Fertility & Gynaecology
The most effective form of imaging to assess the uterus and ovaries, performed for women with a variety of gynaecological concerns including infertility, fertility treatment and effects of Hormone Replacement Therapy.
A gynaecological scan can either be performed transabdominally (over the tummy) or transvaginally (internally) dependant on the reason for your scan. An internal scan is usually the preferred method as it gets you closer to the uterus to allow for clearer assessment of the structures.
A full bladder is necessary for a trans-abdominal scan, so approximately an hour before your scan please drink at least 400mls of water. A transvaginal scan requires an empty bladder for your comfort, as it gives much clearer images.
Fertility Scans. We can provide you with an individualised ultrasound service to meet your needs whether you are having treatment in the UK or abroad. A baseline pelvic scan can be performed to assess the thickness of the endometrial lining and developing follicles with further follicle tracking if required.
If you would just like a baseline fertility scan this is best performed between days 1-3 of your cycle. It is suitable for those who would like to see their antral follicle count (resting follicles) to assess for egg reserve – which can also be combined with an AMH (Anti-Mullerian hormone) blood test assessing egg reserve (this blood test is not available at every appointment). Our detailed scan will assess the size, shape, and appearance of the uterus. The thickness of the endometrium will be measured and assessed. Ovaries will be assessed and the follicles on the ovaries will be measured. We also assess the adnexa/ pelvic area to ensure there are no cysts, masses, or free fluid.
Alternatively, if you would like a scan to assess how your cycle is developing we would suggest a pelvic scan between days 8-12 of your cycle (the is based on a regular 28 day cycle with expected ovulation mid-cycle). A scan at this point would allow us to assess the thickness of the endometrial lining and the presence of any dominant follicles – which in turn can give you an estimation for ovulation.
We also offer an ultrasound service for those taking HRT and Biodentical Hormone treatment.
Reasons for self-referral; Specific or generalised pain and tenderness, Swelling and bloating, Irregular periods Painful periods (Dysmenorrhoea), Bleeding after intercourse (Post-coital), Heavy menstrual bleeding (Menorrhagia), Intra-uterine contraceptive device (Coil) location, Post-menopausal bleeding, Endometrial thickness for fertility purposes, Follicle tracking for fertility purposes.
Common findings identified by scan; Polyps, Ovarian cysts, Fibroids, Polycystic ovaries , Pelvic inflammatory disease (PID).
A referral is not required for any of the gynaecological services we offer.
What we do…
We discuss how we perform the internal scan and and what it entails. The scan is only performed with your consent.
The size, shape and appearance of the uterus and the thickness of the lining of the endometrium will be measured and assessed along with the ovaries. If you are having fertility treatment and need to know your follicle count we will also measure and report how many follicles are present. We also assess the adnexa/ pelvic area to ensure there are no cysts, masses or free fluid.
After the scan…
We will discuss the findings of the scan with you and provide you with a detailed report and pictures where required. You can either send a copy of the report to your clinic providing your fertility treatment or take the copy to your GP for follow up where suggested.
If we find anything of concern, with your permission we will refer you directly to your GP and discuss our findings/concerns with them for follow up.
On a sensitive note, we would also like to bring to your attention that our clinics are mixed with different scans being offered. We completely understand that if you are undergoing fertility treatment or simply trying to become pregnant it could be upsetting to have appointments either side of yours that are pregnancy scans. We would not intentionally wish to cause you any distress, so please let us know and we can try to make adjustments for the appointment to be easier for you.
Our sonographers are not responsible for the interpretation of the findings from the scan – they are reporting what is seen during the assessment and will make any referral that is appropriate.