Routine gynecological ultrasound
A routine gynecological ultrasound is recommended to monitor the health of the pelvic organs and can be indicated for women of any age — for preventive screening or to investigate symptoms such as pelvic pain or menstrual irregularities.
Who should have this exam?
A routine gynecological ultrasound is indicated for women at any stage of reproductive and post-reproductive life, namely:
- ✓Women with persistent or recurring pelvic pain
- ✓Women with menstrual irregularities, unusual bleeding, or absence of menstruation
- ✓Women monitoring already diagnosed conditions, such as fibroids, cysts or endometriosis
- ✓Women having their annual routine check-up, even without symptoms, as part of prevention
- ✓Women in perimenopause or menopause, for assessment of the endometrium and ovaries
- ✓Women planning a pregnancy, as part of a pre-conception assessment
This is one of the most widely used exams in gynecology, both for preventive screening and for investigating specific symptoms.
How is the gynecological ultrasound performed?
The gynecological ultrasound is a non-invasive diagnostic procedure that uses high-frequency sound waves to create images of the pelvic organs. The ultrasound probe is moved over the lower abdomen with a conductive gel applied to the skin.
This method provides an overall view of the pelvic region and is typically used for general assessments. Depending on the clinical indication, the doctor may also recommend a transvaginal approach, which allows for more detailed images of the uterus and ovaries and is especially useful in the early phases of the cycle or in situations requiring greater diagnostic precision.
The exam usually requires no special preparation and lasts an average of 15 to 20 minutes.
How should I prepare for the exam?
Abdominal ultrasound
It is recommended to arrive with a relatively full bladder, since this helps obtain clearer images of the pelvic organs. To do this, simply drink water about an hour before the appointment and avoid urinating until the exam.
Transvaginal ultrasound
The procedure is more comfortable with an empty bladder.
It is recommended to wear comfortable clothing that is easy to partially remove, and fasting is not required. If you are menstruating, the exam can usually still be performed, unless your doctor advises otherwise.
Benefits of routine gynecological ultrasound
Routine gynecological ultrasounds are essential for maintaining women's health, providing detailed and accurate information on the state of the pelvic organs — from adolescence to menopause.
Early detection of abnormalities
Allows identification of structural changes in the reproductive organs, often before symptoms appear.
Monitoring of chronic conditions
Supports the follow-up of conditions such as endometriosis, fibroids or ovarian cysts.
Peace of mind for the patient
A detailed assessment of gynecological health, offering reassurance and confidence about your wellbeing.
Support for clinical decisions
Provides the doctor with objective information to decide on further exams or the start of treatment.
No invasive preparation
A quick, painless exam with no need for hospital admission or recovery time.
What is assessed during a gynecological ultrasound
Uterus assessment
Examines the shape, size and presence of changes such as fibroids or other uterine masses.
Ovary assessment
The ovaries are examined to detect cysts, tumors or other abnormalities.
Endometrium
Assesses the thickness and structure of the endometrium, the tissue lining the uterus, which is particularly important in cases of irregular bleeding.
Fallopian tubes
Although not visible on ultrasound unless dilated, changes indicating infection or inflammation may be observed.
Blood flow
Using Doppler imaging, blood flow in the pelvic organs is analyzed, helping to detect abnormal conditions.
When to repeat the exam
The recommended frequency varies according to age, clinical history and the presence of symptoms, but as a general rule this exam is advised as part of the annual routine gynecology check-up, and can be brought forward whenever symptoms such as persistent pelvic pain, menstrual cycle changes or unusual bleeding occur.
Routine ultrasound vs. specialized ultrasound
It's common to wonder about the difference between the two types. At Aeger Prima, the doctor indicates which one is most appropriate for each situation, avoiding unnecessary exams and ensuring the patient always has the right exam for her case.
Routine ultrasound
Intended for a general assessment of the pelvic organs, recommended for annual check-ups or a first investigation of symptoms.
Specialized ultrasound
Recommended when a more detailed analysis is needed — for example, to precisely characterize a fibroid, to carry out an in-depth assessment of ovarian reserve, or to monitor a complex, already diagnosed gynecological condition.
Common questions about the exam
Does the gynecological ultrasound hurt?+
No. It is a painless exam. During a transvaginal ultrasound there may be a slight sensation of pressure, but it is not painful.
Do I need to bring anything to the appointment?+
There is nothing specific you need to bring, but it is useful to know the date of your last period and, if applicable, to have previous exams available for comparison.
Can I have the exam during pregnancy?+
A routine gynecological ultrasound is different from an obstetric ultrasound, which specifically monitors pregnancy. If you are pregnant, your doctor will indicate which type of ultrasound is most appropriate for your stage of pregnancy.
How long does it take to get the results?+
In most cases, the doctor discusses the results with the patient right after the exam, during the same appointment.
Book your gynecological ultrasound
A painless exam, no invasive preparation, with results discussed during the same appointment — in the heart of Lisbon.
