Pelvic pain is common in women of all ages in the reproductive age group. Pelvic ultrasound is the first line investigative option in such cases as it is non-invasive.
Causes of pelvic pain are many, they include:
Benign cysts eg follicular, luteal, dermoid etc
Malignant cysts (cancerous)
Structural anatomic abnormalities
Pain during intercourse or passing stool
Appendicitis and bowel disorders
Ultrasound for pelvic pain
The preferred and optimal approach is a transvaginal scan in the first 10 days of the menstrual cycle but can be done transabdominally under special circumstances.
The transvaginal scan is performed gently using a sterile ultrasound probe covered by a thin sterile cover. The vagina, cervix, uterus, the lining of the cavity, fallopian tubes, ovaries, space at the back of uterus and rectum are sequentially reviewed. The mobility and tenderness of ovaries is examined and the gliding of uterus and cervix along nearby structures is examined.
A report will be generated documenting our findings and possible recommendations on further management or investigations.