Having a pelvic ultrasound

A pelvic ultrasound scan is used to inspect the uterus, ovaries, and other structures in the pelvic region. Pelvic ultrasound scans are performed for numerous reasons, ranging from pelvic pain and irregular bleeding to issues related to menstrual cycles and fertility. It's also used for the assessment of the endometrium, identification of pelvic masses, intra-uterine contraceptive device (IUCD) positioning, and addressing certain pregnancy-related concerns.

 

Two techniques can be employed during this procedure - transabdominal and transvaginal (internal) ultrasound.

 

Your examination will be performed by a sonographer, a specialist trained in ultrasound imaging. The sonographer will introduce themselves and confirm your identity and the procedure you are having. A radiology department assistant will also be present and act as a chaperone.

The sonographer will apply a gel to your lower abdomen or pelvis region, allowing the ultrasound probe to glide smoothly over your skin.

 

Preparation for a transabdominal scan involves drinking one litre of water an hour before the scan to fill your bladder. Expansion of your bladder gives clearer images of your pelvic organs and pushes your bowel out of the way.

 

Expect the appointment to last approximately 20 minutes.

 

If a transvaginal scan is being performed, you'll be asked to empty your bladder and change into a gown. During the procedure, you'll be asked to lie on your back, with your knees drawn up towards your chest.  The probe is thoroughly sterilized before use to eliminate any risk of infection, and the internal examination typically lasts for about 10-15 minutes. This is not a painful procedure, but occasionally some people may feel minor discomfort. Most people find the transvaginal scan preferable and more comfortable than a transabdominal scan with a full bladder. Remember that you can always ask to stop if you're uncomfortable.

 

Please note we have both male and female staff working in the department. If you would prefer a female member of staff to perform your scan, please contact the department to let us know before your appointment and we will do our best to make appropriate arrangements.

 

Expect the appointment to last approximately 20 minutes.

Once the examination is complete, the sonographer will review the images and prepare a detailed written report for your referring doctor. The process typically takes approximately one week. You will need to schedule a follow-up appointment with your doctor to discuss these results.

 

Please remember that the sonographer cannot provide you with results immediately after the exam, as they may need to discuss the findings with a radiologist.

 

It is always a good idea to discuss any questions or concerns with your healthcare provider to fully understand the procedure and its implications. Always consult with a healthcare professional to interpret the results and guide your next steps.