Pelvic Scans In Dublin

MORE DETAILS YOU NEED TO KNOW

Ongoing symptoms

For chronic or ongoing symptoms we suggest you wait until early in your next cycle on day 3 to day 5 before having your pelvic ultrasound. If you are still having your period that will not affect the accuracy of the examination. When performing a pelvic ultrasound, large cystic structures should not be observed on healthy ovaries early in the cycle. However, if an ultrasound is performed during the middle of the cycle, hormonal changes, which can lead to structural changes may make it difficult to determine whether a cystic structure is a true dominant follicle (which is a normal finding) or a type of functional cyst (abnormal finding).

For example, a patient may report left sided pain in the pelvis. An ultrasound that is performed during the middle of the cycle may demonstrate a left ovarian cystic structure measuring at 3 cm. This may represent a dominant follicle which is a part of the normal cycle or an abnormal structure that may represent a functional cyst which may or may not be the cause of pain. In such a case, the examination would have to be repeated after the next cycle has started and this could delay the diagnosis.

Preparation

•  Full bladder for transabdominal
• Empty bladder for a transvaginal

A full bladder is required for this test so you are advised to drink at least 500ml to 1000ml of water an hour prior to the appointment. Your bladder will be emptied before performing an internal if necessary for further clarification of findings. Most pelvic ultrasounds are performed through a combination of transabdominal and transvaginal methods. Firstly, the patient is examined transabdominally with a full bladder to assess uterus, ovaries and the adnexa (which is the area around the pelvic organs).

This approach provides a physical overview of the patient’s reproductive organs. However, it may be difficult to properly examine certain internal organs through transabdominal methods, which is when a transvaginal approach can be used. Most importantly, a combination of both approaches decreases the chance of missing an adnexal mass or cyst that is located high within the pelvis.

Length of scan

• 10–30 minutes.

Organs and structures that are solid and uniform like ovaries and uterus or fluid filled like the bladder show up clearly on a pelvic ultrasound.

Ultrasound is the most commonly used method to examine the uterus and the ovaries when indicated by abdominal and pelvic pain or menstrual problems; such as heavy and painful periods as well as abnormal intermittent bleeding. Ultrasound can detect cysts, fibroids, endometrial thickening and numerous other uterine and ovarian abnormalities. It is also very useful if there is concern about the position of an intrauterine contraceptive device.

Fertility Scans:

Results from your fertility ultrasound examination will be available immediately after your appointment. We will provide a copy for you and your gynaecologist or fertility specialist.

We are also happy to email a digital copy to you to send to your fertility centre.