Can a transvaginal ultrasound detect gynecological inflammation?

Generally, transvaginal ultrasound (TVUS) cannot directly diagnose gynecological inflammation but may serve as an auxiliary diagnostic tool. If you experience any discomfort or symptoms, prompt medical consultation is recommended. A detailed explanation follows:

Gynecological inflammations—regardless of type—typically manifest histopathologically as mucosal hyperemia, inflammatory infiltration of soft tissues, and mild localized edema. These subtle inflammatory changes are generally not clearly visualized on ultrasound imaging. While transvaginal ultrasound can effectively assess the morphology and structure of pelvic organs—including the uterus and ovaries—it can only detect secondary, structural alterations resulting from inflammation, such as pelvic fluid accumulation (pelvic effusion), hydrosalpinx (fluid-filled fallopian tubes), or organ enlargement. It cannot definitively confirm the presence of inflammation nor differentiate among specific types of gynecological inflammation. Therefore, clinical diagnosis requires integration with other examinations—including routine vaginal discharge analysis and comprehensive gynecological physical examination—to accurately determine whether gynecological inflammation is present.

In daily life, maintain proper genital hygiene: wash the external genitalia daily with warm water, keep the area dry and clean, and change cotton undergarments frequently. Adopt a light, balanced diet, minimizing intake of spicy or irritating foods. Maintain regular sleep patterns and engage in moderate physical exercise to strengthen your immune system. Schedule routine gynecological check-ups at regular intervals to facilitate early detection and management of potential gynecological issues, thereby reducing the risk of developing various gynecological disorders.