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What is a Gynaecological Ultrasound Scan?

18th June 2025

A gynaecological ultrasound scan is a non-invasive method which uses high frequency sound waves to create real time images of the pelvic organs. This kind of scan is a diagnostic tool used in women’s health and fertility which can help identify a range of conditions, as it centres on looking at the uterus, ovaries, and cervix. It may help to see if fibroids, ovarian cysts, endometriosis are present and can be used for early pregnancy assessments.

How do ultrasound scans work?

Ultrasound scans work by using high-frequency sound waves to create images of the internal organs.  Sound waves (which are emitted by a transducer, or probe) bounce off tissues and organs inside the body. The echoes of these sound waves are then recorded and converted into images on a screen by a computer.

The main approaches for a gynaecological ultrasound are transabdominal (through the abdomen) and transvaginal (internally through the vagina).

Transabdominal Ultrasound:

  • With this method, a transducer (a device that emits sound waves) is moved across the lower abdomen.
  • In order to get the best images, you may be asked to attend your appointment with acomfortably full bladder. This pushes the pelvic organs closer to the transducer and acts as a conduit for the sound waves.
  • While this method can provide a general overview, it may not always give the most detailed images of the pelvic organs, especially if they are obscured by the bladder or other structures.

Transvaginal Ultrasound:

  • This method involves inserting a slim, covered transducer into the vagina.
  • It allows closer proximity to the pelvic organs, giving higher-resolution images.
  • Transvaginal ultrasounds are often used when a more detailed scan is needed or when a transabdominal scan isn’t sufficient.

Both transabdominal and transvaginal ultrasounds are considered safe and painless, although some women may experience mild discomfort during the transvaginal approach. The choice of approach often depends on the specific situation, the patient’s symptoms, and the information needed by the clinic.

When and why would I need a gynaecological scan?

If you are suffering any unusual symptoms, like pelvic pain, abnormal bleeding, or need to check the position of an IUD, or have fertility issues, you may need a scan so that investigations can be carried out. The scan is used to visualize the female reproductive organs and surrounding structures, helping to diagnose and monitor various conditions.

At The Surrey Park Clinic, gynaecological scans are available six days a week, even without a referral.

Common Myths

There are of course some common myths about ultrasound scans which need to be addressed!

MYTH: “Ultrasounds can be harmful and use radiation.”

FACT: They only use sound waves, making it safe even for early pregnancy.

MYTH: “It can’t be done during menstruation.”

FACT: Having your period doesn’t mean you can’t have a scan.

MYTH: “Only transvaginal scans are accurate.”

FACT: This method may give clearer images of close range structures, but transabdominal scans can still give information.

MYTH: “It’s part of every routine gynae appointment.”

FACT: It’s not standard.

MYTH: “Ultrasounds harm fertility or can cause miscarriage.”

FACT: There is absolutely no evidence that a scan can do this kind of harm. If it is clinically indicated, then it’s safe.

MYTH: “Only reproductive organs are imaged.”

FACT: Pelvic ultrasounds can capture images of organs like the bladder, rectum, and pelvic vessels.

What you can expect at The Surrey Park Clinic

You don’t need a GP referral to book an appointment, and you can do this by phone or online. The type of scan you’ve booked will dictate whether you need to arrive with a comfortably full bladder or not. Your scan will be carried out by an experienced clinician in the privacy of a clinical room. In-clinic scans are often accompanied by an immediate summary where findings might be discussed, as well as a detailed written report, referral recommendations, and next steps.

Who benefits most from a gynaecological scan?

There are many reasons why you might need a scan;

  • If you are suffering with symptoms such as pelvic pain, heavy bleeding, cyclical pain, or irregular menstruation.
  • If you are pregnant and want some early reassurance, or viability.
  • If you are taking part in well-woman screening and need a full reproductive health assessment.
  • If you need a follow-up of a pre-existing gynae condition, like fibroids, ovarian cysts, endometriosis, or post treatment monitoring.

A gynaecological ultrasound scan is a fundamental part of women’s healthcare. At The Surrey Park Clinic, our services blend advanced imaging technology with consultant expertise to offer our patients the very best care, whether for diagnosis, fertility treatment, or routine well woman checks. Book your appointment here.

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