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Knowledge - May 27, 2025

When is a gynecological ultrasound scan needed? Indications and notes

Last updated: May 29, 2025

What is a gynaecological ultrasound scan? Gynaecological ultrasound scan is an important test for checking women’s health.

What is a gynaecological ultrasound scan?

Gynaecological ultrasound scan is an important test for checking women’s health. During the procedure, the doctor uses a special tool called a probe, which is placed in the vagina or on the abdomen to look at the reproductive organs.

The images on the screen help the doctor check for any problems or abnormalities. This test is key in diagnosing gynaecological issues and is a regular part of women’s health exams.

There are 2 common types of gynaecological ultrasound exams, each of which requires a different ultrasound machine.

Transabdominal ultrasound

A transabdominal ultrasound is a test where a special gel is applied to your belly, and a small device is moved over the area. This device sends soundwaves to create pictures on a screen. It’s often used to check the baby from around eight weeks of pregnancy and to look at the reproductive organs. It works best if your bladder is full, as it helps the sound waves travel better.

Transvaginal ultrasound

During this procedure, the doctor places a small probe into the vagina. This method gives clearer images because the probe is closer to the organs being checked. Unlike a transabdominal ultrasound, you need an empty bladder for a transvaginal ultrasound.

What can gynaecological ultrasound scan detect?

A gynaecological ultrasound provides doctors with images that help diagnose problems with the reproductive organs. It’s often the first test doctors recommend because it’s painless, non-invasive, and safe, as it doesn’t use radiation like CT scans. During an ultrasound, the doctor can detect many problems of the gynaecology system:

  • Abnormalities in the reproductive organs.
  • Early signs of ectopic pregnancy.
  • Blockages in the fallopian tubes.
  • Fibroids and adenomyosis.
  • Thickening of the uterine lining, which may suggest endometrial hyperplasia.
  • Ovarian cysts.
  • The size and shape of the ovaries, which can indicate Polycystic Ovary Syndrome (PCOS).
  • The placement of an intrauterine device (IUD).
  • Pelvic inflammatory disease (PID).
  • Ovarian follicles, useful for checking fertility.
  • Monitoring IVF procedures, including egg retrieval.

Ultrasounds are important for diagnosing many reproductive health issues. If you have symptoms related to your reproductive system, it’s best to see a gynaecology specialist for an accurate diagnosis.

When do you need a gynaecological ultrasound scan?

It’s a good idea to have a gynaecological ultrasound every six months to keep track of your health and find any problems early. However, if you can’t stick to this schedule, you should get an ultrasound if you notice these signs:

  • Unexplained vaginal bleeding that is not related to your period.
  • Irregular periods, very heavy bleeding, or missed periods for no clear reason.
  • Very painful periods or unusual amounts of blood during your period.
  • Severe lower belly pain outside of your period.
  • Pain during sex or less interest in sex.
  • Unusual discharge, with a different color or smell.

These signs might mean there’s a problem with your reproductive health. If you experience any of these, don’t ignore unusual symptoms, you must see a doctor soon for a check-up and proper care.

How to prepare for a gynaecological ultrasound?

Many women, especially those who haven’t had intercourse, may feel anxious about having tests like gynaecological screening gynaecological ultrasound. To make the experience more comfortable and ensure the ultrasound is effective, you can keep the following guidelines in mind:

  • When preparing for an abdominal ultrasound, try to avoid urinating beforehand. A full bladder helps the doctor get a clearer view of the internal organs.
  • On the other hand, if you’re having a transvaginal ultrasound, it’s best to empty your bladder first. This will make it easier to insert the probe and reduce discomfort.
  • There’s no need to fast before a gynaecological ultrasound, as the procedure doesn’t affect your digestive system.
  • When you go for the ultrasound, wear loose and comfortable clothing. This will make the examination easier for the doctor and help you feel more relaxed during the procedure.

A gynaecological ultrasound is a diagnostic method that can detect many sensitive conditions in women, allowing for appropriate and effective treatment. To ensure reproductive health, every woman of reproductive age should have a gynaecological check-up every six months.

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