gases in the intestines, due to which the ovaries are not visible, so it is recommended to take the drug “Espumizan” a day before the examination (2 tablets three times a day, and 2 tablets an hour before the procedure) .

Advice! Following the recommendations will facilitate the doctor’s work in assessing the condition of the ovaries.

The ovary is not visualized on ultrasound: why the organ is not visible during examination

Ultrasound diagnostics is an effective and accessible method for identifying pathology of the female genital organs. Read further in the article: the ovary is not visualized, what does this mean?

Localization of the ovaries

The ovaries are paired glands of the female reproductive system, located in the pelvis, on both sides of the uterus. Normally, the glands are located to the right and left of the midline of the abdomen in the groin area.

They are connected to the uterus and the walls of the small pelvis using connective tissue cords - ligaments in which the blood vessels and nerve fibers that feed them pass. The upper part of the glands is in contact with the fallopian tubes.

The collection of ovaries and fallopian tubes is called the appendages.

Although the gonads do not directly contact the abdominal cavity, loops of the large intestine are located above them. This localization feature often leads to the fact that the ovaries are not located during ultrasound examination of the pelvic organs due to shielding by the large intestine.

Features of structure and functioning

The ovaries are covered with a connective tissue membrane, under which the cortex and parenchyma of the organ are located. As the follicle matures, it moves to the edge of the ovary and during ovulation, the egg is released into the abdominal cavity where it is captured by the fallopian tubes.

The female gonads perform two main functions.

Reproductive function . The ovaries contain eggs that mature during the monthly cycle. Unlike the male body, in which the formation of sperm occurs throughout life, the number of eggs in a woman is limited (about 1 million) and is laid during the period of intrauterine development. This is the so-called follicular reserve, which will be used up during the reproductive period of a woman’s life (from 13 to 55 years).
Endocrine function . The gonads synthesize substances that determine the female hormonal profile: estrogens, progesterone, and also a small amount of androgens. The work of the ovaries is under the control of the hypothalamic-pituitary system, which produces luteinizing and follicle-stimulating hormones.

Normal parameters of the ovaries according to ultrasound

In the absence of pathological processes, the ovaries have a shape close to oval with smooth, clear contours. Their sizes average 19–40 mm in length and 16–30 mm in width. Changes in the boundaries of the gland are considered normal only at the time of ovulation and the release of the egg.

In addition to the size of the organ, the doctor evaluates the volume of the parenchyma and its structure. Normally, it has a uniform consistency and makes up approximately 2/3 of the total volume of the gland. The number of small follicles in the early stages of development is also counted.

For a successful pregnancy, their number must be at least 20. A decrease in their number is one of the evidence of depletion of the follicular reserve and the imminent onset of menopause.

Why are the ovaries not visible on ultrasound?

As a rule, ultrasound of the pelvic organs is performed in two ways: transabdominal and transvaginal.

During a transabdominal examination, the doctor places the device’s sensor on the anterior abdominal wall in the area where the uterus and appendages are projected onto it.

In some cases, to obtain a clearer picture, the study must be performed with a full bladder. To do this, an hour before the diagnosis you need to drink about a liter of liquid and after that do not visit the toilet.

During a transvaginal examination, the probe is inserted directly into the vagina. This method allows you to clearly visualize the appendages, uterus, and assess the condition of the endometrium. If there are contraindications for transvaginal examination, diagnostics can be performed by inserting a sensor into the rectum.

A specialist explains in this video what can be revealed during an ovarian ultrasound.

Possible reasons why the ovaries are not visualized on ultrasound

Let's consider the main reasons why the gonads are not visualized during diagnosis.

Congenital malformations . The absence of one or both ovaries as a result of a genetic failure and underdevelopment of the glands. Pathology is detected in adolescence. The reason for visiting a gynecologist is the absence of menstruation.
Ovariectomy . Surgical removal of glands if necessary to treat endometriosis, cysts, tumors, etc. The patient is usually aware of the situation and can inform the doctor about it.
Significant reduction in the size of the glands . It is observed during menopause, when the process of involution (reverse development) and fatty degeneration of organs predominate in the female reproductive system. If a similar picture is observed in women of reproductive age, then this may indicate exhaustion of the reproductive system and early menopause.
Abnormal location of organs . Most often, this situation is associated with some pathological process in the pelvis. Thus, with adhesive disease, one of the ovaries may be located behind the uterus or move upward, attracted by adhesions.
Pregnancy . The increase in the size of the uterus, especially in late gestation, greatly complicates the visualization of the gonads.
Screening with loops of the large intestine . The air environment is impenetrable to ultrasonic waves. A gas-inflated cecum is one of the possible reasons why the right ovary is not visualized during diagnosis.

