Is it possible to do ultrasound during menstruation: indications for the procedure


Often, women are faced with a problem when the date of recording for an ultrasound procedure unexpectedly coincided with menstruation. Is it possible to do an ultrasound during menstruation and will it not appear on the accuracy of diagnosis? Critical days may interfere with the examination of only certain organs.

When is it better to undergo ultrasound for a woman?

For each part of the body there is a conditional time frame when the diagnosis will be more reliable. The optimal period when you can do ultrasound, it is desirable to check with your doctor.

Diagnostics is carried out in 3 ways: through the thickness of the skin (classic), transrectally (the sensor is inserted into the anus), transvaginally (with a medical cap is examined from the side of the cervix). The method is selected by the attending physician, based on the patient's age and the pathology clinic. Ultrasound examination of the abdominal cavity during menstruation is done in the same way as when examining the organs located in it. That is, the diagnosis of the state of connective and muscle tissues is carried out through the skin.

Examine the ultrasound machine:

  • a heart,
  • The lymph nodes,
  • adrenal glands
  • bladder and ureters,
  • kidneys,
  • stomach
  • spleen,
  • gallbladder,
  • duodenum and rectum,
  • liver,
  • glands (thyroid, pancreas, lactic, others),
  • intestine (thick, thin),
  • uterus, cervix and fallopian tubes,
  • ovaries.

Ultrasound echography reveals pathologies in those areas of the body where it is meaningless to use other medical equipment, computer or magnetic resonance imaging, X-rays, an electrocardiograph and other equipment.

Answers of doctors about the optimal time of ultrasound

Women are interested in what day they should sign up for a specialist to examine the internal organs: after their period or before them. The urgency of diagnosis depends on the duration of menstruation, clinic pathology or its form. In emergency cases, do immediately, despite the phase of the cycle.

To confirm the diagnosis, an ultrasound scan is performed before menstruation, after the end of menstruation and without reference to critical days. The time of the procedure will recommend the doctor after the initial examination to clarify the stage of pathology.

Before menstruation, you can determine the early pregnancy, when there was a 7-day delay in bleeding. In the second half of the cycle, women have to do an ultrasound of the uterus more often during the premenopause period. At this time, they often have a cycle failure, uterine bleeding, which patients confuse with menstruation.

If a woman has a problem from the gynecology industry, she needs to examine the reproductive system with an ultrasound scan. The doctor will give you a referral to the time when the menstrual cycle (MC) will correspond to 8–10 days. Calculated according to a simple scheme - the first days of the month are considered the beginning of a new MC.

On ultrasound are recorded on the 8th, 9th, 10th day. Ultrasound examination is carried out by the classical method or transvaginally. Breast diagnosis is carried out for 5-14 days from the beginning of the cycle.

If suddenly during the pregnancy bleeding has opened, the ultrasound will show the actual result of the fetal condition, the strength of its implantation (attachment to the wall). The abundance of fluid on which day of the trimester is being examined - will not interfere with the analysis.

Is it possible to do a kidney ultrasound during menstruation? The presence of menstrual fluid can only be displayed on the results of the diagnosis of reproductive organs. The kidneys, adrenal glands, ureter and bladder are located in the retroperitoneal region. Critical days may distort the results of laboratory tests of urine, and not ultrasound. Diagnostics take place on any given day.

The advantage of ultrasound during menstruation

During menstruation, ultrasound is performed by ultrasound of the pelvic organs and the abdominal cavity in emergency situations when the patient's life is at risk. This is a variety of bleeding, suspected malignancy, suppuration, ectopic pregnancy, miscarriage, spontaneous or forbidden abortion (outside the hospital) and similar cases.

In case of several types of pathologies, the doctor refers to an ultrasound examination in the first days of the menstrual cycle. For example, with hypermenorrhea (abundant, long periods), ultrasound will more accurately show the state of the endometrium (uterine lining) during critical days.

