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Gynaecology/Pelvic Scans

Gynaecological scans are extremely helpful in diagnosing women who experience pelvic pain, menstrual problems or difficulties in becoming pregnant.

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Description

An investigation for women experiencing pelvic pain, menstrual problems or difficulties in becoming pregnant. Ultrasound is commonly used to assess reproductive anomalies, abnormal bleeding, pelvic inflammatory disease, ovarian cysts or uterine fibroids.

Important Information

Ultrasound does not always see “pain”. Less serious issues will present as normal on an ultrasound study. We do not offer medical treatment or dispense medication.

Investigations

Pelvic Mass

If a pelvic mass is suspected, the following information may be obtained with an ultrasound scan:

  1. Confirm the presence of a mass.
  2. Measurement of the mass(es) and evaluate its extent.
  3. Determine its origin (from the womb, ovary or other structures in the pelvis.
  4. Assess the architecture (simple or complex).
  5. Evaluate its vascularity; this may differentiate the benign from the cancerous mass.

Pelvic Inflammatory Disease

Pelvic inflammatory disease (PID) refers to infection of the uterus (womb), fallopian tubes and other reproductive organs that causes symptoms such as lower abdominal pain.

An ultrasound can view the pelvic area to see whether the fallopian tubes are enlarged or whether an abscess is present.

Uterine Fibroids

Uterine Fibroids are benign tumours that arise from the overgrowth of smooth muscle and connective tissue in the uterus. They will be measured and assessed.

Ovarian Cyst

The size and nature of the cyst is evaluated.

What to expect

For a trans-abdominal scan (TAS), the bladder must be full. This provides an “acoustic” window to the pelvic organs. Drink 4-5 cups of water or liquid 1 hour before the scan.

A full bladder is unnecessary for a transvaginal scan.

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