Gynaecological ultrasound examination

Gynaecological ultrasound examination

What is gynecological ultrasound?

Gynecological ultrasound is a non-invasive, safe, and painless examination that uses ultrasound technology to assess the health of a woman’s reproductive organs – the uterus, endometrium, ovaries, fallopian tubes, and surrounding tissues.

How is gynecological ultrasound performed?

The examination can be performed in two ways:

  • Transabdominally – through the anterior abdominal wall, using an ultrasound probe and applied gel.

  • Transvaginally – using a special vaginal probe, which provides a more detailed and accurate image.

The method is chosen by the doctor depending on the purpose of the examination and the patient’s individual characteristics. Usually, a gynecological ultrasound lasts 10–20 minutes, depending on the required level of detail.

What can be assessed with gynecological ultrasound?

The examination allows evaluation of:

  • the shape, size, and position of the uterus;

  • the thickness and structure of the endometrium;

  • the size of the ovaries and follicle development;

  • possible changes in the fallopian tubes or pelvic cavity.

This method can detect:

  • fibroids, polyps, cysts, tumors;

  • signs of endometriosis;

  • inflammation or fluid accumulation;

  • early pregnancy and its development;

  • the ovulation process and causes of infertility.

When does a doctor prescribe the examination?

Gynecological ultrasound is usually recommended in cases of:

  • lower abdominal pain;

  • irregular menstrual cycles or bleeding between periods;

  • suspected pregnancy or its complications;

  • infertility investigation;

  • follow-up of previously diagnosed formations.

Contraindications

There are practically no contraindications for the examination. The only limitation may be acute discomfort or severe pain during a vaginal examination, which should always be reported to the doctor.

Preparation for the examination

  • Transabdominal method – a full bladder is required (drink ~1 liter of water 1 hour beforehand).

  • Transvaginal method – the bladder should be empty.

The doctor or clinic staff will always provide specific instructions depending on the type of examination.

Good to know!

  • Regular preventive visits to a gynecologist and necessary examinations help detect changes early, even when there are no symptoms.

  • Early diagnosis significantly improves treatment outcomes and a woman’s quality of life.

  • The examination is available during any gynecological consultation.

The results can usually be provided immediately after the procedure, with an image description and recommendations for further action.

Both National Health Service (NHS)-covered, insurance-covered, and paid services are available.