Gynaecological – FEMALE Ultrasound
Rejuvence
4.8
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For interest free credit with ZIP please call us on 0207 531 6600

Rejuvence
4.8
powered by Google

For interest free credit with ZIP please call us on 0207 531 6600

At Rejuvence Medical we offer a comprehensive, efficient and professional medical ultrasound scanning service. We are registered with the Care Quality Commission (CQC).  We can also arrange for you to take away a copy of your ultrasound scan. In addition we are connected to NHS digital and are able to send copies of your scan, with your permission of course, directly to your NHS GP or hospital consultant. Our Ultrasound Scanning Service is led and performed by Dr Ali Zaman – Consultant Radiologist. This is in contrast to many other Ultrasound Clinics where scans are performed exclusively by sonographers. The provision of a radiologist means that the findings of your scan are interpreted in the context of your clinical symptoms. Hence we are able to advise you on the most appropriate next step in your treatment. 

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An ultrasound scan of the lower abdomen in females helps to see the uterus and ovaries. This can be very helpful in the evaluation of lower abdominal pain in women. All our ultrasound scans are performed by our Consultant Radiologist Dr Zaman. We always have a female chaperone in attendance during your scan. 

Common conditions

A lower abdominal ultrasound scan in women is useful in identifying the following conditions:

  • What are Ovarian Cysts?
    Fluid filled sacs in the ovary or ovaries.
  • How common is it?
    Ovarian cysts are common and usually occur during ovulation. Most women will make at least one cyst every month. They are less common after menopause.
  • Does it affect males and females?
    Only women are affected by ovarian cysts.
  • What age groups?
    The age range is very wide for the occurrence of ovarian cysts though most form during the years of reproduction and slow after menopause.
  • What are the main symptoms?
    Most women will not feel any symptoms of ovarian cysts, however, if there is a problem signs will include pelvic pain, a dull aching in the back and thighs, pain during sex, issues with emptying the bladder or bowel to completion, painful periods, tenderness in the breasts, and unusual vaginal bleeding.
  • How is it tested for?
    Ovarian cysts can be easily detected during a routine pelvic exam. If swelling is noticed, an ultrasound will be done to confirm the presence of a cyst or cysts.
  • Is there a cure?
    Ovarian cysts are usually benign and will diminish on their own without treatment.
  • How is it treated?
    If a doctor feels treatment is necessary, they may prescribe birth control pills to stop ovulation, or perform a laparoscopy or laparotomy to remove the cyst.
  • What is Ovarian Cancer?
    Abnormal cells in the ovary or ovaries grow out of control causing a tumor resulting in ovarian cancer.
  • How common is it?
    Approximately 1 in 17 women are diagnosed with ovarian cancer during their lifetime.
  • Does it affect males and females?
    Ovarian cancer only appears in a person with ovaries.
  • What age groups?
    Women over the age of 50 are at a higher risk for developing ovarian cancer. However, more than half of the cases diagnosed are in women over the age of 65 years old.
  • What are the main symptoms?
    The most common symptoms of ovarian cancer are abdominal bloating, nausea and indigestion. A change in appetite, pressure in the pelvis and/or lower back, frequency/urgency of urination may increase as well as constipation and changes in bowel movement.
  • How is it tested for?
    Testing for ovarian cancer can be done through a pelvic exam to feel the pelvic organs, imaging tests such as ultrasound, CT or MRI scans, blood testing and if necessary, diagnostic laparoscopic surgery.
  • Is there a cure?
    Depending on how early the cancer is detected there are options for treatment. However, only about 15% of ovarian cancers are identified in its earliest stage.
  • How is it treated?
    The key to treatment is early identification. In the first instance surgery is needed to remove the ovaries and if need be the uterus and tubes as well. Where cancer has spread further surgery maybe needed. Treatment is coupled with chemotherapy and radiotherapy.
  • What are Fibroids?
