After discussing your symptoms with you, your consultant gynaecologist may need to carry out a pelvic examination. This may involve pressing on your lower abdomen. They may also feel inside the vagina while pressing on your abdomen to check if there is any abnormality in the pelvic area. Your consultant may also use a speculum (an instrument inserted into the vagina to allow the consultant to see the neck of the womb or cervix).
Other tests that may be needed include:
Blood tests - a sample of your blood may be tested to measure hormone levels, check for anaemia, an under-active thyroid or any abnormalities in the way your blood clots.
Pelvic or transvaginal ultrasound scan - this is where a probe is passed over the lower abdomen, or inserted into the vagina, and sound waves are used to produce pictures of the womb, ovaries and surrounding pelvic area.
Hysteroscopy - this is where a small tube which can be used to carry a telescope, camera or surgical instruments is passed through the vagina and cervix and then into the womb. This allows the consultant to view the inside of the womb. A sample or biopsy may be taken at the same time. An anaesthetic is usually but not always required for this procedure.