Gynaecology Ultrasound

Most gynaecological scanning will be performed using a transvaginal probe. This will provide detailed images of the pelvic organs, i.e. cervix, uterus, endometrium and ovaries. Examination of the bladder and kidneys can also be performed, in conjunction with pelvic scan.

Colour Doppler blood flow assessment of the uterine and ovarian vessels is also used and helps in the differential diagnosis of many gynaecological conditions.

Gynaecological scans can be used in the following situations –

Lower abdominal pain and bleeding

For the differential diagnosis of ectopic pregnancy, threatened miscarriage, pelvic inflammatory disease and location of intrauterine devices.

Lower abdominal and pelvic masses

For the differential diagnosis of pelvic masses such as ovarian cysts, fibroids and endometriosis. Colour Doppler studies of ovarian masses are helpful to determine the possibility of malignancy.

Irregular or postmenopausal bleeding

For the study of the endometrium to diagnose endometrial polyps, fibroids and endometrial cancer. Colour Doppler studies are helpful to determine the possibility of malignancy.

Amenorrhoea and subfertility

For the diagnosis of polycystic ovaries and the measurement of endometrial thickness and morphology. Ovarian follicle tracking in both natural and ovulation induced cycles.

Ovarian cancer screening

Annual screening is recommended for all women with a family history of ovarian cancer or women who have had ovulation induction as part of infertility treatment.