Pelvic Ultrasound Scan – Transabdominal and Transvaginal

The pelvic ultrasound is a diagnostic scan exam to evaluate the organs and structures within the female pelvis. The pelvic scan will evaluate the uterus (womb), endometrium (the lining of the uterus), cervix and ovaries.

Gynaecological problems are very common. The most common reasons for pelvic scan referrals are bleeding and pain as well as irregular periods and fertility reasons.

There are two methods that ultrasound of the pelvis is performed: transabdominal and transvaginal.

Transabdominal scan (through the abdomen). The required ultrasound images are obtained through the abdomen.

Transvaginal scan(through the vagina). Otherwise known as internal ultrasound where the required ultrasound images are obtained through the vagina.

What is the purpose of this pelvic scan?

The gynaecology ultrasound scan includes evaluation of:                                                                           

Your uterus (womb)

The lining of the uterus (endometrium)


Adjacent pelvic structures

Reasons for having a pelvic scan include:

Pelvic pain


Irregular, frequent or heavy periods

Absent Periods

Vaginal bleeding after menopause


Painful intercourse

History of fibroids

Ovarian cysts

Polycystic ovaries


Abnormal blood tests

Detection of some tumours & cancers


Spotting between periods

Detect fibroids

Endometrial polyps

Coil (IUD) position

Pelvic inflammatory disease

Endometrial thickness

Effects of Hormone Replacement Therapy

What is included with this pelvic ultrasound scan?

Ultrasound report with images and if needed, a follow-up recommendation.


This ultrasound scan is being performed trans-abdominally with a full bladder, so please drink 2 pints of water one hour before your scan. On occasions, a transvaginal scan might be required in order to further evaluate the pelvic organs.

Transabdominal Scan:

Before the ultrasound scan, our sonographer will explain the examination procedure.

You will be asked to lie on your back and expose your lower abdomen.

A small amount of water-based gel will be applied to your skin. The gel will help the transducer to make good contact with the skin. The ultrasound transducer will be placed on the body and will be moved in different directions over the area of interest to obtain the required information/ultrasound images.

There is usually no discomfort from pressure as the transducer or probe as otherwise known, is pressed against the area being examined. However, if scanning is performed over an area of tenderness, you may feel pressure or minor discomfort from the transducer.

Once the ultrasound imaging is completed, the clear ultrasound gel will be wiped off your skin. Any portions that are not wiped off will dry quickly. The ultrasound gel does not usually stain or discolour clothing.

Transvaginal ultrasound Scan:

After you empty your bladder, you will be asked to remove your trousers/skirt and your underwear. You will lie on the examination couch, cover yourself with the cover provided and a small transducer will be inserted into the vagina. This internal ultrasound scan is similar to a gynecologic exam but the ultrasonic transducer is however significant smaller than a speculum used in a Pap test.

The transducer will be covered with a protective cover a small amount of gel will be placed on the tip and will be inserted into the vagina. Only a few inches of the transducer will be inserted into the vagina. The transducer will be moved in different directions to obtain the best images.

What will I experience during and after the pelvic ultrasound scan procedure?

For a transabdominal ultrasound exam:

A water-based gel will be applied to lower abdomen/pelvic area and the transducer will be moved to various directions. You might feel a little pressure from time to time.

Ultrasound examinations are usually pain-free.

For a transvaginal ultrasound exam:

Although the transvaginal/internal examination is usually performed to find a cause for pelvic pain, the sonogram itself should not be painful but you might feel a tiny amount of discomfort and pressure. An internal ultrasound scan is usually more comfortable and better tolerated than a gynecologic examination.

These private ultrasound scan examinations are usually completed within 20 minutes.

After an ultrasound scan examination, you should be able to resume your normal activities immediately.

Private Pelvic Ultrasound Cost

We believe that ultrasound scans should be affordable and the cost of the pelvic scan should not be a limiting factor on your decision of getting a faster diagnosis and better and quicker treatment. You will, therefore, find the price of our pelvic ultrasound surprisingly affordable.


Is it easy to make an appointment?

Making an appointment at International Ultrasound Services for a pelvic ultrasound scan is simple. We should be able to arrange an appointment at a convenient time for you. Same day appointments might also be available if you need your scan results quickly.

What happens after the scan?

We will provide a full report with your results that you will be able to share with your GP or other doctors.


Transvaginal Scan in Early Pregnancy

If you are looking to book a transvaginal scan early in your pregnancy please visit out Early Pregnancy Scan page.