We all experience abdominal discomfort at some point in our lives. Women in particular experience abdominal pain more often due to the special nature of their reproductive system. Abdominal pains can be due to many factors, related to the organs enclosed in it, but many times they are also reflex pains.
As for gynecological pains, they can be divided into two categories: acute and chronic pain.

Acute pains

Acute pain may be due to a simple ovulation, with or without hematoma formation in the ovary. However, it may also be due to the twisting or opening of an already existing cyst. The existence of a large cyst can cause pain without the above conditions, simply by pressing on neighboring organs. Acute pain can be caused by inflammation in the fallopian tubes and ovaries. Unfortunately, acute pain is often the first sign of malignancy in a woman’s reproductive system.

We should not forget that pain from the urinary tract is similar to gynecological pain. For example, urinary infections, stones or even malignancies are often discovered by gynecologists. Ultrasound is the first-line diagnostic tool, readily accessible in many doctor’s offices and hospital emergency departments. It gives a direct assessment of the female reproductive system, but at the same time a rough assessment of the pelvis and neighboring organs. In this way, within a few minutes, a diagnosis can be documented and the therapist can immediately proceed with the application of the appropriate treatment. Due to the low cost and risk of the ultrasound, it is possible to repeat the examination as many times as necessary to monitor the effectiveness or otherwise of the treatment, as well as its possible complications.

Chronic pains

As for chronic pains due to the genital system, they may be due to ovarian cysts or torsion, para-ovarian or para-fallopian cysts. Adhesions inside the abdomen, the so-called pseudocysts, which are perfectly benign, but quite painful for the woman, can also look like a cyst. These pseudocysts are usually the result of surgery or pelvic inflammation. Adhesions, however, also occur in women suffering from endometriosis, a condition that is being discovered more and more often.

The method of choice to date for the diagnosis of endometriosis is surgical diagnosis and indeed laparoscopy. With the development of technology, ultrasounds have reached such a high level that they are the examination of choice for gynecological diseases. Transvaginal ultrasound in particular, due to the proximity of the transducer and the examined organs, can create a detailed image and give us a detailed picture of the pathology.

If we add the fact that the examination is done in real time, so the medical operator can intervene and focus on the area of ​​greatest interest, then the above gives another edge to ultrasound. The examination with the participation of the patient is of great clinical importance because during it the doctor is “guided” by the patient and thus can more accurately locate the source of the pain. Many times, when the pathology is not readily apparent, the patient’s instructions are more than helpful. For example in endometriosis, the detailed history combined with the ultrasound findings and the guidance of the patient, allow us to arrive at a detailed diagnosis and localization of the endometriosis.

Thus, with the transvaginal ultrasound we avoid a surgery, which might create more problems than already exist, and at the same time a fairly reliable and immediate answer is given to the patient. The disadvantage of ultrasound lies in the fact that the quality of the result depends on the operator – doctor and the machine.
In conclusion, gynecological ultrasound is an inexpensive, reliable examination that can provide solutions to gynecological pain whenever it occurs.

Today, every woman must be examined regularly and undergo an ultrasound scan to prevent possible unpleasant situations.