Gynaecological Ultrasound

Gynaecological Ultrasound

This ultrasound is an examination of the uterus and ovaries. It is usually performed to investigate causes of pain or abnormal bleeding , for monitoring of an ovarian cyst or uterine fibroid, or to simply confirm location of an IUCD.

Your ultrasound will always start transabdominally. In a women who is sexually active, a trans-vaginal ultrasound, after emptying your bladder, will generally be performed as the imaging quality is much better.

The trans-vaginal ultrasound involves placing the ultrasound probe inside the vagina. The probe is sterilized and covered with a disposable sheath to protect from the risk of infection. The ultrasound is then performed gently by angling the probe to obtain images. Most women will have mild discomfort, it should not be painful.

Saline Sonography

If the lining of the uterus cannot be seen clearly you may be referred for Saline Sonography .  This procedure is similar to a pap smear.  The doctor will pass a fine plastic tube into the cervix and will pass some warm saline through.  This allows abnormalities such as polyps and fibroids to be seen more clearly.  This procedure will be discussed and explained with you prior to commencing.  It is important that this procedure be booked in the first half of your cycle.


This ultrasound is done to look for blockages in the fallopian tubes when a women is having difficulty falling pregnant.  This procedure is similar to a pap smear in which a very fine plastic tube will be passed through the cervix.  A fluid solution is slowly injected through the tube and into the uterus.  The movement of the fluid into the fallopian tubes is monitored using ultrasound over the next 5-10 minutes.  It is important that this procedure be booked before day 12 of your cycle.

For Saline Sonography or HyCoSy ultrasounds, you may experience period like pain and discomfort,  for this reason we recommend that you take 2 pain relief tablets (“Ponstan”, “Naprogesic” or similar) approximately 1 hour prior to your appointment.

Should you have any questions regarding the above information or your ultrasound examination please do not hesitate to ask the Sonographer or Dr Susan Winspear.