Pelvic Ultrasound for Fertility Investigation

Your ultrasound will assess the uterus, ovaries, endometrium (lining of the uterus) and the adjoining pelvic areas to exclude pathology and structural reasons for infertility.

Your scan needs to be performed between day 2 – 6 of your menstrual cycle (day 1 is the first day of your period). This is to assess that there are no ‘functional’ cysts associated with ovulation present on your ovaries and the lining of your uterus is at its thinnest. You may still be menstruating at the time of your scan but this is of no issue.

Your preparation requirements

You will be required to drink 500ml of water one hour prior to your examination. This allows the bladder to fill and helps to visualise the internal structures of the pelvis. Do not go to the toilet once you have commenced drinking the water. If you feel as though you may struggle to hold onto the water, you can come to Sound Radiology prior to your scan to drink the water here.

What to expect

Our ultrasound rooms are dimly lit to reduce the amount of ‘glare’ on our ultrasound monitors. You may be asked to change into a patient gown so that we can easily access your pelvis and asked to lie on our ultrasound bed. A warm gel is applied to your tummy which enables us to send the sound waves through the skin to form the image.

A series of pictures are taken to illustrate your pelvic organs through your full bladder. Once these pictures have been taken, you will be able to empty your bladder completely.

A series of pictures are taken via a transvaginal (internal) scan. The level of detail required to exclude abnormalities cannot be seen through your bladder. This scan is performed with an empty bladder and a slender probe is inserted into the vagina. Transvaginal ultrasounds are usually well tolerated and not as uncomfortable as a PAP smear. During the transvaginal ultrasound, your Sonographer will take detailed images of your uterus and count all the follicles (“eggs”) on your ovaries.

If you do not want to proceed with a transvaginal ultrasound or you are not sexually active please notify your Sonographer.

The Radiologist will then review the ultrasound images to make sure that the examination is of the highest quality. Sometimes the Radiologist will come into the ultrasound room to see your scan in ‘real time’.

Allow up to 45 minutes for your examination.

If you are having a pelvic ultrasound, please see our checklists below.