Source: https://uzi.guru/mal-taz/womns/ov/fnmn/yaichnik-ne-vizualiziruetsya-chto-eto-znachit.html

The ovary is not visualized: what does this mean, possible reasons

Ultrasound diagnostics of the ovaries allows you to quickly identify existing pathology and assess the size and structure of organ tissue without additional preparation on the part of the patient.

However, sometimes the ovary is not visualized; what this means is the main question that worries patients.

Why is the left ovary not detected on ultrasound?

During an ultrasound scan, the glands, like other pelvic organs, may not be visible. They are covered by intestinal loops. Filled with air, they reflect ultrasound waves, interfering with image transmission, which is why the glands are not visualized.

There is a need to create an “acoustic window” - a zone through which the examination could be carried out unhindered. A full bladder becomes just such a zone. If it is not full enough, you need to drink water, take a diuretic and return to the examination in half an hour.

The diagnostician will have the opportunity to evaluate the structure of glands that were previously invisible.

Why is the right ovary not visualized on ultrasound?

Attention! The reasons why the right or left gland is not visible are identical.

Ovaries are not located on ultrasound during menopause

The approach of menopause causes a number of changes in a woman’s body:

the number of follicles in the glands decreases;
the production of the hormone estrogen decreases;
Connective tissue develops, gradually replacing the cortex with numerous follicles.

As a result of the changes, the size of the organs decreases; they are not visualized during the examination.

Ovarian volume depending on age

In a woman of reproductive age, the volume of the ovary is on average 8 cm3, however, during the premenopausal period, an enlarged organ is a deviation from the norm. Its volume should not be more than 5 cm3, this condition is regarded as pathological, and the difference between paired organs should not exceed 1.5 cm3.

Taking oral contraceptives

Intestinal disorders

Hormonal disbalance

follicle-stimulating and luteinizing;
anti-Mullerian hormone;
prolactin;
estrogen;
"male" hormones.

Anovulatory cycle

Surgical interventions

Another reason why organs are not visible is stress suffered during surgery. Even if the ovary is not removed, it may shrink and be no more than 0.5 cm in diameter.

Possible reasons why the ovary is not visualized on ultrasound

In addition to menopause, flatulence, and improper preparation for diagnosis, there are other reasons why the ovary is not located:

congenital structural features of internal organs;
development of adhesions after inflammation of the appendages, surgery;
increased size of the uterus;
displacement of other organs.

Common reasons why the gland is not visible on ultrasound include:

Taking oral contraceptives.
Intestinal disorders.
Hormonal disbalance.
Anovulatory cycle.
Surgical interventions.

Taking oral contraceptives

Intestinal disorders

Hormonal disbalance

follicle-stimulating and luteinizing;
anti-Mullerian hormone;
prolactin;
estrogen;
"male" hormones.

Anovulatory cycle

The ovaries are not visualized, what does this mean?

If, as a result of the diagnosis, the doctor made a note: “The ovaries are not located” or “Not visualized” - this means that they are not visible. The cause may be not only developing pathology, but also poor-quality equipment, flatulence that interferes with visualization of the gland, and inaccuracies in the actions of the doctor. Finding it is not so easy due to the location of the pelvic organs.

Liquid formations: natural process or pathology?

The presence of free water in the Douglas space is not a disease, but may be a symptom of pathology.

Fluid behind the reproductive organ or in the paraovarian areas accumulates in the middle of the menstrual cycle, after the onset of the ovulation process. This is a normal phenomenon and does not require specific treatment.

It means the release of the egg from the follicle and the possible occurrence of pregnancy.

The formation of water in the Douglas space is often the cause of some pathological process occurring in the internal reproductive organs of a woman. Doctors identify many diseases that can lead to fluid accumulation. These include the following pathologies:

inflammatory process in the surface layer of the endometrium (endometritis);
inflammation in the kidneys, liver, heart failure lead to the formation of ascites, as a result of which free fluid flows into the pelvic organs;
benign formations characterized by limited growth of the endometrium in the form of a tubercle on a thin stalk;
an infectious disease accompanied by unilateral or bilateral inflammation of the fallopian tubes (salpingitis);
adnexitis (inflammation of the ovaries and fallopian tubes);
oophoritis.

The formation of fluid in the pouch of Douglas may indicate the presence of an ectopic pregnancy, in which a pregnancy test will show a positive result.

In addition, this phenomenon causes endometriosis, the appearance of endometrioid cysts on the ovaries, and a condition after an abortion. If you find an accumulation of fluid behind the uterus on an ultrasound, you should not panic.

