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Gynaecology refers specifically to the study and treatment of pelvic disorders in women, but excluding those problems which occur due to pregnancy. Ultrasound is a very efficient and safe imaging modality with which to examine the female pelvic organs, and as such is considered to be an essential first line investigation for many suspected gynaecological conditions.
Gynaecological ultrasound examinations usually involve both an abdominal and a vaginal approach.
An ultrasound probe is placed on the lower abdomen. The uterus and ovaries can most often be seen, as well as any large pelvic masses or free fluid.
With an empty bladder, a small ultrasound probe, covered by a disposable protective sheath, is inserted gently into the vagina, either by the patient or by the sonographer. This method of scanning allows for better resolution images of the uterus, cervix, fallopian tubes and ovaries.
It is always your decision as to which method of examination you have performed.