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Top 07 Common Reasons Your Doctor May Recommend a Pelvic Scan

A pelvic scan provides a detailed and comprehensive view of the organs and structures within the lower abdomen. It plays a vital role in diagnosing, monitoring, and managing a wide range of gynaecological and urinary conditions. By producing real-time images using advanced ultrasound technology, a pelvic scan allows healthcare professionals to identify abnormalities early, assess symptoms accurately, and create appropriate treatment plans. Below are the seven most common reasons a doctor may recommend a pelvic scan.
  1. Pelvic Pain Persistent, recurring, or severe pelvic pain is one of the most common reasons for requesting a pelvic scan. This discomfort may be linked to conditions such as ovarian cysts, fibroids, pelvic inflammatory disease (PID), endometriosis, or infections. A pelvic scan helps identify the source of pain by clearly visualising the uterus, ovaries, and surrounding tissues, allowing clinicians to assess the size, location, and characteristics of any abnormalities.
  2. Irregular Menstrual Cycles Changes in menstrual patterns, including heavy bleeding, painful periods, irregular cycles, or missed periods, often indicate underlying hormonal or structural issues. A pelvic scan can help detect uterine fibroids, polyps, ovarian cysts, or conditions such as polycystic ovary syndrome (PCOS) that may be affecting cycle regularity.
  3. Infertility Assessment For individuals or couples experiencing difficulty conceiving, a pelvic scan is an essential diagnostic tool. It assesses the health and structure of the uterus, ovaries, and fallopian tubes, helping to identify potential issues such as blocked tubes, ovarian dysfunction, uterine abnormalities, or PCOS that may impact fertility.
  4. Pregnancy Monitoring Pelvic scans are commonly used during pregnancy to confirm gestational age, monitor fetal development, assess placental position, and identify multiple pregnancies. They also help detect early pregnancy complications, ensuring both maternal and fetal health are closely monitored throughout each stage of pregnancy.
  5. Post-Menopausal Bleeding Any bleeding after menopause is considered abnormal and requires prompt investigation. A pelvic scan allows doctors to examine the uterine lining (endometrium) and identify abnormalities such as thickening, polyps, or changes that could indicate endometrial hyperplasia or cancer.
  6. Urinary Symptoms Pelvic scans are sometimes used to investigate urinary issues such as frequent urination, pain during urination, incontinence, or recurrent urinary tract infections. The scan provides detailed images of the bladder and pelvic floor structures, helping identify potential causes related to pelvic organ positioning or muscle weakness.
  7. Pelvic Inflammatory Disease (PID) PID is an infection of the female reproductive organs that can lead to chronic pain and fertility issues if left untreated. A pelvic scan helps confirm the diagnosis, assess the extent of infection, and guide timely treatment to prevent long-term complications.
Pelvic scans use modern ultrasound technology to provide real-time imaging and detailed insight into pelvic health. This enables clinicians to make accurate diagnoses and recommend appropriate treatments with confidence.

Period Irregularities

Menstrual irregularities should never be ignored, as they often signal underlying health concerns that may worsen without intervention. Pelvic scans play an important role in identifying the root cause of abnormal cycles.
  • Heavy Bleeding Also known as menorrhagia, heavy bleeding can lead to fatigue and anaemia. It is commonly associated with fibroids, uterine polyps, or hormonal imbalances, all of which can be identified through a pelvic scan.
  • Missed Periods Known as amenorrhoea, missed periods may result from stress, weight changes, PCOS, or thyroid disorders. A pelvic scan helps identify ovarian or uterine causes contributing to cycle disruption.
  • Prolonged or Irregular Cycles Longer-than-normal cycles, or oligomenorrhoea, may point to hormonal imbalances or underlying gynaecological conditions. Early investigation helps prevent future complications.

Role of Pelvic Scans

Pelvic scans provide detailed images that help doctors evaluate menstrual irregularities and reproductive health with precision.
  • Detection of Uterine Abnormalities Fibroids and uterine polyps can be clearly identified, helping explain symptoms such as heavy bleeding or pelvic pain.
  • Diagnosis of Underlying Conditions Conditions such as endometriosis, adenomyosis, and uterine cancers can be detected early, improving treatment outcomes.
  • Protecting Reproductive Health

Why Your Doctor May Recommend a Pelvic Scan

  • Pelvic Pain Persistent or severe pelvic pain can be caused by conditions such as ovarian cysts, uterine fibroids, pelvic inflammatory disease (PID), or endometriosis. A pelvic scan provides real-time imaging of the pelvic organs, allowing clinicians to accurately identify the source of discomfort. This targeted assessment supports appropriate treatment decisions and can significantly improve comfort and overall quality of life.
  • Evaluating Fertility Concerns Pelvic scans are a fundamental part of fertility assessment. They enable a detailed evaluation of the uterus, ovaries, and fallopian tubes, helping to identify conditions such as polycystic ovary syndrome (PCOS), structural uterine abnormalities, or tubal issues that may interfere with conception. Early identification supports effective fertility planning and timely intervention.
  • Pregnancy Monitoring During pregnancy, pelvic or fertility scans are used to monitor fetal development, confirm gestational age, assess placental position, and identify potential concerns at an early stage. These scans provide reassurance for expectant parents and play an important role in supporting a safe and healthy pregnancy journey.
  • Post-Menopausal Bleeding Assessment Any bleeding after menopause requires prompt medical investigation. Pelvic scans allow healthcare professionals to examine the uterine lining for abnormalities that may explain post-menopausal bleeding, supporting early diagnosis and timely management of serious conditions.
  • Detection of Ovarian Cysts or Tumours Many ovarian cysts and tumours develop without noticeable symptoms in their early stages. Pelvic scans enable early detection and help distinguish between benign cysts and potentially concerning masses. Early identification improves treatment outcomes and may reduce the need for more invasive procedures.
  • Assessment of Urinary Symptoms Pelvic scans can also assist in evaluating persistent urinary symptoms such as frequent urination, discomfort, or incontinence. By visualising the bladder and pelvic floor structures, imaging helps clarify the cause of symptoms when they remain unexplained.
  • What to Expect During a Pelvic Scan A pelvic scan is a straightforward procedure that typically takes between 15 and 30 minutes. It may be performed as a transabdominal scan, with the probe moved over the lower abdomen, or as a transvaginal scan, using a small probe to obtain clearer images. Your healthcare professional will explain the process and recommend the most suitable approach for you.

Final Remarks

Pelvic scans are a vital diagnostic tool for identifying and managing a wide range of gynaecological and urinary conditions. Following your doctor’s recommendation for a pelvic scan can provide reassurance, clarity, and timely access to treatment. At Miracle Inside, we offer advanced pelvic scanning services focused on your comfort, well-being, and peace of mind. Book your appointment today and take a positive step toward better health.