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A transvaginal ultrasound, or endovaginal ultrasound, is a safe and straightforward procedure that doctors use to examine the internal organs in the female pelvic region. Transvaginal ultrasound, also called an endovaginal ultrasound, is a type of pelvic ultrasound used by doctors to examine female reproductive organs. This includes the uterus, urinary bladder, fallopian tubes, ovaries, cervix, and vagina.