Gynaecology Ultrasound
Our clinic offers advanced ultrasound services to support a wide range of gynaecological and fertility needs. Using up‑to‑date imaging technology and drawing on the expertise of our experienced team, we aim to provide careful, thorough assessments in a comfortable setting. Key services include Sonohysterography, HyCoSy (to assess the uterus and fallopian tubes), and deep infiltrating endometriosis (DIE) scans, which help evaluate pelvic endometriosis and guide ongoing care.
What is a Pelvic Ultrasound?
A pelvic ultrasound is a gentle, non‑invasive scan that uses sound waves to create images of the organs and structures in your pelvis. It’s commonly used to look closely at the uterus, ovaries, fallopian tubes, bladder and nearby areas.
The scan is safe, generally painless and doesn’t involve any radiation, so it’s suitable for both routine checks and more detailed investigations if you’re experiencing symptoms or have specific concerns.
At Intuition Private, we offer two main types of pelvic ultrasound:
- Transabdominal Ultrasound: For this scan, the sonographer gently moves a probe over the lower abdomen to take images of the pelvic organs. It gives a broad overview and is often combined with a transvaginal scan for a more detailed look when needed.
- Transvaginal Ultrasound: In this scan, a small, specially designed probe is gently inserted into the vagina to obtain closer, clearer images of the pelvic organs. It is particularly helpful for assessing the uterus and ovaries and is often used when we need more detailed information about specific symptoms or conditions.
Both types of scans are performed with great care, respect, and sensitivity. Your comfort is always our priority, and our team will explain each step, answer any questions you have, and work with you to choose the most appropriate approach for your needs. At Intuition, we’re committed to providing thorough, compassionate care to support you in understanding and managing your pelvic health.
Pelvic ultrasound is a versatile tool used to diagnose and monitor a variety of conditions, including:
- Uterine Fibroids: These are non-cancerous growths that develop in or on the uterus. Ultrasound can determine the size, location, and number of fibroids, helping guide treatment decisions.
- Ovarian Cysts: Fluid-filled sacs that develop on the ovaries can be evaluated using ultrasound. It helps determine the size and type of cyst, distinguishing between simple cysts and those that may require further investigation or treatment.
- Endometriosis: While ultrasound can identify related complications such as endometriomas (ovarian cysts associated with endometriosis) and adhesions.
- Pelvic Inflammatory Disease (PID): Ultrasound can detect signs of infection or inflammation in the reproductive organs, helping to confirm a diagnosis of PID and assess its severity.
- Abnormal Uterine Bleeding: Pelvic ultrasound can identify structural abnormalities, such as polyps or fibroids, that may be causing irregular bleeding. It also assesses the thickness of the uterine lining.
- Congenital Uterine Anomalies: Ultrasound can detect structural abnormalities of the uterus, such as a bicornuate or septate uterus, which may affect fertility and pregnancy outcomes.
Understanding Diagnostic Gynaecological Procedures
Diagnostic ultrasound procedures are scans that use sound waves to create detailed images of the body’s internal structures. They play an important role in assessing reproductive health, helping to identify possible concerns, and guiding the most appropriate treatment and follow‑up care.
A sonohysterogram, also called saline infusion sonography (SIS), is a specialised ultrasound used to take a closer look inside the uterus. During the procedure, a small amount of sterile saline is gently passed into the uterine cavity, which helps outline the uterine lining more clearly and makes it easier to detect any abnormalities.
- Abnormal Uterine Bleeding: A sonohysterogram can help identify the causes of irregular or heavy menstrual bleeding by providing detailed images of the uterine lining.
- Uterine Fibroids: This procedure can detect the presence, size, and location of fibroids within the uterus, aiding in treatment planning.
- Polyps: Sonohysterograms are effective in identifying endometrial polyps, which can contribute to abnormal bleeding and affect fertility.
- Uterine Anomalies: The procedure can diagnose congenital uterine anomalies, such as a septate or bicornuate uterus, which may impact fertility and pregnancy outcomes.
During a sonohysterogram, a thin, flexible catheter is passed through the cervix into the uterine cavity. A small amount of sterile saline is then gently infused to slightly expand the uterus, which helps create clearer ultrasound images of the uterine lining.
The procedure is usually quite quick and most people find it well‑tolerated, with only mild cramping or discomfort that settles soon after the scan.
