An ultrasound scan can provide valuable information about your gynaecological health, helping to investigate symptoms, assess pelvic structures and guide decisions about your care.
At West Wales Women’s Wellbeing, we offer specialist gynaecological and early pregnancy ultrasound at our clinic in Mid Wales. All our scans are performed by our Consultant Gynaecologist and Obstetrician, combining advanced imaging with clinical expertise to help you better understand your results and the options available to you.
Whether you have symptoms that need investigating, an existing condition that requires ongoing assessment or are looking for reassurance about an early pregnancy, your scan will be tailored to your individual needs.
What can we help you with?
Our advanced ultrasound services can help assess a range of gynaecological and early pregnancy concerns, including:
- Fibroids and adenomyosis
- Endometriosis
- Heavy periods
- PMOS/PCOS
- Ovarian cysts
- Pelvic pain
- Irregular bleeding
- Fertility concerns
- Early pregnancy
- Coil position
The most appropriate scan depends on your symptoms, medical history and the clinical question that needs answering.
What types of ultrasound do we offer?
A small ultrasound probe is gently inserted into the vagina to obtain detailed images of the uterus, endometrial lining and ovaries. This is often particularly useful for investigating gynaecological symptoms and assessing early pregnancy. The procedure will be explained to you beforehand, and your consent is required.
Transabdominal pelvic ultrasound
Images are obtained by moving an ultrasound probe over your lower abdomen. This may be appropriate depending on your symptoms, anatomy and the area that needs to be assessed.
Advanced and 3D ultrasound imaging
Where appropriate, advanced imaging techniques, including 3D ultrasound, can provide additional views of pelvic structures. This can be useful when assessing certain uterine abnormalities and other specific gynaecological concerns.
Your scan will be tailored to the reason for your appointment and the type of assessment required.
Specialist Ultrasound Services (additional cost applies)
Saline Infusion Sonography (SIS)
Saline Infusion Sonography (SIS) is a specialised ultrasound investigation that provides a clearer view of the inside of the uterus (womb). A small amount of sterile saline (salt water) is gently introduced into the uterine cavity through a fine catheter, allowing the lining and shape of the cavity to be assessed during an ultrasound scan.
SIS may be recommended to investigate:
- Uterine polyps – small growths within the lining of the womb.
- Submucosal fibroids – fibroids that grow into or distort the uterine cavity.
- Abnormal uterine bleeding – including selected cases of unexplained or persistent bleeding.
- Fertility concerns – where assessment of the uterine cavity may help guide further investigations or treatment.
SIS can provide additional information that may not be as clearly seen on a standard pelvic ultrasound. It is not suitable for everyone, and the timing of the procedure is important. Your consultant will assess whether it is appropriate for you and explain what to expect, including any discomfort, preparation and potential risks.
HyFoSy – Fallopian Tube Patency Testing
Hysterosalpingo-Foam Sonography (HyFoSy) is a specialised ultrasound procedure used to assess whether the fallopian tubes are open. The fallopian tubes carry the egg from the ovary towards the womb, so checking their patency can be an important part of investigating fertility concerns.
During the procedure, a specialised foam contrast agent is gently introduced into the womb through a fine catheter. Ultrasound is then used to observe whether the foam passes through the fallopian tubes.
HyFoSy may be recommended as part of a fertility assessment to investigate:
- Fallopian tube patency – whether the tubes appear open or there may be a blockage.
- Trying to Conceive and Early Pregnancy – as part of investigations into possible causes of infertility.
- Fertility planning – to help guide decisions about appropriate next steps in your care.
At West Wales Women’s Wellbeing, HyFoSy is performed using ExEm® Foam and ultrasound guidance. It provides information about the fallopian tubes.
Some people experience period-like cramps or discomfort during the procedure, and the experience varies from person to person. HyFoSy is not suitable for everyone, and it must be performed at an appropriate point in the menstrual cycle, with pregnancy and relevant infection risks considered beforehand.
What happens during your appointment?
Your ultrasound appointment is designed to help you understand your concerns and the findings of your scan.
Understanding your concerns
Your Consultant Gynaecologist will consider the reason for your scan and review relevant medical history and symptoms to help guide the assessment.
Your ultrasound examination
Your consultant will perform the appropriate ultrasound examination for your needs, explaining the procedure and answering any questions you may have. Your consent will be obtained before proceeding.
Understanding your results
Your scan findings will be interpreted alongside your medical history and symptoms, helping to put the results into context. Your consultant can explain the findings and discuss their potential significance for your health.
Planning the next steps
Where appropriate, your findings may help inform decisions about further investigations, treatment or referral to another specialist. Your consultant will explain the available options and advise on the next steps in your care.
Please familiarise yourself with our ultrasound consent information and ultrasound disclaimer.
Will an ultrasound tell me what is causing my symptoms?
Ultrasound is a valuable diagnostic tool, but it cannot identify every gynaecological condition or explain every symptom. Some conditions may not be visible on ultrasound, and further assessment may sometimes be needed.
At West Wales Women’s Wellbeing, all our ultrasound scans are performed by our Consultant Gynaecologist. This means your scan findings can be interpreted alongside your medical history, symptoms and individual circumstances, helping to provide a more complete clinical picture.
Our aim is to provide you with a clearer understanding of your findings, explain what they may mean for you and advise on any appropriate next steps in your care.
Book an advanced ultrasound appointment
If you have been advised to have a gynaecological or early pregnancy ultrasound, or would like to explore whether imaging may help investigate your concerns, contact West Wales Women’s Wellbeing to enquire about an appointment.
You do not need to know which type of scan is most appropriate before getting in touch. Your clinical needs will help determine the most suitable assessment.
Detailed imaging. Expert assessment. Greater understanding.
