It is quite normal for you to be anxious or worried about a pelvic scan. The procedure itself is usually not uncomfortable but often you are concerned about what it might find. Our job is to provide you with a quality scan that will give you a definite answer or provide reassurance that something more sinister is not going on.
The scan will be done very gently and your privacy will be respected.
A pelvic scan is also done routinely before a Sonohysterogram or HYCOSY to exclude other problems and provide more information for an accurate report.
A pelvic scan is usually done both transabdominally and transvaginally. This is necessary to get the all the information required. 3D/4D scan is performed if an endometrial polyp or fibroid is suspected to assess the shape of the cavity and to check for the presence of an IUD (Intra-uterine device)
We do not do transvaginal scans without your consent or on children.
You will leave TARA with an answer. We do a very thourough scan that is examined by a Specialist Gynaecologist you can be confident that if something is present we will find it.
This means if your scan is normal your Doctor can confidently rule out a lot of possibilities. This also means expensive surgery or more invasive investigations can be avoided.
The Obstetrician and Gynaecologist will talk to you immediately and discuss the findings in detail to ensure you understand the scan results.
A pelvic ultrasound is done to check a woman's reproductive organs, the uterus and ovaries. Normal fallopian tubes are not usually seen on ultrasound. The scan can be done for women of all ages to investigate any one of these conditions.
o Pelvic/period pain
o Heavy, painful, irregular or infrequent periods
o Postmenopausal bleeding
o Fertility workup
o Followup of a known ovarian cyst or mass
o To check ovaries
What information will this scan give me?
The pelvic ultrasound will check in detail the structure of the pelvic organs
Uterus
o size
o overall appearances
o presence of fibroids
o adenomyosis
o contour of uterus and cavity
o congenital uterine abnormalities
Endometrium
o thickness
o appearances (thinnest after a period, triple stripe mid cycle, thick and white after ovulation
o polyp or fibroid within cavity
o A small amount of sterile saline can be injected into the cavity to better define problems (Sonohysterogram)
Cervix
o length
o presence of fibroids and polyps
o early cancerous changes cannot be detected by ultrasound these are detected by a Pap smear.
Ovaries
o size
o shape
o presence of follicles
o polycystic ovaries
o endometriosis
o functional cysts
Fallopian Tubes
o blocked tubes
o a Hycosy is best to assess tubal patency
Kidneys
o a brief examination is done to rule out blocked ureters
Adenomyosis with Doppler
Endometrioma with Doppler
Intramural Fibroid
Fibroids: location and names
Bicornuate Uterus on 3D Ultrasound
Proliferative phase - triple stripe
Secretorty phase on ultrasound