A gynaecological ultrasound is an ultrasound assessment of the female pelvis, focussed mainly on the uterus and the ovaries, although other structures may be seen.
A gynaecological ultrasound can be performed for many different indications, such as:
- Period or pelvic pain
- Bleeding between periods
- Heavy periods
- Irregular periods
- Absence of periods
- Difficulty conceiving
- Possible fibroids
- Suspected ovarian cyst
- Suspected pelvic mass felt on clinical examination
- Postmenopausal bleeding
- Screening for ovarian cancer
Vaginal ultrasound provides much clearer views and more detail of the pelvic structures. A narrow, gel covered probe is gently introduced into the vagina. Most patients experience no pain or only very mild discomfort. The examination takes approximately 10-20 minutes.
In young girls, women who have not been sexually active or women who don't feel comfortable having a vaginal ultrasound, a transabdominal ultrasound, or an ultrasound through the abdominal wall can be performed. A very full bladder is needed.