

The examination takes approximately 10-20 minutes. Most patients experience no pain or only very mild discomfort. A narrow, gel covered probe is gently introduced into the vagina. Vaginal ultrasound provides much clearer views and more detail of the pelvic structures. Suspected pelvic mass felt on clinical examination.It is not necessary to change your appointment if this happens, unless you feel uncomfortable having a vaginal scan then. If the ultrasound is done for another reason such as pain, absence or irregular periods, possible fibroids, subfertility or suspected pelvic mass or ovarian cyst, it can be organised at any time during the menstrual cycle, even when you are bleeding. Some causes of abnormal bleeding, such as small polyps can then be missed and a reassessment just after the period may be necessary. Just before a period, the lining of the uterus is thick and appears quite bright on ultrasound. The lining of the uterus is then thin and pathology can more easily be seen.

If the ultrasound is done to determine the cause of abnormal bleeding, our preference is to perform the scan shortly after the period has finished. A gynaecological ultrasound is an ultrasound assessment of the female pelvis, focussed mainly on the uterus and the ovaries, although other structures may be seen.
