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This type of ultrasound can be useful if your doctor needs to get a good look at your uterus , ovaries, fallopian tubes, cervix, or general pelvic area, according to the U. National Library of Medicine. The catch is that a medical professional has to insert a decent-sized tool into your vagina to capture those images. Hopefully, reading details about what the procedure entails will make the whole thing less worrisome. The fetus is so small in the first trimester that it can be hard to pick up on with a transabdominal ultrasound that goes over your belly.