When is pelvic ultrasound recommended for ovarian cancer?

The scan uses sound waves to create images of the ovaries, uterus, and surrounding pelvic area. It may help show a cyst, a solid area, fluid, or a change in size or appearance. An internal ultrasound may provide a closer view than an external scan, depending on your situation. Ultrasound can raise or lower concern, but it cannot by itself confirm ovarian cancer. A clinician may combine it with examination, blood tests, or other imaging and may recommend tissue testing when a diagnosis is needed.

Ask whether you need a full bladder for an abdominal scan and whether an internal scan is planned. Tell the imaging team if you could be pregnant, have pelvic pain, or would prefer to discuss alternatives. Wear clothing that allows access to the lower abdomen. During an internal scan, you can ask the sonographer to explain each step and pause if you are uncomfortable. Keep the follow-up appointment so the result is interpreted alongside your symptoms and earlier tests.

Seek urgent medical help for sudden severe pelvic or abdominal pain, fainting, heavy vaginal bleeding, repeated vomiting, or a swollen abdomen with difficulty breathing. These symptoms need prompt assessment whether or not an ultrasound has already been arranged. Contact your oncology or gynaecology team promptly if pain, bloating, early fullness, or urinary or bowel changes persist or worsen.

Ask what the ultrasound is intended to answer, whether an internal scan is appropriate, how the findings will be combined with other tests, and when you should expect a follow-up discussion.