Gynaecological Ultrasound Scans

Why would you need a Gynae Pelvic and/or Abdominal ultrasound scan?

Common reasons for having a gynaecology scan include:

• Pelvic pain
• Abnormal periods or bleeding
• After the menopause
• To check for coil position

What is a Transvaginal scan of the pelvis (TVS)

Transvaginal Scan of the Pelvis (TVS) (Pelvic/Gynae Scan)

This involves placing a small probe the size of a tampon into the vagina. This should not be painful. The TVS is performed with an empty bladder which must be emptied no more than 30 minutes before examination.

Please note a TVS scan cannot be performed on a patient who is virgo intacta (hymen intact). Patients under 20 years of age will have an external Transabdominal Scan instead.

Transabdominal Scan of the Pelvis (TA Scan) (Pelvic/Gynae Scan)

The sonographer will look at:

• The position and size of the uterus making sure no fibroids are present.
• The thickness of the lining of the womb called the endometrium.
• The size of the ovaries, presence of any ovarian cysts and possibility of PCOS.
• Presence and location of IUCD (coil) if relevant.

A full bladder is required for this scan, so you will be advised to drink one pint of water an hour before your scan.

What is an Abdominal Scan?

Abdominal Scan

The sonographer will look at:

• Liver, bile ducts, gallbladder, pancreas, both kidneys and spleen. (We do not look at the stomach, bowel or hernias.)
• You will be given a written report on the sonographer’s findings.
• Extra copies can be given to show your GP/Consultant.

You will be required to fast for 8 hours before the examination. If you have a morning appointment, please do not eat anything after midnight. If you have an afternoon appointment, e.g. after 2pm, you may have breakfast, finishing no later than 7am. If you are diabetic, please book a morning appointment.