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Before 5 weeks gestation, the developing pregnancy is too small to detect on ultrasound.

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You will always have a choice about whether transvaginal ultrasound is performed.

If you have concerns about transvaginal ultrasound, please discuss this with your sonographer before your ultrasound begins.

Transvaginal ultrasound usually produces better and clearer images of the female pelvic organs including the developing pregnancy, because the ultrasound probe lies closer to these structures.

The transvaginal ultrasound probe is thin, about 2cm diameter.

However, in the early pregnancy, the developing embryo is very small (at 6 weeks gestation, the baby is only 5-9mm long) and a transvaginal ultrasound may be required to get a better image of the baby.

Transvaginal ultrasound is safe and commonly performed during all stages of pregnancy, including the first trimester. Transabdominal ultrasound involves scanning through your lower abdomen.

A full bladder moves bowel out from the pelvis into the abdomen, helping visualisation of the pregnancy, uterus and ovaries.

Your bladder should not be so full that it causes pain.

Sometimes the results of a first trimester scan may be inconclusive or uncertain, and need to be combined with your clinical history and blood tests (serum Bh CG).

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