A sonohysterogram has several advantages. It is minimally invasive and can provide very clear images of the inside of the uterus, making it a valuable tool in diagnosing and managing a range of gynaecological conditions.
However, it isn’t suitable for everyone. It is not recommended during pregnancy or if you have an active pelvic infection. Before the procedure, our team will talk through your medical history, explain any potential risks, and make sure this is the right and safest option for you.
Hysterosalpingo contrast sonography (HyCoSy) is a specialised ultrasound used to check whether the fallopian tubes are open and to assess the inside of the uterus. It can be especially helpful for women experiencing fertility difficulties, as it provides important information about possible tube or uterine factors that may be affecting conception.
- Tubal Patency Assessment: HyCoSy is primarily used to determine whether the fallopian tubes are open and functioning properly, which is crucial for natural conception.
- Uterine Abnormalities: The procedure can also identify abnormalities in the uterine cavity, such as fibroids or polyps, that may affect fertility.
During a HyCoSy, a thin catheter is gently placed through the cervix into the uterus, and a contrast fluid is introduced into the uterine cavity. Using ultrasound, the sonographer then follows the flow of this contrast through the fallopian tubes.
This allows us to see whether the tubes are open and to identify any blockages or unusual findings that might be affecting fertility.
HyCoSy is a minimally invasive, safe procedure that can give very helpful information about the reproductive system. It is a gentler alternative to more invasive tests such as laparoscopy and dye studies.
Some people may notice mild cramping or discomfort during the procedure, but this usually settles quickly. Our team will talk through what to expect beforehand, answer any questions you have, and do our best to keep you comfortable and supported throughout.
Intuition Private Offers DIE (Deep Infiltrating Endometriosis) with Specialist Dr Sarika Gupta
Endometriosis affects an estimated 1 in 7 Australian women. Yet for many, diagnosis is delayed for years. Pain is normalised. Symptoms are dismissed. And answers feel frustratingly out of reach. At Intuition, we offer Deep Infiltrating Endometriosis (DIE) ultrasound scans, a specialised form of pelvic ultrasound designed to detect more complex and deeply embedded forms of endometriosis. This is an important step forward in improving access to advanced imaging for women on the Central Coast.
What is a DIE (Deep Infiltrating Endometriosis) scan?
A DIE scan is a specialised pelvic ultrasound that looks carefully for deep infiltrating endometriosis – a more severe form of endometriosis where the tissue can grow deeper into pelvic structures and sometimes involve areas like the bowel, bladder or uterine ligaments.
The scan uses sound waves (not radiation) to create detailed pictures of your pelvis. It also looks at how your pelvic organs move in relation to each other, which helps identify scarring, adhesions and areas of tenderness that may be causing symptoms.
DIE scans are considered safe, are usually well‑tolerated, and are performed by clinicians with advanced training in women’s health imaging, who understand how to make the procedure as comfortable as possible for you.
While a standard pelvic ultrasound focuses primarily on the appearance of the uterus and ovaries, a DIE scan goes further by carefully examining:
- The supporting ligaments of the uterus
- The space behind the uterus
- The bowel, bladder and surrounding tissues
- How freely the pelvic organs move
This detailed assessment provides critical information that is not typically captured on routine pelvic imaging and is essential for identifying deep disease.
Accurate imaging is crucial in managing suspected endometriosis. A DIE scan helps the care team to:
- Better understand the cause of pelvic pain and related symptoms
- Determine whether further investigations or specialist referral are needed
- Plan appropriate medical or surgical treatment
- Support fertility care and long-term management
- Reduce the risk of unexpected findings during surgery
Until recently, many women on the Central Coast needed to travel to Sydney to access this level of subspecialist ultrasound assessment.
Our experienced team of sonographers and specialists are dedicated to providing informative, accurate assessments and personalised care plans to address your unique needs. Call today to book your women’s imaging or pregnancy ultrasound with Intuition- 02 43210500.
Get to know our passionate team
Dr Rajit Narayan
Ultrasound Specialist
Obstetrician & Gynaecologist
Get in touch
If you wish to make a booking with one of our specialists or allied health team, please get in touch with our friendly support staff.
We understand the need for women-led care and have an easy referral system to other health care professionals who provide a range of services specialised to your individual needs.