Ultrasound
A gynaecological ultrasound scan uses sound waves to create images of the uterus, ovaries and surrounding pelvic structures. It can help investigate pelvic pain, heavy or irregular bleeding and identify changes such as ovarian cysts, fibroids or polyps. The findings help guide diagnosis and decisions about any further tests or treatment.
When the Service May Be Recommended
A pelvic ultrasound may be recommended if you are experiencing symptoms such as:
Pelvic or lower abdominal pain
Heavy or irregular periods
Bleeding between periods
Post-menopausal bleeding
Fertility concerns
Bloating or pelvic pressure
Suspected ovarian cysts or fibroids
It is also commonly used to monitor known gynaecological conditions or to assess the pelvis before treatment.
What Can a Gynaecology Ultrasound Detect?
Ultrasound is an essential tool for identifying many common gynaecological conditions.
Fibroids - benign growths in the uterus that may cause heavy periods, pelvic pressure, or fertility problems.
Ovarian Cysts - ultrasound can detect simple and complex ovarian cysts and assess whether they require monitoring or treatment.
Endometriosis and Adenomyosis - although endometriosis can sometimes require further investigation, ultrasound can identify signs suggestive of deep endometriosis or adenomyosis.
Endometrial Thickening or Polyps - ultrasound can evaluate the lining of the uterus, particularly in cases of abnormal bleeding.
What to Expect
Consultation
Your symptoms and medical history will be discussed and the appropriate ultrasound method will be chosen.
The procedure
Most scans take 10–20 minutes. Findings are usually explained during the consultation.
Transvaginal Ultrasound
A transvaginal ultrasound is the most accurate way to examine the uterus and ovaries. During this scan:
A small ultrasound probe is gently inserted into the vagina
Detailed images of the pelvic organs are obtained
The scan typically takes 10–15 minutes
This method provides the clearest view of the uterus, endometrium, and ovaries.
Transabdominal Ultrasound
A transabdominal scan is performed over the abdomen using ultrasound gel and a handheld probe. This approach may be used:
For an overview of the pelvis
When assessing large pelvic masses
In patients who prefer not to have a vaginal scan
Sometimes both scanning methods are used to provide the most complete assessment.
Frequently Asked Questions
Is a gynaecology ultrasound safe?
Yes. Ultrasound uses sound waves rather than radiation, making it a safe investigation for routine gynaecological assessment.
Does a transvaginal ultrasound hurt?
Most patients find the scan comfortable and similar to a routine gynaecological examination. The probe is small and inserted gently.
Do I need a full bladder?
A full bladder may be required for abdominal scans, but it is usually not necessary for transvaginal ultrasound.
Can ultrasound diagnose all gynaecological conditions?
Ultrasound provides valuable information, but occasionally additional tests such as MRI, hysteroscopy, or laparoscopy may be recommended.