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a vaginal ultrasound is a straightforward procedure that will allow your doctor to see and examine your internal organs around your pelvis. a transvaginal ultrasound is an internal examination that provides highly detailed imaging of your reproductive organs. a vaginal ultrasound can examine the vagina, cervix, uterus, fallopian tubes, ovaries, bladder and can check for ovarian cysts, tumors, polyps, and fibroids. it is a standard part of every fertility assessment.