Pelvic Ultrasound Scan
Pelvic problems such as heavy bleeding, painful periods or sex and generalised pelvic pain are very common and affect all age groups. Pelvic ultrasound scans are the primary choice to identify the cause of these symptoms such as uterine polyps, fibroids, ovarian cysts, cancer.
There are two kinds of gynaecologic ultrasonography the transabdominal or supra-pubic (through the bladder) and the transvaginal or internal (through the vagina) examination.
What is the purpose of this diagnostic scan?
The gynaecological test is being used to evaluate your female reproductive organs:
- Your uterus (womb)
- The lining of the uterus (endometrium)
- Adjacent pelvic structures
Why this pelvic scan is done:
The most common reasons for this examination are:
- Pelvic pain
- Irregular, frequent or heavy periods
- Absent Periods
- Vaginal bleeding after menopause
- Painful intercourse
- History of fibroids
- Ovarian cysts
- Polycystic ovaries
- Abnormal blood tests - such as raised CA-125
- Detection of some tumours & cancers
- Spotting between periods
- Detect uterine fibroids
- Endometrial polyps
- Coil (IUD) position
- Pelvic inflammatory disease (PID)
- Endometrial thickness
- Effects of Hormone Replacement Therapy
How to prepare for a pelvic ultrasound.
This pelvic ultrasound scan is being performed trans-abdominally with a full bladder, so please drink 2 pints of water one hour before your scan. On occasions, a transvaginal ultrasound scan might be required in order to further evaluate the pelvic organs.
What should I expect during the private pelvic ultrasound scan?
Upon your arrival at the clinic, our sonographer will explain the ultrasound scan procedure and will ask you to lie on your back on the couch. You will be asked to lower a bit your trousers/skirt and your underwear to be able to access your pelvic area. A small amount of ultrasonic gel will be placed on your skin. The transducer will be moved back and forth across your lower abdomen to image the area of interest.
If there is a need to have a transvaginal scan, you will be asked to empty your bladder and remove your trousers/skirt and your underwear. You will be asked to lie on your back on the couch and a towel will be provided to cover yourself. A special lubricated probe will be inserted into the vagina and will be moved to different directions to obtain the best images. This scan might feel a bit uncomfortable but should not be painful.
We aim to always provide a female chaperone but if no one is available on the day we might ask you to come back on a different day. You are more than welcome to bring with you a companion.
At the end of the examination, we will discuss the findings with you and we will provide you with a written report to take away.
Transabdominal v Transvaginal examination
There is a conflict of opinions as to which pelvic scan is the best. Both ultrasound scan approaches are used to image the uterus and the ovaries for any abnormality. They both give useful information that can be combined for the best diagnostic outcome. Sometimes the transabdominal scan image quality is so good that there is absolutely no need to invade your privacy with a transvaginal scan. In our ultrasound clinic in London, we use them as complementary to each other.
Why you may need both an abdominal and pelvic ultrasound?
Can I still have a pelvic ultrasound scan if i am on my period?
Yes. Having your period will not affect the diagnostic accuracy of the test.
Ultrasound scanning is a medical diagnostic technique where sound waves are being used to image various parts of the body.
Other terms for ultrasound imaging are sonograms, US, and sonography.
Ultrasound is widely used s as it is painless and safe for adults, children, and foetuses. There are no side effects such as the ones associated with radiation.
During the ultrasound scan, the sonographer rests a small probe over the skin. This probe produces sound waves i.e pulsations that travel through the tissues. Some of the sound waves are being reflected back to the transducer and the computer analyses the returning echoes and produces the image on the screen. It is the same principle as the sonar the navy uses.
Ultrasound is being used to image mostly solid organs such as liver, kidneys, uterus and ovaries, muscles and blood vessels and babies in the womb.
It has, however, limited value in organs such lungs, bone, stomach and bowel/colon.
Ultrasound images are black and white but colour Doppler is being used to evaluate organ and blood vessel blood flow and this is what the red and blue colours on the screen are.
How much does pelvic ultrasound cost?
The cost of the pelvic scan in our clinic is suprising affordable.
Pelvic Scan: £164.00