Does radiology perform a pelvic ultrasound?

The sonographer or other trained imaging professional performs the scan. They place gel on the skin and move a handheld probe over the lower abdomen. A pelvic ultrasound uses sound waves rather than x-rays to show pelvic organs, including the uterus and ovaries. The images are then reviewed according to the service's reporting process.

Some appointments use an abdominal approach, sometimes called an abdominal pelvic scan. The service may ask you to attend with a full bladder so the organs can be seen more clearly. The exact preparation depends on the reason for the scan and the centre's instructions.

Check whether your referral requests an abdominal scan, an internal scan, or both. Follow the booking team's instructions about drinking water and when to empty your bladder. Bring the referral details, a list of medicines, and information about pregnancy possibility, pelvic surgery, or symptoms such as bleeding or pain.

At the appointment, tell the sonographer where you feel discomfort and whether pressure on the lower abdomen is difficult. Ask when the report will go to the referring clinician; the person performing the scan may not be the person who gives the final interpretation.

A pelvic ultrasound is often booked in advance. Seek urgent medical assessment for severe pelvic pain, heavy bleeding, fainting, fever with marked illness, or possible pregnancy accompanied by pain or bleeding. Do not wait for a routine scan if symptoms are rapidly worsening. If you cannot follow bladder instructions because of pain or urinary difficulty, contact the imaging service for advice.

Ask why the scan is being requested, whether you need a full bladder, whether an internal scan may be recommended, what the examination will involve, and how the findings will be communicated. If you are pregnant or may be pregnant, ask which approach is appropriate and what to expect during the appointment.