The advantage of ultrasound during menstruation:

  • in the first three days of the cycle, fibroids, endometrial hyperplasia, polyps are clearly visible,
  • from the beginning of the MC for 5 days it is easier to detect small bodies of cysts,
  • during menstruation, the type of formation (pathological, physiological) is specified.

When a woman treats infertility, irregular menstruation, she is sent for examination of the ovaries with an ultrasound echograph in the first half of the menstrual cycle. The procedure is done several times in 15-20 days, the number and period depends on the duration of the MC. Diagnosis is carried out to track the process of ovulation.

Lack of ultrasound during menstruation

Blood, particles of exfoliated endometrium, clots distract the specialist's attention and he may have doubts about the stage of the pathology, its form. Lack of pelvic ultrasound during menstruation referral for additional examination, which delays the start of treatment. Incorrect diagnosis aggravates the patient's condition, does not allow to assign adequate therapy.

Other disadvantages of ultrasound during menstruation.

  1. Because of clots, small cysts, polyps, erosion and other pathologies are poorly distinguishable in the picture.
  2. It is impossible to determine the actual thickness of the endometrium, the degree of tissue inflammation in infections, other diseases of the uterus.

It is not possible to perform a qualitative ultrasound examination of the pelvic organs during menstruation in a transvaginal way, the diagnostic results of which are considered the most reliable. Since the ultrasound ultrasound probe is inserted into the vagina, and the waves pass through the tissues of the cervix, the uterus and must reach the fallopian tubes with the ovaries from a different angle - the menstrual fluid prevents scanning.

An important role is played by the psycho-emotional state of the patient. Why does this complicate the ultrasound examination procedure? Due to discomfort, bad mood through premenstrual syndrome, a woman involuntarily experiences muscle spasms in the abdomen, vagina, and reproductive organs, which causes additional pain when the sensor moves inside the body.

Preparation for ultrasound in the period of menstruation

The main prohibition is that it is impossible to use a douching to clean the vaginal cavity, even if the doctor has given directions for diagnosis in a transvaginal way. During menstruation, the cervical canal in the cervix expands and improves access to the inside of the uterus. This means that when you douche, the risk of adding additional infection inside the reproductive organ increases. It is safer for a woman at the critical days to wash in the shower and not take baths.

The main recommendation is that before the ultrasound of the organs and tissues of the pelvis during menstruation it is necessary to empty the intestines in advance (enema, laxative). It is advisable to take over the previous 3 days the drug (selected by the doctor), whose action is aimed at eliminating flatulence, smooth muscle spasms. You also need to follow a diet, as with ultrasound of organs located in the abdominal cavity.

If during the menstruation they were sent for ultrasound diagnosis in a transvaginal way, you should take the diaper with you on a waterproof basis. They are sold in a pharmacy or store in the department with diapers, tampons and other hygiene products. Before the procedure it is necessary to empty the bladder.

Ultrasound of the peritoneal organs during menstruation

For diagnostics using an ultrasound echograph, other preparation conditions are required - the absence of intestinal fullness with air, food, feces. The best time to do a better ultrasound is from morning to lunch.

Three days before the diagnosis, a woman should follow a mini-diet, it is forbidden to smoke. Chewing gum and all foods that are rich in fiber are excluded from the diet. These are fatty and carbonated foods, rye bread, beer, legumes, raw vegetables, including carrots, beets and cabbage. On the day of the procedure it is often necessary to do an enema, and with flatulence they are struggling, for example, Espumisan, but only on the recommendation of the attending physician.

Abdominal ultrasound (tissues, organs) during menstruation is allowed. The presence of menstrual fluid in the uterus and vagina will not interfere with the analysis of the condition of the parts of the body belonging to the digestive system and the gastrointestinal tract.


Menstruation is not an obstacle to the examination of the appendages, organs of the circulatory, lymphatic and endocrine systems, the abdominal cavity, the tissues of the musculoskeletal system, and the myometrium, the muscular layer of the uterus. Reproductive organs scan ultrasound during the entire cycle, if it is consistent with the method of diagnosing pathology.

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