I think it depends on your doc and if there are any aigns there is something wrong..i havent heard of a lot of ppl having vaginal ultrasounds unless there is something wrong or they can not detect a heartbeat..i live in pa. and here they do regular 2-D(i think) ultrasounds. I had my first doc. appt. when i was 9 weeks and had an ultrasound when i was 10 weeks..then i had another ultrasound at 17 weeks and had blood work with that..and i have to pee in a cup at every doc. appointment!
When i was 10 weeks they actually did both. First the regular, but i guess they didnt see enough, so then they did a vaginal. it wasnt painful or anything. Actually, i thought it was easier than the vaginal exams they do yearly.
I've had to pee in a cup everytime as well (i've just started drinking a full cup of water as i walk into the docs office...takes the pressure off) but the only blood work i've done was my first appointment, and for the quad screen.
At my first appointment I had the US (which I could clearly see the peanut shape), then urine test, blood test, and vaginal exam.
I, too, am from Canada. Usually they don't do a vaginal u/s or any u/s before 10 weeks unless there is complications or there is a history of complications or you are very unsure of your dates. I had a m/c last spring so as soon as I saw my dr this time (at about 5 weeks) they ordered one. I went at 5.5 weeks and they did both 2D and vaginal. Neither showed a heartbeat as it was too early. Due to this though my midwife ordered another at 10.5 weeks. It was a 2D and it showed everything. I then had my regular 2D one at 19 weeks.