Before Performing a TV Exam:

 Explain that the EV exam is better for

seeing ovaries and early pregnancy
 Show the patient the probe
 Allow her the option of inserting it herself
 Inform her that it is usually more
comfortable than the TA exam which
requires a full bladder
 The transducer probe should be covered with a
coupling gel followed by a protective probe
cover
 Non-medicated/ non-lubricated condoms are
recommended as a probe cover
 Patients with latex allergies will require an
alternative barrier
 Air bubbles within the sheath may increase
artifacts and compromise imaging
Longitudinal view
Coronal view
 Ovaries
 Lie posterior/lateral to the
uterus

 Anterior to the internal

iliac vessels and medial to
the external iliac vessels

 Identified by a ring of
follicles in the periphery
 Ovaries
 After ovulation a corpus luteal cyst may be
present
– Observed in approximately 50% of ovulating
females
– Should not be seen beyond 72 hours into the
next cycle
 Small amount of fluid in the rectouterine pouch
may be seen during ovulation
 Ovarian Cysts
 Follicular cyst (2.5 –10 cm)
– Thin, round, unilocular
 Functional corpus luteum cyst
– Normal up to 16 weeks GA
– Appears as a unilateral, unilocular 5-11 cm cyst
– Appearance can be highly variable
– Hemorrhage inside the cyst not uncommon