Is it better to check for uterine polyps with a transvaginal ultrasound or a standard ultrasound?

Patient's question:

Health consultation description: Last month's checkup report said, "There may be polyps." I showed it to the doctor, and some said it's not necessarily the case, so they suggested I come back for a follow-up check after my next menstrual period. I want to ask, do I have to do a transvaginal ultrasound? Will it have side effects? Last time after the gynecological examination and transvaginal ultrasound, I felt a lot of discomfort in my lower abdomen for many days. What's going on?

Doctor's answer:

For gynecological examinations, vaginal ultrasound is much clearer than abdominal MRI. After a vaginal ultrasound, you may experience slight discomfort in the lower abdomen, which is caused by the probe. However, vaginal ultrasound has no side effects, provides clearer images, and doesn't require you to hold your urine. If you're reluctant to do a vaginal ultrasound, you can drink more water to fill your bladder and have a transabdominal color Doppler ultrasound. The discomfort after the last examination varied from person to person, as some felt nothing at all.

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