PCOS Assessment Scan
What Is a PCOS Assessment Scan?
Polycystic Ovary Syndrome (PCOS) is an endocrine (hormonal) disorder affecting women of reproductive age. It is one of the most common hormonal conditions in women and a leading cause of fertility issues.
PCOS occurs when the body produces too many androgens (male hormones), which can interfere with ovulation and cause a range of symptoms. Many women with PCOS develop small fluid-filled follicles on their ovaries — giving them a "polycystic" appearance on ultrasound.
Important: Not all women with polycystic-appearing ovaries have PCOS, and some women with PCOS have normal-appearing ovaries on ultrasound. PCOS is diagnosed based on a combination of symptoms, blood tests, and ultrasound findings.
What We Assess With This Scan
- Both ovaries (size, volume, follicle count and distribution)
- Uterus
- Endometrium (lining of the womb)
- Surrounding pelvic structures
This scan cannot assess:
- Hormone levels (blood tests are required for this)
- Definitively diagnose PCOS (requires clinical assessment, blood tests, and ultrasound together)
Why You Might Need This Scan
Common symptoms:
- •Irregular periods or no periods
- •Heavy periods when they occur
- •Difficulty getting pregnant
- •Excess facial or body hair (hirsutism)
- •Thinning hair or hair loss on the scalp
- •Acne, especially along the jawline
- •Weight gain, particularly around the abdomen
Conditions we assess:
- •Polycystic ovary appearance
- •PCOS (when combined with clinical and blood test findings)
- •Ovarian cysts
- •Endometrial thickening (in women with irregular periods)
What to Expect
Before Your Scan
Full bladder required for the first part of the scan: Drink 500ml-1 litre of water starting about 1 hour before your appointment. Best timing for the scan: If you have periods, the scan is ideally performed early in your cycle (days 3-5). If your periods are irregular or absent, the scan can be performed at any time.
Preparation checklist:
- Drink 500ml-1 litre of water 1 hour before appointment
- Wear comfortable, easily removable clothing
- Arrive 10 minutes before your appointment time
During the Scan
The scan begins with a transabdominal ultrasound with a full bladder to provide an overview of the pelvic structures. For the most accurate assessment of the ovaries and follicle count, a transvaginal ultrasound is recommended. You'll be asked to empty your bladder. A thin probe, covered with a sterile sheath, is gently inserted. This provides detailed views of the ovaries and allows accurate follicle counting. The scan typically takes 20-30 minutes.
After Your Scan
You can return to normal activities immediately. There are no restrictions.
Results & Next Steps
Your scan is reviewed by a consultant radiologist, who prepares a formal report. This report is sent to your referring doctor within 2-3 working days. Remember: The ultrasound findings are just one part of the PCOS diagnosis. Your doctor will interpret the results alongside your symptoms and blood tests.
Pricing
Price: €170 (Medical Card: €150)
Cancellation: We require 24 hours notice for cancellations or rescheduling.
Frequently Asked Questions
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Our experienced team is available 7 days a week across our three Dublin locations.