1...Obtain the best image possible.
Take the time to completely evacuate the rectum, and use plenty of lube for contact. If your ultrasound system provides variable frequency transducers, remember to operate at the highest frequency that still allows you enough depth to visualize all the pertinent structures; this will optimize the resolution of your image! You’ll acquire a higher quality (and larger!) ovary image scanning at 6cm than you will at 12cm. In addition, become familiar with your equipment; experiment with gain, contrast, and persistence in order to achieve the image that you desire.