TVS Test Price in Bangladesh: What Is the Latest Update?
Transvaginal Sonography (TVS), also known as a TVS test, is a specialized ultrasound procedure that provides detailed images of a woman’s reproductive organs by placing an ultrasound probe inside the vagina. This diagnostic imaging technique offers clearer, more detailed pictures of the uterus, ovaries, fallopian tubes, and surrounding structures compared to traditional abdominal ultrasounds. The TVS test price in Bangladesh typically ranges from 110 to 4,000 BDT, depending on the healthcare facility, location, and whether additional services are included. This essential gynecological examination helps healthcare providers diagnose various reproductive health conditions and monitor pregnancy in its early stages.
What is a TVS Test?
Transvaginal Sonography (TVS) is an internal ultrasound examination that uses high-frequency sound waves to create real-time images of the female pelvic organs. Unlike traditional abdominal ultrasounds that send sound waves through the abdominal wall, TVS involves inserting a slim, specially designed transducer (probe) into the vagina to obtain clearer images of the reproductive organs.
The test measures and visualizes:
- The size, shape, and position of the uterus
- The thickness and appearance of the endometrium (uterine lining)
- The structure and condition of the ovaries
- The presence of follicles or cysts in the ovaries
- The appearance of the fallopian tubes
- Any abnormal growths or masses in the pelvic region
- Early pregnancy development (gestational sac, yolk sac, embryo)
TVS is clinically significant because it can detect conditions that might be missed by external ultrasounds, especially in women who are overweight or have retroverted (tilted) uteruses. It’s also referred to as endovaginal ultrasound, transvaginal ultrasound (TVUS), or vaginal sonography.
TVS Test Price List in Government Hospitals in Bangladesh
| Hospital Name | Location | TVS Test Price (BDT) | Contact Number |
|---|---|---|---|
| National Institute of Laboratory Medicine and Referral Center (NILMRC) | Sher-e-Bangla Nagar, Dhaka | 220 | N/A |
| Dhaka Medical College Hospital | Dhaka | 200 | N/A |
| Bangabandhu Sheikh Mujib Medical University | Dhaka | 250 | N/A |
| Shaheed Suhrawardy Medical College Hospital | Dhaka | 200 | N/A |
| Sir Salimullah Medical College & Mitford Hospital | Dhaka | 200 | N/A |
| Chittagong Medical College Hospital | Chittagong | 200 | N/A |
| Rajshahi Medical College Hospital | Rajshahi | 200 | N/A |
TVS Test Price List in Private Hospitals in Bangladesh
| Hospital/Diagnostic Center | Location | TVS Test Price (BDT) | Contact Number |
|---|---|---|---|
| Popular Diagnostic Centre Ltd. | Dhanmondi, Dhaka | 1,000 | N/A |
| Ibn Sina Diagnostic & Imaging Center | Dhanmondi, Dhaka | 1,200 | N/A |
| Labaid Diagnostics | Gulshan, Dhaka | 1,500 | N/A |
| United Hospital | Gulshan, Dhaka | 2,000 | N/A |
| Square Hospitals Ltd. | Panthapath, Dhaka | 2,500 | N/A |
| Medinova Medical Services | Malibagh, Dhaka | 1,200 | N/A |
| Delta Hospital Ltd. | Mirpur, Dhaka | 1,000 | N/A |
| Anwer Khan Modern Hospital | Dhanmondi, Dhaka | 1,800 | N/A |
| Evercare Hospital | Bashundhara, Dhaka | 3,000 | N/A |
| Apollo Hospitals Dhaka | Bashundhara, Dhaka | 4,000 | N/A |
When is a TVS Test Recommended?
A TVS test is recommended in various clinical scenarios:
- Abnormal uterine bleeding: To investigate the cause of heavy, irregular, or post-menopausal bleeding
- Pelvic pain: To identify potential causes such as ovarian cysts, fibroids, or endometriosis
- Infertility evaluation: To assess the uterus and ovaries for structural abnormalities
- Follicle monitoring: To track ovulation during fertility treatments
- Early pregnancy assessment: To confirm pregnancy location (rule out ectopic pregnancy), viability, and dating
- Suspected miscarriage: To evaluate the status of an early pregnancy
- Screening for ovarian cancer: Particularly in high-risk women
- Evaluation of pelvic masses: To characterize abnormalities detected during physical examination
- IUD (intrauterine device) localization: To confirm proper placement or investigate complications
Doctors use TVS results for both screening and diagnostic purposes. The test provides real-time information that helps clinicians make immediate assessments about reproductive health conditions and determine appropriate treatment plans. For fertility patients, TVS is often used for monitoring purposes, tracking follicle development and endometrial thickness throughout treatment cycles.
TVS Test Preparation
Preparing for a TVS test is relatively straightforward:
Before the test:
- No fasting is required for a standard TVS examination
- For better visualization, you may be asked to have a moderately full bladder (drink 1-2 glasses of water about an hour before the test)
- Wear comfortable, loose-fitting clothing that’s easy to remove
- Inform your doctor about any medications you’re taking, especially hormone treatments that might affect the appearance of reproductive organs
- If you’re having the test during your menstrual period, inform the healthcare provider (the test can still be performed)
During the procedure:
- You’ll be asked to empty your bladder before the examination
- You’ll lie on your back with your knees bent and feet placed in stirrups
- The ultrasound transducer (covered with a protective sheath and lubricant) will be gently inserted into the vagina
- The technician will move the transducer to obtain images from different angles
- You may feel mild pressure but the procedure should not be painful
The entire TVS test typically takes about 15-30 minutes to complete. Results may be available immediately or within a few days, depending on the facility and whether a specialist needs to review the images.
