Gynaecology Ultrasound
Our clinic, equipped with state-of-the-art technology and staffed by experienced professionals, offers advanced ultrasound services designed to address various gynaecological and fertility concerns. Two key procedures we provide are the Sonohysterogram and Hysterosalpingo Contrast Sonography (HyCoSy), which are crucial in diagnosing conditions affecting the uterus and fallopian tubes.
What is a Pelvic Ultrasound?
A pelvic ultrasound is a diagnostic procedure that uses high-frequency sound waves to create images of the organs and structures within the pelvis. It is commonly used to evaluate the uterus, ovaries, fallopian tubes, bladder, and surrounding areas. The procedure is safe, painless, and does not involve radiation, making it an ideal choice for both routine screenings and detailed investigations.
At Sound Start Sydney, we offer two main types of pelvic ultrasound:
- Transabdominal Ultrasound: This type of ultrasound involves placing a transducer on the lower abdomen to capture images of the pelvic organs. It provides a broad overview and is often used in conjunction with a transvaginal ultrasound for more detailed imaging.
- Transvaginal Ultrasound: In this procedure, a specially designed transducer is inserted into the vagina to obtain closer and more detailed images of the pelvic organs. It is particularly useful for assessing the uterus and ovaries and is often used for investigating specific symptoms or conditions.
If the pregnancy is complicated by placental insufficiency- evidenced by blood pressure issues in the pregnant woman, or by growth restriction in the foetus- we are the place to come to for ongoing surveillance. As advisors to obstetricians in some of the major tertiary hospitals in the city, we are best placed to offer tailor-made advice re: management of the pregnancy to yourselves and to your obstetricians.
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 cannot directly diagnose endometriosis, it 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 non-invasive imaging techniques that utilise high-frequency sound waves to create detailed images of the body’s internal structures. These procedures are essential for assessing reproductive health, identifying potential issues, and guiding treatment plans.
A sonohysterogram, also known as saline infusion sonography (SIS), is a specialised ultrasound procedure used to evaluate the uterus’s interior. It involves the introduction of sterile saline solution into the uterine cavity to provide clearer images of the uterine lining and detect 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 catheter is inserted through the cervix into the uterine cavity. Sterile saline is then gently infused into the uterus, expanding the cavity and providing clearer ultrasound images. The procedure is relatively quick and generally well-tolerated, with most patients experiencing only mild discomfort.
A sonohysterogram offers several benefits, including its non-invasive nature and ability to provide detailed images of the uterine cavity. It is an important tool for diagnosing and managing various gynaecological conditions. However, it is not recommended for women who are pregnant or have active pelvic infections. Our team will discuss any potential risks and ensure the procedure is appropriate for your situation.
Hysterosalpingo contrast sonography (HyCoSy) is a specialised ultrasound technique used to assess the patency of the fallopian tubes and the condition of the uterine cavity. This procedure is particularly valuable for women experiencing fertility issues.
- 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 contrast agent is introduced into the uterine cavity through a catheter, and ultrasound imaging is used to track the flow of the contrast through the fallopian tubes. The procedure allows for the visualisation of the tubes and identification of any blockages or abnormalities.
HyCoSy is a minimally invasive and safe procedure that provides valuable information about the reproductive system. It offers an alternative to more invasive procedures like laparoscopy and dye tests. Some patients may experience mild cramping or discomfort during the procedure, but these symptoms typically subside quickly. Our team will discuss any concerns and ensure you are comfortable throughout the process.
Our experienced team of sonographers and specialists are dedicated to providing accurate assessments and personalised care plans to address your unique needs.
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.
