Do You Need a Referral for Transvaginal Ultrasound?

A transvaginal ultrasound uses a covered probe placed gently inside the vagina to create images of the uterus, cervix, ovaries and nearby structures. A referral helps the radiology team understand the clinical question, choose the appropriate scan and compare relevant symptoms or previous results.

The scan may be suggested for pelvic pain, unusual bleeding, fertility assessment or early pregnancy concerns. You should be told what the examination involves and can discuss alternatives or decline it. Tell the service if you have pain, bleeding, an infection concern or a reason internal examination may be difficult.

Ask the imaging centre whether you can self-book or need a referral from a doctor, midwife or fertility clinician. When booking, mention pregnancy possibility, symptoms, prior pelvic surgery and accessibility needs. Follow the centre’s instructions about bladder preparation, because some scans use different preparation depending on the clinical question.

Wear clothing that allows easy access and ask for a chaperone if you would feel more comfortable. During the scan, request a pause or stop if you have pain or want to reconsider.

Do not wait for a routine scan if you have severe or one-sided pelvic pain, heavy vaginal bleeding, fainting, shoulder-tip pain or feel acutely unwell, especially if pregnancy is possible. Contact a clinician promptly for fever, worsening pain or unusual discharge.

Ask: Do I need a referral at this centre? What question is the scan answering? How should I prepare? Can I have a chaperone? What alternatives are available if an internal scan is not acceptable or feasible?