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Pelvic Ultrasound: What is it, Report follow up & Price in Hong Kong

Pelvic ultrasound is a common gynecological examination that has a wide range of applications. In addition to diagnosing certain female cancers and bladder health issues, it can also monitor fetal well-being. So, who needs to undergo this examination and how much does it cost? The following information will answer your questions.
Author Bowtie Team
Date 2023-07-10
Updated on 2023-08-15
What is a pelvic ultrasound? What are its functions?Who needs to undergo a pelvic ultrasound?Types of Pelvic UltrasoundWhat female health issues can be detected through pelvic ultrasound?Comparing the cost of pelvic ultrasoundDoes voluntary health insurance cover the cost of pelvic ultrasound?How to follow up on a pelvic ultrasound report?Precautions for pelvic ultrasound

What is a pelvic ultrasound? What are its functions?

Pelvic ultrasound is a non-invasive diagnostic examination method that visualizes the pelvic organs and structures. Both men and women may need to undergo this examination, but the majority of cases involve examining the condition of female organs such as the uterus, cervix, vagina, fallopian tubes, and ovaries.

Who needs to undergo a pelvic ultrasound?

Although there are currently no guidelines recommending regular pelvic ultrasound for everyone, individuals with a family history of gynecological conditions such as ovarian cancer, breast cancer, or uterine fibroids, and those experiencing severe menstrual pain, irregular periods, or abnormal menstrual bleeding may consider undergoing regular pelvic ultrasound starting from the age of 35. High-risk women may even opt for an annual examination.

In addition, healthcare providers may recommend a pelvic ultrasound in the following situations:

  • Difficulty getting pregnant
  • Pain during sexual intercourse
  • Discomfort during urination
  • Abdominal pain or bloating

Types of Pelvic Ultrasound

There are two main types of pelvic ultrasound, primarily categorized based on the position of the body:

TypeTransabdominal UltrasoundTransvaginal Ultrasound
Pre-examination preparationYou need to drink 32 ounces (908ml) of water 1 hour before the examination.Your bladder needs to be emptied before the examination.
Examination processThe examination is conducted with the individual lying flat on their back. The operator applies a small amount of gel on the ultrasound transducer and rolls it over the abdomen.The individual lies on a bed, and the operator inserts a transducer covered with gel into the vagina, similar to using a menstrual tampon. Prior to this type of ultrasound, it is necessary to empty the bladder.

It is worth noting that depending on the situation, healthcare professionals may also perform a Doppler ultrasound scan to measure the speed and direction of blood flow in the abdomen, which helps diagnose vascular blockages.

In addition, during routine prenatal check-ups, doctors will also monitor the condition of the fetus through pelvic ultrasound.

What female health issues can be detected through pelvic ultrasound?

A pelvic ultrasound can assist in diagnosing various women’s health issues, including:

  • Structural problems in the uterus or ovaries
  • Detection of uterine, ovarian, or bladder cancer
  • Identification of non-cancerous growths, fibroids, or cysts
  • Investigation of the causes of abdominal bleeding and pain
  • Evaluation and treatment of infertility issues
  • Diagnosis of pelvic inflammatory diseases and ectopic pregnancy

Comparing the cost of pelvic ultrasound

Private HospitalOutpatient/General ward price
Hong Kong Sanatorium & HospitalHK$1,990
St. Paul’s HospitalHK$2,950 – 3,270(Whole abdominal)
Gleneagles HospitalHK$1,350 – 1,500 
Hong Kong Adventist Hospital – Stubbs RoadHK$1,550 – 1,890
Canossa HospitalHK$1,600 – 2,000
Matilda International HospitalHK$2,530
Hong Kong Baptist HospitalHK$1,120
St. Teresa’s HospitalHK$3,100(Whole abdominal)
Evangel HospitalHK$1,600 – 1,800
Precious Blood HospitalHK$1,020
Union HospitalHK$1,400
Hong Kong Adventist Hospital – Tusen WanHK$1,400 – 1,900

Does voluntary health insurance cover the cost of pelvic ultrasound?

If the policyholder receives written reference* from the attending/registered doctor to undergo a pelvic ultrasound, all Bowtie voluntary health insurance plans provide coverage. The coverage amounts are as follows:

Standard PlanFlexi Plan (Basic/Plus)
Miscellaneous Expenses^HK$14,000/yearHK$18,000 – 26,000/year
  • *The company reserves the right to request proof of the written advice, such as a referral letter or a statement provided by the attending or registered doctor in the claim application form.
  • ^This coverage reimburses miscellaneous expenses incurred by the insured during hospitalization or on the day of any day procedure, including diagnostic imaging services such as ultrasound and X-rays and their analyses, but excluding specified diagnostic imaging tests

How to follow up on a pelvic ultrasound report?

After completing the examination, the doctor will analyze the images and prepare an official report, which will be interpreted to the patient. If any abnormalities are found, the doctor may refer the patient to a specialist or follow up in public or private hospitals. The doctor may also recommend further examinations such as hysteroscopy and laparoscopy.

Precautions for pelvic ultrasound

If you have a history of sexual activity, it is advisable to choose a transvaginal ultrasound as it provides a clearer view of the uterus, ovaries, and especially the endometrium.

Can a pelvic ultrasound be done during menstruation?
  • Yes, but it is generally recommended for women to undergo pelvic ultrasound outside of their menstrual period.
How long does a pelvic ultrasound take?

Generally, the entire examination process takes about 20 minutes.

Can males also have a pelvic ultrasound?

Yes, males can undergo a pelvic ultrasound to diagnose conditions related to the bladder, prostate, seminal vesicles, and to detect bladder tumors or stones early.



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