A competent doctor will prescribe appropriate treatment, consult the patient and give recommendations on tactics for the woman’s further actions.

The left ovary is not visualized - what does this mean?

The reproductive system is an important part of the body. For a woman, her main task is to provide conditions favorable for the conception and birth of a child. The ovaries are an important component of this system. Without their normal functioning, conception becomes impossible.

Modern examination methods make it possible to quickly identify most types of pathologies, including ovarian diseases.

It is recommended that the paired organ, the ovaries, be examined every year, mainly for preventive purposes.

Less commonly, an ultrasound of the ovaries is performed to determine the effectiveness of the treatment; in this case, based on the data obtained, the necessary adjustments to the drugs used are made.

In rare cases, in the ultrasound conclusion, you can notice the wording that the left ovary is not varnished. What does this mean? The difficulty of finding the ovaries during the examination is due to the fact that they are located between the bladder and the uterus, and in some cases may be hidden under the uterine fundus.

Norm

The left ovary is not visualized - what does this mean, the patients are interested. There are many reasons why the ovary becomes invisible during an ultrasound examination. And such a conclusion does not mean at all that there is no ovary.

Firstly, if the examination is carried out on old equipment, such an incident arises purely for technical reasons. In this case, it is enough to repeat the examination in another place and everything will fall into place.

Normally, on ultrasound, the ovaries have a very clear, uneven contour, and in principle, if the patient has properly prepared for the procedure, then there will be no difficulties in detecting the ovary. Before the examination, the woman needs to drink as much water as possible. This is necessary so that the ovary emerges from behind the uterus and becomes clearly visible.

In the presence of pathology, the ovary becomes, the contours of the organ lose their clarity and become blurred. This is what an ovary looks like in which a cyst is growing or an inflammatory process is developing. Blurred contours are a sign of inflammation of the uterine appendages. If the ovary significantly decreases in size, doctors talk about the onset of menopause.

Causes

In the case where the ovary is not visible at all, it can be argued that the patient has an anatomical feature of the structure of the reproductive system, or endocrine disorders. Anatomical structural features mean the absence of ovaries or one of the ovaries at birth.

The most common reason that the left ovary ceases to be noticeable is a large accumulation of gases in the intestines or its fullness. The diagnostic doctor usually reschedules the examination and recommends that the patient prepare more thoroughly for the procedure.

When the intestines are full of gases, it does not matter how full the bladder is or how sensitive the device is. During the diagnosis, the woman is placed on her side, then the doctor conducts an examination, if necessary, changing the sensitivity of the device.

After surgical treatment of the genital organs, the functioning of all organs belonging to this system is temporarily disrupted. So the ovaries can shrink several times, and for this reason they become invisible.

Another factor influencing the condition of the ovaries is the use of contraceptive drugs, which are sometimes used to restore hormonal metabolism. The essence of contraception using pills is that they reduce the activity of hormones produced by the ovaries. Due to their intake, ovulation does not occur, and therefore pregnancy does not occur.

Under the influence of these medications, the ovary may also become invisible on ultrasound. The same picture is observed with physiological ovulation disorders.

This condition can occur without the use of pills, due to hormonal imbalance. Its effects disappear with the onset of the next menstruation.

After this, the ovary again appears in the field of view and becomes noticeable on the monitor screen.

Polycystic disease can also affect ovulation. If, during a repeated ultrasound examination, the ovary is not detected, the woman is prescribed tests for female sex hormones in order to identify the source of the problem.

If there are adhesions in the area of the genital organs or in the abdominal cavity, then the ovaries are also not visualized. The ovaries can also become invisible against the background of an enlarged uterus, with anatomical displacement of an organ or displacement resulting from a previous disease.

What can be advised to a woman if one of her ovaries was not detected during an ultrasound? First of all, you should not make hasty conclusions and worry too much about this.

The doctor must determine the cause of such an incident. In this situation, you need to contact a clinic equipped with more modern equipment and more experienced staff. Most often the problem goes away on its own. For more serious reasons for the absence of an ovary, upon examination it is necessary to consult a doctor and determine the cause.

Source: https://Pro-MD.ru/ivf/infertility/female-factor/levyj-yaichnik-ne-vizualiziruetsya/

What does it mean that the ovary is not visualized: possible reasons

Thanks to the pelvic organs, the most important event in the life of every girl occurs - the onset of pregnancy, which the majority of the female population dreams of.

Therefore, after undergoing an ultrasound examination, some are shocked and puzzled by its results: what does “the ovary is not visualized” mean, what is it and is there any threat? The task facing a woman in such a situation is not to lose heart.

There are many reasons why the ovaries are not detected. They require more detailed consideration.

