Endometriosis Scan

Advanced Pelvic Imaging for Deep Infiltrating Endometriosis

Endometriosis is a common condition affecting an estimated 1 in 9 people assigned female at birth by their 40s. It can lead to pelvic pain, painful periods, bowel or bladder discomfort, fatigue, and infertility. At Melbourne Ultrasound for Women, we offer dedicated pelvic ultrasound assessments to evaluate for features of deep infiltrating endometriosis (DIE), performed by highly trained female sonographers in a calm and supportive setting.

What is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus grows outside of the uterus. It can affect areas such as the ovaries, uterosacral ligaments, bowel, bladder, and surrounding pelvic structures.

There are different types of endometriosis:

  • Superficial endometriosis: Involves deposits on the surface of pelvic organs. This is the most common form and often cannot be detected on standard ultrasound. Diagnosis is usually made via laparoscopy, a minor surgical procedure.

  • Deep infiltrating endometriosis (DIE): More severe lesions that grow into the pelvic tissues, often affecting the rectum, vaginal wall, bladder, or uterosacral ligaments. This type can often be seen on specialised transvaginal ultrasound.

  • Endometriomas: Also known as "chocolate cysts," these fluid-filled cysts form within the ovaries and are commonly seen on ultrasound.

What to Expect

Your scan will be performed by one of our experienced female sonographers using high-resolution transvaginal ultrasound. The procedure typically takes 30–40 minutes and is tailored to your specific symptoms and clinical history.

We understand that many patients undergoing endometriosis assessment may be experiencing discomfort, anxiety, or previous negative medical experiences. Our team will take the time to explain each step of the scan, ensure your comfort, and answer any questions.

A detailed report is provided to your referring doctor or gynaecologist following the scan.

Preparation for the Scan
To ensure optimal imaging quality, please arrive with an empty bladder. Your referring doctor may also advise a mild bowel preparation, such as taking a laxative the night before the scan, to enhance visibility of pelvic structures.

Is This Scan Right for Me?

You may benefit from an endometriosis scan if you experience:

  • Chronic pelvic pain

  • Painful or heavy periods

  • Pain during intercourse

  • Bowel or bladder symptoms (especially cyclical)

  • Infertility or difficulty conceiving

  • A previous diagnosis of or suspicion of endometriosis

Even if your scan results are normal, this does not rule out superficial endometriosis. Imaging is just one part of the diagnostic process and your symptoms should always be discussed with your healthcare provider.

Our specialist ultrasound assessment evaluates for:

  • Endometriomas (ovarian cysts)

  • Deep infiltrating endometriosis (DIE)

  • Pelvic adhesions and reduced organ mobility

  • Bowel and bladder involvement

  • Pouch of Douglas obliteration

  • Uterine abnormalities (such as adenomyosis)

Our sonographers use dynamic scanning techniques to assess how the pelvic organs move and interact, which can suggest the presence of adhesions or deep endometriosis.

What We Assess During the Scan

Why Choose Melbourne Ultrasound for Women?

Melbourne Ultrasound for Women is a specialist clinic dedicated to women’s imaging. Our team includes highly experienced gynaecological sonographers who understand the complexity of endometriosis and its impact on your life.

We take pride in offering:

  • Compassionate, patient-centred care

  • Expert transvaginal ultrasound assessments

  • Female-only scanning staff

  • Prompt and detailed reporting to your doctor

Referral Information
A valid referral from your GP or specialist is required to book an endometriosis ultrasound. This allows us to tailor the scan to your clinical needs and provide a comprehensive report to your healthcare provider.

FAQs

Can an ultrasound detect all types of endometriosis?

No. Standard ultrasound is most effective at identifying deep infiltrating endometriosis (DIE) and endometriomas (ovarian cysts). Superficial endometriosis, which affects the surface of pelvic organs, is not usually visible on ultrasound and may require laparoscopy for diagnosis.

Will the scan be painful or uncomfortable?

Most patients tolerate the scan well, though you may experience mild discomfort—especially if you already have pelvic pain. Our compassionate female sonographers will guide you through the process and ensure you're as comfortable and supported as possible.

Do I need to do anything to prepare for the scan?

Yes. As this is an internal (transvaginal) scan, your bladder must be empty at the time of your appointment. Your referring doctor may also advise you to take a bowel preparation, such as Dulcolax 10mg the night before your scan, to improve visibility of the pelvic structures.