Combined Transabdominal and Transvaginal Female Pelvis Ultrasound
A combined pelvic ultrasound uses both external (transabdominal) and internal (transvaginal) scanning techniques to provide a comprehensive evaluation of the uterus, endometrium, ovaries and surrounding pelvic structures. The abdominal scan offers a wider overview of the pelvis, while the transvaginal scan provides closer, high-resolution detail. Together, they deliver the most complete insight into menstrual health, fertility concerns, pelvic pain, cysts, fibroids and early pregnancy assessment.
What is a combined transabdominal and transvaginal pelvic ultrasound?
Transabdominal scan – an external scan performed over the lower abdomen to visualise:
- Uterus and ovaries
- Overall pelvic anatomy
- Large fibroids, cysts or masses
- Free fluid or inflammatory changes
Transvaginal scan – an internal scan using a slim, lubricated probe to provide detailed views of:
- Uterus – size, fibroids, structural changes
- Endometrium – thickness, irregularities, cycle assessment
- Ovaries – follicles, cysts, or polycystic appearance
- Pelvic structures – adhesions, inflammation, or fluid
Using both methods together maximises diagnostic accuracy, especially for fertility evaluation, abnormal bleeding, pelvic pain and early pregnancy concerns.
Why consider a private combined pelvic scan?
You may benefit from this scan if you have:
- Irregular, painful, or heavy menstrual bleeding
- Infertility investigations or cycle tracking
- Monitoring ovarian cysts, fibroids or endometrial changes
- Postmenopausal bleeding assessment
- Early pregnancy review and viability check
- Comprehensive evaluation when symptoms are unclear or complex
Advantages of private ultrasound:
- Safe and radiation-free
- Higher accuracy when both internal and external methods are used
- No referral required
- Consultant sonographer report provided
- Ideal for fertility and menstrual health assessment
Symptoms or concerns that may require this scan
Consider this scan if you are experiencing:
- Chronic or acute pelvic pain
- Heavy, irregular, or postmenopausal bleeding
- Difficulty conceiving or undergoing fertility treatment
- Suspected or monitored fibroids, cysts, or polyps
- Bloating, pressure or pelvic discomfort
- Early pregnancy bleeding or viability concerns
What can this ultrasound detect?
- Uterine fibroids or structural abnormalities
- Endometrial abnormalities (hyperplasia, polyps)
- Ovarian cysts or polycystic ovaries (PCOS)
- Pelvic inflammatory changes or free fluid
- Congenital uterine anomalies
- Retained products of conception (post-miscarriage)
- Early pregnancy concerns, including ectopic pregnancy
Preparing for your combined pelvic scan
Preparation instructions:
- Full bladder required for clearer imaging
- Bladder should be emptied beforehand
- No fasting required
- Performed in a private, comfortable clinical environment
- A chaperone can be provided if preferred
- Typical scan time: 45 minutes
Inform the team if:
- You are menstruating or taking fertility medication
- You experience pain during examinations or have had pelvic surgery
- You prefer to postpone the internal scan due to comfort reasons
How it works
Smarter Scanning. Proactive Health. Peace of Mind.
Choose
Pick a scan or a program. No referral required.
Book
Select a time online - same‑day availability.
Scan
Be seen by specialists in our Bluewater clinic.
Results
Consultant‑led report within 3 working days, accessible online.
Get clarity. Get control.
Cut out long NHS queues, avoid opaque private quotes, and step into a single-visit, consultant-led experience.