    Fibroids are abnormal growths that can occur in or on the uterus. They can grow very large and be very painful or be very small with no signs or symptoms at all.
  • How common is it?
    Fibroids can occur in about 20%-80% of women by the time they are 50 years old. They are especially common in women of Afro-Carribean descent.
  • Does it affect males and females?
    Fibroids affect only women.
  • What age groups?
    Women who are at their peak of childbearing years, between 30-40 years old are at the highest risk of developing fibroids.
  • What are the main symptoms?
    A woman may experience heavy bleeding between periods that may also consist of blood clots. There can be severe pelvic pain and lower back pain, heavy cramping during menstrual cycles, pain during sex, longer periods, pressure in the lower abdomen, and increased urination.
  • How is it tested for?
    Ultrasound is the investigation of choice to identify fibroids. A hysteroscopy (fibre-optic camera inserted into the uterus) can confirm the diagnosis.
  • Is there a cure?
    Yes, fibroids can be cured in most cases.
  • How is it treated?
    Embolic agents may be injected into the arteries that supply the uterus which stops blood flow to the fibroids. Myolysis, laparoscopic or robotic myomectomy procedures can be done or a hysteroscopic myomectomy and endometrial ablation.
  • What are Endometriosis?
    Endometriosis is a condition that takes place when the uterus lining grows in other places such as the fallopian tubes, ovaries or in the pelvis.
  • How common is it?
    Endometriosis is a common condition that may affect about 1 in 10 women. Approximately 20%-50% of women experiencing infertility suffer from endometriosis.
  • What age groups?
    Most cases occur in women between the ages of 20-35 years old but has also been diagnosed in girls as young as 11.
  • What are the main symptoms?
    Women will commonly experience painful periods and cramping before and after a period, pain during sex, pain during urination and bowel movement, excessive bleeding, and infertility.
  • How is it tested for?
    A pelvic exam may reveal signs of cysts or scars behind the uterus. If the doctor requires more information, they may order an ultrasound, MRI or laparoscopy.
  • Is there a cure?
    There is no cure for endometriosis.
  • How is it treated?
    Commonly used methods of treating endometriosis are hormonal contraceptives to help control the hormones that build up the endometrial tissue, gonadotropin-releasing hormone agonists and antagonists, progestin therapy or aromatase inhibitors.
  • What are Polycystic Ovaries?
    Polycystic ovary syndrome (PCOS) affects women who have higher than normal levels of male hormones resulting in failure to release eggs from the ovary.
  • How common is it?
    Roughly 5%-10% of women in their childbearing age of the US have been diagnosed with PCOS. It is a very common endocrine disorder.
  • Does it affect males and females?
    PCOS only affects women.
  • What age groups?
    PCOS affects women between the ages of 15 and 44 years old with most being diagnosed in their 20’s and 30’s when they cannot get pregnant.
  • What are the main symptoms?
    Most women with PCOS will experience irregular periods or none at all, difficulty trying to conceive children, excessive hair growth, weight gain, thinning hair or hair loss on the scalp, and acne/oily skin conditions.
  • How is it tested for?
    PCOS can be diagnosed through a pelvic exam, blood tests, ultrasound and other imaging tests such as a CT scan or MRI scan.
  • Is there a cure?
    There is currently no cure for PCOS.
  • How is it treated?
    PCOS can sometimes be treated by taking oral anti-oestrogen medication during the first part of the menstrual cycle. Breast cancer medication can also be used to attempt to stimulate the ovaries.

OUR RADIOLOGIST

Dr Ali Zaman

MBBS FRCR MPharm PGCert

All ultrasound scans at Rejuvence Medical are carried out by our Consultant Radiologist – Dr Ali Zaman. Dr Zaman graduated from Barts and The London Medical School in 2009. He has also obtained a Masters degree in Pharmacology. After completing his training in General Medicine and Surgery, he pursued specialty training in Radiology obtaining his Fellowship in Radiology (FRCR).  Dr Zaman subsequently followed this up with the prestigious European Board of Interventional Radiology Fellowship and trained as a fellow in Interventional Radiology at the Royal London Hospital.

