Pelvic Ultrasound

An external ultrasound scan used to assess organs within the pelvis.

What is it?

A pelvic ultrasound uses sound waves to examine pelvic structures. In women, this commonly includes the uterus, endometrium and ovaries; in men, it may include the bladder and prostate, depending on the referral. An external transabdominal scan is performed by moving the probe over the lower abdomen. It does not use radiation.

Is it for me?

• Pelvic or lower abdominal pain
• Heavy, irregular or post-menopausal bleeding
• Bloating, pelvic pressure or a suspected pelvic mass
• Fibroids, ovarian cysts or other known gynaecological conditions
• Fertility-related concerns when clinically indicated
• Urinary symptoms, bladder emptying or prostate assessment in men
• Follow-up of a finding seen on another examination

Preparing for your test

• A full bladder is usually required for an external pelvic scan
• Unless given different instructions, drink approximately 500 mL–1 litre of still water about 1 hour before the appointment and avoid emptying your bladder
• If your bladder becomes painfully full, tell reception; do not make yourself unwell trying to follow the preparation
• Contact reception in advance if you have fluid restriction, a urinary catheter, severe continence difficulties or cannot safely fill your bladder
• Wear comfortable clothing that allows access to the lower abdomen

What to expect

• You will lie on an examination couch and expose the lower abdomen while maintaining privacy
• Gel is placed on the skin and the probe is moved over the lower abdomen with gentle pressure
• You may be asked to change position or briefly hold your breath
• After the external images, you may be asked to empty your bladder if further views are required
• An internal transvaginal scan is a separate examination and will only be performed with your informed consent

Practical information

Related services

• Family doctor or gynaecology consultation
• Transvaginal ultrasound
• Abdominal ultrasound
• Relevant blood tests and cervical screening where appropriate