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Gynaecological Ultrasound

What are the reasons for performing a pelvic ultrasound scan?

  • Pelvic pain.
  • Abnormal vaginal bleeding.
  • Pelvic inflammatory disease (PID).
  • Localising an intrauterine device (IUCD).
  • Evaluation of the uterus and endometrium (lining of the womb).
  • Evaluation of the ovaries.
  • Adjunct in fertility treatments
  • Review of early pregnancy for location and dating.
  • Review of a mass palpated during a pelvic examination.
  • Assessment of uterine fibroids.

How is the examination performed?
There are 2 parts to the routine pelvic scan

  1. An initial scan is performed through the abdomen (transabdominal scan) using the full bladder as a window. It provides a broad perspective of the organs in the pelvis but generally not a lot of detail.
  2. A scan through the vagina (transvaginal scan) using a slender probe which provides significantly more detailed images. We routinely perform a transvaginal ultrasound imaging scan of the pelvis, unless you feel this is not appropriate for you or you have never had a pap smear or intercourse.

What preparation do I need on the day of the scan?
You should drink 1 Litre of water one hour prior to your scheduled ultrasound appointment.  You should not empty your bladder after drinking until you have had your scan.  If your bladder becomes uncomfortably full you may empty a small amount but do not empty it completely.  This facilitates imaging of the uterus and pelvic organs during the transabdominal scan.

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