Anatomical location of the pelvic organs

Before considering the reasons why the ovaries are able to hide from view, it is necessary to understand the structure of the pelvic organs. It contains the following organs:

the rectum, through which processed food comes out;
the bladder in contact with the walls of the vagina and the uterus;
the vagina, which is adjacent to the cervix and passes through the urogenital diaphragm;
the uterus, which is pear-shaped and consists of muscles; performs reproductive function;
two ovaries, which produce hormones and are responsible for the maturation of eggs;
fallopian tubes that connect to the ovaries on either side of the uterus.

Why are the ovaries not located on ultrasound?

With its presence, on the ultrasound picture in the conclusion they write that they are determined.

In frequent cases, organs may not be located due to the incompetence of the gynecologist, who, due to his incompetence, simply could not see the organs on the monitor or adjust the sensors.

Normally, the contours of the ovaries in a healthy woman are uneven and clear. Fuzzy contours may indicate inflammation, cystic formations, or the presence of a corpus luteum. Blurred - they speak of a disease such as salpingoophoritis - inflammation of the uterine appendages. With a fuzzy outline and reduced size of the ovaries, the ultrasound picture indicates the probable onset of menopause.

Other cases of an undetectable left or right ovary include pathologies, endocrine disorders, and body characteristics.

Visualization also depends on the correctness of the ultrasound examination and the operation of the instruments.

During transabdominal ultrasound, the patient should drink a lot of water to fill the bladder, since if there is a lack of fluid, the left ovary may disappear behind the uterus.

Before a transvaginal ultrasound, you should empty yourself, because the sensor is inserted into the vagina and its location to the organs becomes close, and the liquid during this study makes it difficult to see what is happening inside.

Is it possible to do ultrasound diagnostics during menstruation? Read the article Ultrasound of the pelvic organs and menstruation

Intestinal disorders

The first most popular organic reason for not seeing the left or right ovary is a large accumulation of intestinal gases, flatulence, and fullness of the intestines after eating. As a rule, in the next study the organ appears in the field of view.

Previous surgical interventions

After gynecological operations, the organ is not located, because the stress suffered by the body can disrupt its functioning for a certain time, as a result of which the organ may shrink, down to the size of a pea.

Taking birth control pills

OK drugs are used to treat hormonal disorders and contraception. They suppress the hormones produced by the ovaries in order to prevent the eggs from maturing, thereby eliminating the possibility of ovulation for fertilization.

Since hormones are closely related to processes in the pelvis, internal organs may become invisible to the equipment due to the effect of hormonal pills on reproductive function. While taking contraceptives, ultrasound is less informative.

Hormonal disorders

If the patient refuted the reasons listed above, and the ovary was not visualized after repeated examination, it is recommended to take tests for female sex hormones:

FSH;
Prolactin;
Estradiol (estrogens);
LH;
AMG.

Remember! Only an experienced specialist can accurately determine the reason why the ovaries are not visualized

Other reasons

The following circumstances may also cause a missing organ during examination:

adhesions in the genitals or abdominal cavity;
premenopause and menopause;
congenital absence or abnormal development of the ovary;
enlarged uterus;
organic displacement of the organ due to past pathology.

Instead of making disappointing diagnoses, it is recommended to find out whether the absence of an organ in conclusion is a consequence of improper preparation for the examination, a doctor’s error, a short-term malfunction, or the presence of feces in the intestines. In most cases, girls who are shocked by the absence of an organ in the examination results and according to the doctor turn out to have ordinary intestinal gases, lack of ovulation, or interaction with an incompetent doctor.

Source: https://oyaichnikah.ru/diagnostika/ne-vizualiziruetsya.html

Why are the ovaries not located on ultrasound?

The specialist may say that the ovaries are not located. What does it mean? Why is this happening? In simple words, if the ovary is not visible on an ultrasound, this means that the monitor shows the absence of an organ, i.e. it is not defined. With its presence, on the ultrasound picture in the conclusion they write that they are determined. In frequent cases, organs may not be located due to the incompetence of the gynecologist, who, due to his incompetence, simply could not see the organs on the monitor or adjust the sensors.

Visualization also depends on the correctness of the ultrasound examination and the operation of the instruments. During transabdominal ultrasound, the patient should drink a lot of water to fill the bladder, since if there is a lack of fluid, the left ovary may disappear behind the uterus. Before a transvaginal ultrasound, you should empty yourself, because the sensor is inserted into the vagina and its location to the organs becomes close, and the liquid during this study makes it difficult to see what is happening inside.

Is it possible to do ultrasound diagnostics during menstruation? Read the article Ultrasound of the pelvic organs and menstruation