Pelvic MRI for women: what to know

A clinician may request pelvic MRI to clarify findings from an examination or another scan, or to assess pain, bleeding, fibroids, endometriosis, a mass, or treatment planning. You lie on a table that moves into the scanner. The machine makes loud knocking sounds, and clear images require stillness. Some examinations use a coil near the pelvis, gel, or contrast through a vein; the team should explain what applies to you.

Tell the centre if you may be pregnant, have kidney disease, have metal or electronic implants, or experience claustrophobia. Ask which medicines and food instructions apply. Remove metal objects and wear suitable clothing. You can request an explanation of positioning, a chaperone where available, or a signal to alert staff if you need assistance. Plan enough time for changing, preparation, scanning, and post-scan instructions.

The scan itself should not cause ongoing pain. Contact the imaging centre or your clinician if pain, bleeding, or skin irritation persists after an internal preparation. If contrast was used, urgent help is needed for breathing difficulty, throat or facial swelling, fainting, or widespread hives. The imaging team can also explain when and how your report will be shared.

Ask what concern the MRI is investigating, whether contrast or gel is planned, how to manage claustrophobia, and when you should expect the report and follow-up discussion.