In the pelvic ultrasound study, the uterus, ovaries and the adjacent areas are examined by ultrasound. The initial assessment is made through the skin with your bladder full. The bladder forms a window through which uterus and ovaries can be assessed. A clear, warm, gel will be applied to your skin during the examination, this is to enable the ultrasound to penetrate the skin layer.
All suitable patients are also offered as part of this assessment, a transvaginal ultrasound of the uterus and ovaries. This procedure will be clearly explained to you, and as with all ultrasound examinations, you may decline to have this study. The transvaginal ultrasound usually generates superior images to the transabdominal ultrasound, and hence a better assessment of the uterus and ovaries. It is usual for both the transabdominal and transvaginal assessment to be performed. The combined examination by both probes, provides the most thorough pelvic examination.
With the transvaginal ultrasound, you will be asked to totally empty your bladder. Then in the privacy of the examination room, you will remove all clothing below the waste, and lie under the sheet provided on the examination couch.
The sonographer will then enter the room, and insert a thin sterile ultrasound probe a short distance into the vagina. The sterile transvaginal probe is covered in a latex condom (or non latex condom for those with a latex allergy) and sterile gel.
You will feel the probe being inserted and then being moved gently within the vagina to assess the uterus and ovaries and the areas adjacent to these. This normally is not associate with any pain. If you feel discomfort or pain during this examination, please tell the sonographer. You can also stop the examination at any point and the sonographer will immediately remove the probe. Once the examination is complete, the sonographer will remove the probe and leave the room while you dress.