Can ultrasounds show causes of deep dyspareunia?
Yes, pelvic ultrasounds can help identify causes of deep dyspareunia such as ovarian cysts, fibroids, adenomyosis, and sometimes endometriosis.
Detailed Medical Explanation
Transvaginal and pelvic ultrasounds are first-line imaging tools for investigating deep pelvic pain. They can detect ovarian, uterine, and pelvic abnormalities, but may not always show conditions like mild endometriosis or adhesions. Further imaging or laparoscopy may be needed if ultrasound is inconclusive. NHS: Pelvic Pain.
Clinical Context
Ultrasound is non-invasive and widely available, making it the preferred first test for many women with deep pelvic pain.
Evidence-Based Approaches
NHS and NICE recommend ultrasound for initial assessment, with further tests guided by symptoms and findings. NICE: Heavy Menstrual Bleeding.