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A TVS Ultrasound (Transvaginal Scan) is a high-resolution pelvic imaging scan in which a slim, smooth ultrasound probe is gently inserted into the vagina — bringing the transducer much closer to the uterus and ovaries than a transabdominal scan allows. This proximity produces significantly sharper, more detailed images of the endometrium, uterine wall, and ovaries. TVS is the gold standard for gynaecological imaging — providing far clearer visualisation of the uterine lining, ovarian follicles, and small pelvic structures compared to a standard transabdominal pelvic scan. When is a TVS recommended over a standard pelvic scan? * Evaluation of early pregnancy (5–10 weeks) — more accurate heartbeat detection and measurement * Endometrial thickness assessment — for abnormal uterine bleeding, post-menopausal bleeding * Ovarian follicle monitoring — fertility treatment and IVF cycles * Small fibroid or polyp detection — particularly submucosal fibroids * Suspected ectopic pregnancy — critical for early detection * Better ovarian imaging — particularly in women with high BMI or deep ovaries No radiation. Performed with full patient consent. An empty bladder is required — please urinate before arriving for the scan.
Key benefits of this package include:
Endometrial thickness — thin in menopause (should be <4 mm); thickened endometrium may indicate polyps, hyperplasia, or malignancy
Endometrial polyps — small mucosal growths causing irregular bleeding
Submucosal fibroids — fibroids within the uterine cavity (causing heavy periods)
Intramural and subserosal fibroids — fibroids within or on the uterine wall
Adenomyosis — endometrial tissue within the uterine muscle; "globular uterus" on TVS
Uterine anomalies — septate, bicornuate uterus (causes of recurrent miscarriage)
Retained products of conception — post-miscarriage or post-delivery remnants
Ovarian follicle monitoring — dominant follicle size for IVF and fertility treatment tracking
Polycystic ovaries (PCOS) — multiple small follicles in a "string of pearls" pattern
Ovarian cysts — simple, complex, endometrioma (chocolate cysts)
Ovarian tumours — solid or complex masses requiring further evaluation
Ovarian torsion — enlarged ovary with abnormal Doppler flow (emergency)
Ectopic pregnancy — gestational sac in fallopian tube (obstetric emergency)
Intrauterine sac and heartbeat from 5–6 weeks — earlier than transabdominal
CRL measurement — precise gestational age dating
Ectopic pregnancy detection — fallopian tube sac, absent intrauterine pregnancy

Explore other scans and imaging services — book online or request a call back.
Pathology tests that pair well with your imaging — book home collection online.