What is a pelvic ultrasound?
Pelvic ultrasounds produce images of the organs and structures within the pelvic region, and are used to help diagnose and manage a range of conditions.
A pelvic ultrasound is used to primarily assess the uterus, ovaries, endometrium, and surrounding pelvic structures. They 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 (transabdominal) and internal (transvaginal) scan.
During the transabdominal scan your sonographer will apply gel to your lower abdomen, and will then use a transducer 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. If 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. You will be provided with a gown to wear during the scan. To retain further discretion during the ultrasound, you will also be provided a sheet, to cover the lower half of you body. During the transvaginal ultrasound the sonographer will use 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 drinking 1 litre of water an hour before 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 for 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 let your sonographer know at any point during your appointment. You may also ask a support person to accompany you to the scan if you prefer.
Ultrasounds are considered very safe. They do not use ionising radiation, and have no known risks, side effects, or complications.
A pelvic ultrasound does not require any specific after care. After your appointment, you may continue with normal daily activities, unless advised otherwise by your referring practitioner.
Please contact your preferred clinic for all quotes and enquiries. Our friendly customer service team can advise you of any costs involved with your ultrasound, including any out-of-pocket costs.
We recommend arranging alternative childcare for the time of your scan, or have another adult accompany you to the appointment to care for your child.
Children are not allowed in the examination room, and there is no supervision available in the waiting area.
Our staff need to maintain full focus during your examination to ensure the best possible care.