Dr Zaman is currently a Consultant Interventional Radiologist at Mid and South Essex University Hospitals. He is an expert in ultrasound and ultrasound guided interventions, having performed thousands of such tests and procedures.

We are overwhelmed to have Dr Zaman as a member of our team at Rejuvence Medical.

There are two types of ultrasound that can be performed. 

  • Trans Abdominal Ultrasound
  • Trans Vaginal Ultrasound
TransAbdominal-01
Transvaginal-01

This approach involves placing the ultrasound probe on the lower part of the tummy to obtain the necessary images. It is very similar to a standard abdominal ultrasound except that the focus of interest is on the lower abdomen and pelvis region.

Risks

Trans Abdominal ultrasound is a safe procedure and has no known risks.

What you can expect

Before the procedure

Before your ultrasound, you may be asked to change into a gown and to remove any jewelry. You will be asked to lie on your back.

During the procedure

Our radiologist will perform your scan. A small amount of ultrasound gel is applied to your abdomen. The gel enables the ultrasound device to provide better images.

The radiologist will gently press an ultrasound probe against your tummy, moving it back and forth. A standard ultrasound scan takes around 20 minutes to complete. It’s usually painless. However, it is not uncommon to experience some discomfort if radiologist is required to press down on areas where you may have some pain. We always try to ensure you are comfortable at all times. 

After the procedure
You will be able to return to normal activities immediately after your scan.

During a transvaginal ultrasound, the sonographer inserts a wandlike ultrasound probe into your vagina while you lie on your back on an examination table. This approach allows the ultrasound probe to get closer to the structures of the uterus and ovaries. 

Risks

A transvaginal ultrasound scan is a very safe procedure with no known risks. However, this may not be appropriate if you have an intact hymen or indeed if you are on your period in which case the sonographer will recommend a transabdominal ultrasound instead. 

What you can expect
Before the procedure

Before your ultrasound, you may be asked to change into a gown and to remove any jewelry. You will be asked to lie on your back with your legs parted. 

During the procedure

A female ultrasonographer will perform your scan. Ultrasound gel is applied to the probe and this is gently inserted into your vagina. The gel enables the ultrasound device to provide better images.

The sonographer will gently manipulate the probe inside your vagina to obtain images of your uterus and ovaries. A standard ultrasound scan takes around 20 minutes to complete. It’s usually painless. However, it is not uncommon to experience some discomfort if the sonographer is required to press down on areas where you may have some pain. We always try to ensure you are comfortable at all times.

After the procedure

You will be able to return to normal activities immediately after your scan.

Why should I have a transvaginal ultrasound scan?

A transvaginal approach is often better at visualising the ovaries and especially if your doctor is concerned you may an ovarian cyst or polycystic ovarian syndrome. Since the probe is much closer to the ovaries the images produced are much clearer and can give a definitive answer whereas this is not always the case with a transabdominal approach especially if you do not have a full bladder or are feeling a bit bloated. 

Results

The radiologist will prepare a written report immediately after your scan. You can wait for the return report and should you wish a copy of your scan images can be sent to you via email so you have them to hand at all times.

Follow up with Rejuvence Medical

We always recommend booking in a consultation immediately after your scan with one of our doctors to discuss the results of your scan and to provide advice regarding any further investigations and/or treatment. Further investigations and treatment can include:

  • Blood tests
  • Urine dipstick
  • Referral to a specialist (Private/NHS*)
  • Referral for further imaging (CT/MRI)

* Please note that for referrals back to NHS you will still have to go via your GP but Rejuvence Medical will provide a full report and cover letter in support of the referral.

Alternative medical providers

We are connected to NHS digital and the PACS framework. Should you wish your scan images can be sent directly to your NHS GP or hospital consultant. If you have been referred by a private medical practitioner, with your consent, your results will be securely emailed through to them. 

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