Gynaecological (Pelvic) Scans

Gynaecological scans are extremely helpful in the assessment of women who are experiencing pelvic pain, menstrual problems or difficulties in becoming pregnant. Ultrasound examination provides useful information about the causes of many gynaecological problems including reproductive anomalies, abnormal bleeding, pelvic inflammatory disease, ovarian cysts or uterine fibroids.

For a trans-abdominal scan (TAS), the bladder must be full. This provides an “acoustic” window which is created by having a full bladder. This will allow the doctor to improve visualization of the pelvic structures.

In contrast, a full bladder may hinder the imaging when a trans-vaginal scan (TVS) is used. Therefore, a full bladder is unnecessary in this situation.

Results are immediate and a written report will be given to you. Examples of pelvic abnormality:

a) Pelvic Mass Scan
If a pelvic mass is suspected, the following information may be obtained with an ultrasound scan:

  1. Confirm the presence of a mass.
  2. Measurement of the mass(es) and evaluate its extent.
  3. Determine its origin (from the womb, ovary or other structures in the pelvis.
  4. Assess the architecture (simple or complex).
  5. Evaluate its vascularity; this may differentiate the benign from the cancerous mass.

b) Pelvic Inflammatory Disease Scan
Pelvic inflammatory disease (PID) refers to infection of the uterus (womb), fallopian tubes (tubes that carry eggs from the ovaries to the uterus) and other reproductive organs that causes symptoms such as lower abdominal pain. It is a serious complication of some sexually transmitted diseases (STDs), especially chlamydia and gonorrhoea. A pelvic ultrasound is a helpful procedure for diagnosing PID. An ultrasound can view the pelvic area to see whether the fallopian tubes are enlarged or whether an abscess is present.

c) Uterine Fibroids Scan
The preferred imaging technique for the evaluation of uterine fibroids is ultrasonography, specifically, trans-abdominal and trans-vaginal. Uterine Fibroids are benign tumours that arise from the overgrowth of smooth muscle and connective tissue in the uterus.

d) Ovarian Cyst Scan
If a doctor finds something during an exam, or if your doctor suspects that your pelvic symptoms could be caused by a cyst, they will recommend that you have an ultrasound performed to determine whether or not an ovarian cyst exists, or, if one does exist, the extent and nature of the cyst discovered.
The results are immediate and a report will be given to you to take to your doctor or clinic.


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