Understanding TVS Test Results
Interpreting TVS test results requires medical expertise, as the findings can vary based on the patient’s age, menstrual cycle phase, and specific health conditions.
Normal findings typically include:
- Uterus: Normal size (approximately 7-9 cm long, 4-5 cm wide, and 2.5-3.5 cm thick), regular contour, and homogeneous texture
- Endometrium: Thickness varies with menstrual cycle (4-8 mm in pre-menopausal women during early follicular phase, up to 14 mm during secretory phase)
- Ovaries: Normal size (approximately 3-5 cm long, 1.5-3 cm wide, and 0.6-1.5 cm thick), with visible follicles
- No abnormal masses, fluid collections, or structural abnormalities
Abnormal findings might indicate:
- Uterine fibroids: Appear as well-defined, round masses within the uterine wall
- Polyps: Focal growths that project into the uterine cavity
- Endometrial hyperplasia: Abnormally thickened endometrium
- Ovarian cysts: Fluid-filled sacs within or on the surface of an ovary
- Polycystic ovary syndrome (PCOS): Multiple small follicles arranged in a “string of pearls” pattern
- Endometriosis: Presence of endometrial tissue outside the uterus
- Pelvic inflammatory disease (PID): Thickened, inflamed fallopian tubes
- Ectopic pregnancy: Pregnancy implanted outside the uterine cavity
- Uterine or ovarian cancer: Irregular masses with increased blood flow
Factors that may affect results:
- Bowel gas or obesity can sometimes limit image quality
- Recent sexual intercourse may introduce air into the vagina, affecting image clarity
- Menstrual cycle phase affects the appearance of the endometrium and ovaries
- Previous pelvic surgeries may alter normal anatomy
You should consult a doctor about your results if:
- Any abnormalities are detected
- You have persistent symptoms despite normal findings
- You need help understanding the implications of your results
- Follow-up testing or monitoring is recommended
Frequently Asked Questions
- How accurate is a TVS test?
TVS is highly accurate for evaluating pelvic structures, with sensitivity rates of 80-90% for detecting conditions like ovarian cysts, fibroids, and endometrial abnormalities. However, accuracy depends on the operator’s skill and experience, equipment quality, and the specific condition being evaluated. - How long does it take to get TVS test results?
In many cases, preliminary results are available immediately after the procedure. The technician or doctor may discuss findings with you right away. However, for a comprehensive written report, you might need to wait 24-48 hours, especially if a specialist radiologist needs to review the images. - Is TVS testing covered by health insurance in Bangladesh?
Coverage varies by insurance provider. Most comprehensive health insurance plans in Bangladesh cover diagnostic tests like TVS when medically necessary. However, the extent of coverage, reimbursement process, and any required pre-authorizations differ between insurance companies. Always check with your specific insurance provider before scheduling the test. - How often should I have a TVS test?
There’s no standard recommendation for routine TVS screening in asymptomatic women. The frequency depends on your medical condition and risk factors. Women undergoing fertility treatments may need multiple TVS tests within a single month, while those with certain conditions like ovarian cysts might need follow-up scans every few months. Your doctor will recommend an appropriate schedule based on your specific situation. - What’s the difference between abdominal ultrasound and TVS?
The main differences are:- Probe placement: Abdominal ultrasound uses an external probe on the abdomen, while TVS uses an internal probe inserted into the vagina
- Image quality: TVS provides clearer, more detailed images of pelvic organs as the probe is closer to them
- Preparation: Abdominal ultrasound requires a full bladder, while TVS is performed with an empty bladder
- Applicability: Abdominal ultrasound is used for broader abdominal assessment and later-stage pregnancies, while TVS is specialized for pelvic organs and early pregnancy
- Is a TVS test painful?
Most women experience minimal discomfort during a TVS test. You may feel pressure as the transducer is inserted and moved, but it shouldn’t be painful. The probe is smaller than a typical speculum used during pelvic exams. If you experience pain during the procedure, inform the technician immediately.
Conclusion
Transvaginal Sonography (TVS) is an invaluable diagnostic tool that provides detailed visualization of female reproductive organs, helping healthcare providers identify and manage various gynecological conditions. From evaluating unexplained pelvic pain to monitoring early pregnancy, TVS offers critical insights that guide treatment decisions and improve health outcomes. In Bangladesh, the accessibility of this test across both government and private healthcare facilities ensures that women can receive necessary diagnostic care at various price points.
When considering a TVS test, comparing prices between different facilities can help you find affordable options without compromising on quality. However, it’s important to prioritize the expertise and reputation of the healthcare provider performing the test, as accurate interpretation of results is crucial for proper diagnosis and treatment.
Always consult with your healthcare provider about whether a TVS test is appropriate for your specific situation, how to prepare for the procedure, and how to understand your results. With TVS test prices in Bangladesh ranging from as low as 200 BDT in government hospitals to 4,000 BDT in premium private facilities in 2025, patients have multiple options to access this essential diagnostic service based on their preferences and financial considerations.
