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A pelvic ultrasound is usually the best test for gynaecological problems in women.
It uses sound waves which are emitted from a transducer which is put into contact with your skin.
Ultrasound is completely painless and safe.
Good views of the pelvis can be achieved with a transducer on your tummy, looking through the bladder to the uterus and ovaries. Sometimes it is better to use a trans-vaginal transducer to get higher resolution images of small structures in the pelvis.
Pelvic ultrasounds are used to investigate problems in young girls, such as pain, unusual bleeding or a pelvic mass. It is used in women of reproductive age to investigate unusual bleeding, infertility, pelvic pain and masses. In older women a pelvic ultrasound is used to investigate post-menopausal bleeding, pain and bloating. If you are concerned about the ultrasound procedure, discuss it with your sonographer or doctor beforehand.
An endometrial polyp in the uterine cavity can cause unusual bleeding.
Uterine adenomyosis can cause heavy painful periods.