What is a pelvic ultrasound?
A pelvic ultrasound produces images of the organs and structures within the pelvic region, to diagnose and manage a range of conditions.
A pelvic ultrasound is used to primarily assess the uterus, ovaries, endometrium, and surrounding pelvic structures. This scan may be used to check for fibroids, polyps, ovarian cysts or tumours, infertility, or if you are experiencing pelvic pain or abnormal bleeding. In the event of pregnancy, a dedicated obstetric assessment will be performed and provide dedicated images and measures of the developing fetus.
A pelvic ultrasound may involve both an external and internal scan, known as a transabdominal and transvaginal ultrasound respectively.
The transabdominal ultrasound is an external examination, that involves gel being applied to the lower abdomen by the sonographer, with an ultrasound probe (also known as a transducer) then used to look at the pelvic structures through the lower abdominal wall. Transabdominal scans are best performed with a full bladder and take approximately 10 minutes.
Following the transabdominal scan your sonographer will let you know if a transvaginal ultrasound is required, depending on the clinical indication and appropriateness. Ahead of the appointment, information will be provided to you with regards to the internal examination with full informed consent obtained prior to proceeding. Should you have any questions or concerns about the scan itself, be sure to discuss these with the sonographer before proceeding.
Prior to the transvaginal scan, you will be allowed to empty your bladder, with a gown provided to wear during the scan. To retain further discretion during the ultrasound, you will also be provided a sheet, covering the lower half of you body. The transvaginal ultrasound uses a specially designed transvaginal probe, which is inserted into the vagina, providing a closer and more detailed assessment of the pelvic structures. The diameter of the probe is no bigger than a tampon. It is sterilised before your appointment and covered with a single use, non-latex probe cover. After applying a lubricating gel, the transducer is inserted into the vagina.
When will a transvaginal scan not be performed?
A transvaginal scan will not be performed if:
- The patient is not sexually active
- You decline the examination
- The patient is a child
- You are pregnant and your water has broken
- You have bleeding associated with placenta previa
If you have any concerns, please discuss these with your sonographer at the start of the examination.
If at any point you wish to cease the transvaginal scan, please let your sonographer know immediately.
We recommend you drink 1 litre of water an hour before to your appointment. Please do not empty your bladder before the examination.
If you are using a tampon and you require a transvaginal ultrasound, you will need to remove it before the scan can commence. Transvaginal scans can be performed if you are on your period or bleeding.
If you have a gender preference regarding your sonographer, please inform a staff member when you book your scan. You can request this for any ultrasound.
Pelvic ultrasounds can be sensitive in nature, so a chaperone is available as an option for all patients. If you would like a chaperone present during any part of your pelvic ultrasound, please discuss this with your sonographer at any point during your appointment. You may also ask a support person to accompany you during the scan if you prefer.
Ultrasounds do not use ionising radiation, have no known risks, side effects, or complications, and are considered very safe.
A pelvic ultrasound does not require any specific after care. After your scan, you may continue with your normal daily activities, unless advised otherwise by your referring practitioner.
The cost of your scan depends on several factors, and our Customer Service Team can advise you of all costs involved with your ultrasound, including any out-of-pocket costs (if relevant).
