What is the difference between a fibroid scan and a standard pelvic scan?

A standard pelvic scan provides a general assessment of the uterus, ovaries, and bladder. A fibroid scan uses a dedicated protocol to systematically identify, measure, and classify every fibroid using the FIGO classification system. This provides a complete fibroid map with precise dimensions and location data that is essential for treatment planning.

How many fibroids can be detected in one scan?

There is no limit to the number of fibroids that can be identified. In women with multiple fibroids, the scan documents each one individually. For very large fibroid uteri, the transabdominal scan provides the best overview, while the transvaginal scan adds detail for smaller or submucosal fibroids.

Can a fibroid scan detect cancer?

Uterine fibroids are benign in the vast majority of cases. Leiomyosarcoma (malignant transformation) is rare, occurring in fewer than 1 in 1,000 cases. Ultrasound can identify features that warrant further investigation, such as rapid growth, irregular vascularity, or atypical appearance, and will recommend appropriate follow-up.

Do I need a GP referral?

No referral is required. You can book directly online or by telephone. We recommend sharing your report with your GP or gynaecologist so that treatment options can be discussed in the context of your full clinical history.

How often should fibroids be monitored?

The frequency of monitoring depends on fibroid size, symptoms, and whether you are approaching the menopause. Your sonographer will advise on appropriate follow-up intervals based on the scan findings. Fibroids typically shrink after the menopause due to reduced oestrogen levels.

Will I receive a report on the day?

Yes. A detailed written report with a complete fibroid map, measurements, and images is provided before you leave the clinic. The report is suitable for sharing with your GP or gynaecologist and for supporting treatment planning.

HCPC Registered— All sonographers

CQC Compliant— Regulated clinic

Same-Day Available— Mon – Sat

Written Report— Within 24 hours

HCPC Registered

CQC Compliant

Same-Day Available

Written Report

Women's Health

Fibroid Ultrasound Scan

A detailed ultrasound assessment of uterine fibroids, providing precise mapping of size, number, location, and type to guide treatment decisions and monitor progression.

20–30 minutes

Same-day appointments

Marylebone, London W1

HCPC RegisteredCQC CompliantSame-Day AvailableWritten Report IncludedWomen's Health Expert

£235

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4.9/5 from 600+ patients

HCPC-registered sonographers

Written report within 24 hours

Same-day appointments available

CQC-compliant clinic

Understanding Your Situation

Heavy Periods and Pelvic Pressure — Fibroids Are More Common Than You Think

Uterine fibroids affect up to 70% of women by the age of 50, yet many women spend years managing heavy periods, pelvic pressure, and urinary frequency without a clear diagnosis. Fibroids are the most common benign tumours of the female reproductive system. A dedicated fibroid ultrasound scan at our Marylebone clinic, 29 Weymouth Street, provides a complete picture — identifying every fibroid, measuring its dimensions, and classifying its position within the uterus — so that you and your gynaecologist can make informed decisions about management.

Clinical Overview

What is a Fibroid Ultrasound Scan?

A fibroid ultrasound scan is a targeted pelvic ultrasound examination designed to identify, measure, and classify uterine fibroids. Fibroids (also called leiomyomas or myomas) are benign smooth muscle growths that develop within or on the uterus. They are classified by location: submucosal fibroids grow into the uterine cavity and most commonly cause heavy bleeding; intramural fibroids develop within the uterine wall and can cause bulk symptoms; subserosal fibroids project outward from the uterus and may cause pressure on adjacent organs. The scan uses both transabdominal and transvaginal ultrasound to provide a complete fibroid map, which is essential for planning treatment options including uterine fibroid embolisation, myomectomy, or MRI-guided focused ultrasound.

Is This Scan Right for You?

Who Should Book This Scan?

Women with heavy menstrual bleeding (menorrhagia) or prolonged periods

Those experiencing pelvic pressure, bloating, or a feeling of fullness in the lower abdomen

Women with urinary frequency or difficulty emptying the bladder

Those with constipation or rectal pressure associated with the menstrual cycle

Women with unexplained subfertility or recurrent miscarriage

Patients monitoring known fibroids for growth or change in symptoms

Women considering treatment options who need a current fibroid map

Diagnostic Scope

What This Scan Can Detect

Submucosal Fibroids

Fibroids projecting into the uterine cavity, classified by FIGO type (0–2). The most common cause of fibroid-related heavy bleeding and the most amenable to hysteroscopic treatment.

Intramural Fibroids

Fibroids within the uterine muscle wall, the most common type. Larger intramural fibroids distort the uterine contour and can impair fertility and cause bulk symptoms.

Subserosal Fibroids

Fibroids projecting outward from the uterine surface, including pedunculated variants. Can grow to significant size and cause pressure on the bladder or rectum.

Fibroid Number and Size

Precise measurement of each fibroid in three dimensions, with documentation of the total fibroid burden — essential for treatment planning and monitoring.

Endometrial Assessment

Evaluation of the uterine lining for polyps, thickening, or distortion caused by submucosal fibroids.

Ovarian and Adnexal Structures

Assessment of the ovaries and adnexal regions to exclude co-existing pathology such as ovarian cysts or endometriomas.

Your Appointment

What Happens During Your Scan

Arrival with full bladder

Please arrive with a comfortably full bladder. This is required for the transabdominal component of the scan.

Transabdominal scan

The sonographer applies warm gel to your lower abdomen and performs a systematic assessment of the uterus and ovaries, identifying and measuring all visible fibroids.

Transvaginal scan

A transvaginal scan provides higher-resolution images of the uterus, enabling precise classification of fibroid location relative to the uterine cavity and serosa.

Fibroid mapping

Each fibroid is measured in three dimensions and classified by FIGO type. The total fibroid burden, uterine size, and endometrial appearance are documented.

Results and report

Findings are discussed with you immediately. A detailed written report with a fibroid map, measurements, and images is provided before you leave.

Before Your Appointment

How to Prepare for Your Scan

1
Drink 1 litre of water one hour before your appointment and do not empty your bladder
2
Wear comfortable, loose-fitting clothing that allows easy access to the lower abdomen
3
Bring any previous scan reports, gynaecology letters, or treatment records
4
There is no need to fast before this scan
5
Continue any prescribed medications as normal, including hormonal treatments
6
The transvaginal component requires your consent — this will be discussed before proceeding

After Your Scan

Understanding Your Fibroid Scan Results

Your sonographer will discuss all findings with you immediately after the scan. The written report provides a complete fibroid map — documenting the number, size, location, and FIGO classification of each fibroid, along with the overall uterine dimensions and endometrial appearance. This information is directly relevant to treatment planning. Submucosal fibroids may be suitable for hysteroscopic resection; larger intramural or subserosal fibroids may be candidates for uterine fibroid embolisation, myomectomy, or MRI-guided focused ultrasound. The report is structured to support onward referral to a gynaecologist or fibroid specialist.

Why Private?