Gynaecology
& Fertility Ultrasound
At Ballarat Women’s Ultrasound, we combine expertise with compassionate care, ensuring every patient receives accurate and comprehensive imaging tailored to their needs. We offer advanced gynaecological ultrasound services and proudly welcome all women, and those assigned female at birth, in the diagnosis and monitoring of various reproductive health concerns. Whether you are investigating a gynaecological condition or undergoing fertility treatment, requiring an initial evaluation or ongoing monitoring, we are here to provide trusted, specialist ultrasound services for your health and well-being.
Deep Infiltrating Endometriosis
BWU | your local specialists in
Gynaecological Ultrasound
There are various reasons your specialist may request a pelvic (gynaecological) ultrasound, the most common are listed below.
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Ultrasound investigations are commonly used to evaluate abnormal and dysfunctional uterine bleeding (AUB/DUB) to identify the underlying cause. This diagnostic test provides a non-invasive assessment of the uterine structure to detect conditions such as fibroids, polyps, endometrial hyperplasia, and malignancies. A transabdominal or transvaginal ultrasound may be performed to measure the endometrial thickness, visualize any uterine lesions, and assess the ovaries. This imaging technique helps guide clinical management decisions by offering detailed insights into the uterine environment and enabling the detection of potential abnormalities that may contribute to abnormal bleeding patterns.
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Ultrasound assessment for pelvic pain is a common diagnostic tool to help identify the cause of discomfort in the lower abdomen or pelvic area. Depending on your symptoms, your doctor may order a transabdominal and/or transvaginal ultrasound. These scans allow clear imaging of the uterus, ovaries, fallopian tubes, bladder, and surrounding structures. Ultrasound can help detect conditions such as ovarian cysts, uterine fibroids, endometriosis, pelvic inflammatory disease, or even early pregnancy complications. It's a safe, non-invasive way to guide your doctor in diagnosing the issue and deciding on the best treatment.
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A common indication for ultrasound is the assessment for polycystic ovaries (PCO). PCO are often diagnosed with the help of a pelvic ultrasound, particularly a transvaginal ultrasound, which provides detailed images of the follicles on the ovaries. In someone with polycystic ovary syndrome (PCOS), the ovaries may appear enlarged and contain many small fluid-filled sacs (follicles). While having cysts alone doesn’t confirm PCOS, the ultrasound findings are considered along with symptoms like irregular periods, acne, excess hair growth, and hormone levels to make a diagnosis. Ultrasound is a key part of evaluating PCOS, helping rule out other causes of symptoms and monitoring ovarian health over time.
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At BWU, we specialise in the evaluation of pelvic organ prolapse, bladder dysfunction, and postnatal pelvic floor concerns.
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In gynaecological oncology, ultrasound plays a vital role in the assessment of endometrial and ovarian tumours. It helps evaluate and quantify the size, shape, and structure of the uterus, endoemtrium (lining of the uterus), the ovaries and any other pelvic masses that may be present. Features such as solid areas, septations (internal walls), papillary projections, and blood flow patterns (assessed with Doppler imaging) are closely examined to determine whether a tumour is more likely to be benign or malignant. If a suspicious lesion is found, further tests like MRI, or blood markers (e.g., CA-125) may be recommended. This ultrasound assessment helps guide decisions on referral to a gynaecological oncologist and planning for surgery or other treatments.
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Ultrasound is a valuable tool for monitoring, inserting, and removing intrauterine contraceptive devices (IUCDs).
At BWU, we offer a range of services in regard to IUCDs, particularly in the assessment of position after placement if there are ongoing symptoms like pain, bleeding, or missing strings.
In cases where an IUCD is difficult to locate or remove, BWU offers ultrasound guided assistance in identifying the exact location and safely guiding removal, helping to avoid more invasive procedures.
Where requested, BWU can assist in difficult insertions to confirm the correct placement of the device within the uterus, ensuring optimal effectiveness and reducing the risk of complications.
Read: Preparing for your scan
Fertility Ultrasound
For those undergoing assisted reproductive treatment or trying to conceive, our fertility ultrasound services include
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Ballarat Women’s Ultrasound offers specialised imaging services to support the assessment of infertility and subfertility. Using advanced ultrasound technology, including pelvic and transvaginal scans, we can evaluate key reproductive structures such as the uterus, ovaries, and endometrial lining. Our assessments help identify conditions that may affect fertility, such as ovarian cysts, fibroids, polycystic ovaries, or structural abnormalities. We also offer follicle tracking and ovulation monitoring to support timed conception or fertility treatments. Working closely with referring GPs and fertility specialists, our team provides detailed, timely information to assist in personalised fertility care.
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At BWU, we offer dedicated ultrasound services to support pregnancy planning and fertility preservation. Our detailed pelvic and transvaginal scans assess the health of the uterus, ovaries, and endometrial lining, providing key insights into your reproductive health. For those considering pregnancy or fertility preservation options such as egg freezing, we can evaluate ovarian reserve by measuring antral follicle count and monitoring menstrual cycle patterns. These scans help guide informed decisions and personalised care plans, whether you’re preparing for conception now or planning for the future.
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At Ballarat Women’s Ultrasound, we offer specialised procedures such as sonohysterograms and HyCoSy to investigate causes of infertility or abnormal bleeding. A sonohysterogram involves gently placing sterile saline into the uterus during an ultrasound to provide a clearer view of the uterine lining and detect issues like polyps, fibroids, or scarring. HyCoSy is a similar procedure that uses a contrast fluid to assess whether the fallopian tubes are open, which is important information when trying to conceive. Both tests are safe, minimally invasive, and can provide valuable insights to guide fertility treatment or further care.
Read: Preparing for your scan
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Ballarat Women’s Ultrasound provides expert ultrasound support for individuals and couples undergoing Assisted Reproductive Technologies (ART), such as IVF and IUI. Our experienced team offers precise monitoring of follicle development, ovulation timing, and endometrial thickness to help optimise treatment outcomes. We use high-resolution pelvic and transvaginal ultrasound to guide key stages of ART, including follicle tracking, egg collection planning, and ovarian accessibility. Working closely with your fertility specialist, we ensure accurate, timely imaging to support every step of your fertility journey.
