A pelvic ultrasound is a common procedure used during a gynaecological examination to visualise the organs in the pelvic area, such as the uterus and ovaries. Here’s how the procedure typically unfolds in the context of a gynecological exam:
Preparation
- Hydration: You may be instructed to drink about 1 liter of water 1 to 2 hours before your appointment to ensure your bladder is full, which helps improve image quality. Having the bladder full acts as a “window” to examine the uterus and ovaries behind it.
- Clothing: You may be asked to wear a hospital gown for easy access to your pelvic area.
During the Examination
- Positioning: You will lie on your back on an examination table, similar to how you would during a pelvic exam or Pap Smear.
- Types of Ultrasound:
- Transabdominal Ultrasound:
- A small amount of warm gel will be applied to your abdomen.
- The doctor will move a handheld device called a transducer over the gel-covered area, which sends sound waves through your body to create images of your pelvic organs on a monitor.
- Transvaginal Ultrasound (if needed):
- After the abdominal scan, you may be asked to empty your bladder.
- The doctor will provide you with privacy to remove clothing below your waist and cover yourself with a sheet.
- A slim, covered probe will be gently inserted into your vagina. This probe is similar in size to a tampon and allows for closer imaging of the uterus and ovaries.
- The doctor will move the probe slightly to capture images, which typically takes only a few minutes and is usually painless.
- Transabdominal Ultrasound:
After the Examination
- Once both scans are completed, the doctor will leave the room so you can get dressed.
- The images obtained during the ultrasound will be reviewed by your healthcare provider, who will discuss the results with you at a later appointment.
Purpose
The primary purpose of a pelvic ultrasound is to evaluate conditions such as:
- Fibroids or cysts
- Abnormal bleeding
- Pelvic pain
- Monitoring pregnancy
Risks
Pelvic ultrasounds are very safe and do not involve radiation. Some patients may experience mild discomfort from the pressure of the probe, but serious risks are rare.
A pelvic ultrasound is an essential tool in gynaecological examinations that provides valuable information about reproductive health in a safe and non-invasive manner. If you have any questions or concerns during the procedure, feel free to ask your healthcare provider for clarification.