Abnormal vaginal bleeding or Discharge
Family history of uterine or ovarian cancer
Precocious puberty or delayed menses
IUCD (intrauterine contraceptive device) localisation
Urinary incontinence or pelvic organ prolapse
LIMITATIONS/RESTRICTIONS: Transvaginal scanning gives better quality images since the ultrasound probe is closer to the structures being imaged. However this mode of imaging is not offered to patients who are not yet sexually active or who cannot provide informed consent. Large patient size will reduce detail, particularly via the transabdominal approach. Excessive bowel gas can obscure the ovaries. Structures may not be visible in patients who are unsuitable for transvaginal scanning but cannot adequately fill their bladder for an acoustic transabdominal window.
PREPARATION: Ideally the scan is done in the first 10 days of the cycle. Preferably Day 5- 10. This is when the endometrium is at its thinnest, providing more accurate assessment of endometrial thickening or polyp. A full bladder is required. We find that a simple way to achieve this is to empty your bladder two hours prior to the examination, then over the next hour drink approximately 1 litre of water and do not empty your bladder before your appointment. After initial scanning, you will be able to empty your bladder before the transvaginal scan is started.
SCAN PROCEDURE: For the initial transabdominal imaging, you will need to adjust your clothing to allow access to your lower abdomen by pulling your top clothing up and slightly lowering your lower clothing. For the transvaginal scanning, after emptying your bladder you will need to put on a patient gown and remove your lower clothing. You will lie on a scanning bed during your procedure, which will take 20 and 30 minutes. All of our sonographers are female. The sonographer may ask the doctor to be present in the scan room for part of your examination. You may have a friend or family member in the room with you during your scan. Occasionally, some people experience discomfort or pain during vaginal scanning, so please inform the sonographer if you do.
POST PROCEDURE: There are no post procedure precautions.
RESULTS: The images obtained by the sonographer will be analysed and interpreted by the Radiologist.
Your procedure report will be sent electronically to your referring doctor. Please inform us of when you plan to follow up with your doctor so that your report can be prioritised. A hyperlink will be added to the report that will allow your doctor to access your images.
We provide long term electronic storage of your report and images, so you may obtain a copy either on the day of the scan or in the future.