Pelvic ultrasound - abdominal
Ultrasound pelvis; Pelvic ultrasonography; Pelvic sonography; Pelvic scan; Lower abdomen ultrasound; Gynecologic ultrasound; Transabdominal ultrasoundA pelvic (transabdominal) ultrasound is an imaging test. It is used to examine organs in the pelvis.
How the Test is Performed
Before the test, you may be asked to put on medical gown.
During the procedure, you will lie on your back on the table. Your health care provider will apply a clear gel on your abdomen.
Your provider will place a probe (transducer), over the gel, rubbing back and forth across your belly:
- The probe sends out sound waves, which go through the gel and reflect off body structures. A computer receives these waves and uses them to create a picture.
- Your provider can see the picture on a TV monitor.
Depending on the reason for the test, women also may have a transvaginal ultrasound during the same visit.
Transvaginal ultrasound
Transvaginal ultrasound is a test used to look at a woman's uterus, ovaries, tubes, cervix, and pelvic area. Transvaginal means across or through the...
Read Article Now Book Mark ArticleHow to Prepare for the Test
A pelvic ultrasound may be done with a full bladder. Having a full bladder can help with looking at organs, such as the womb (uterus), within your pelvis. You may be asked to drink a few glasses of water to fill your bladder. You should wait until after the test to urinate.
How the Test will Feel
The test is painless and easy to tolerate. The conducting gel may feel a little cold and wet.
You can go home right after the procedure and can resume your daily activities.
Why the Test is Performed
A pelvic ultrasound is used during pregnancy to check the baby.
A pelvic ultrasound also may be done for:
- Cysts, fibroid tumors, or other growths or masses in the pelvis found when your provider examines you
Fibroid tumors
Uterine fibroids are tumors that grow in a woman's womb (uterus). These growths are typically not cancerous (benign), and do not become cancerous....
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- Kidney stones
- Pelvic inflammatory disease, an infection of a woman's uterus, ovaries, or tubes
Pelvic inflammatory disease
Pelvic inflammatory disease (PID) is an infection of a woman's womb (uterus), ovaries, or fallopian tubes.
Read Article Now Book Mark Article - Abnormal vaginal bleeding
- Menstrual problems
- Problems becoming pregnant (infertility)
Problems becoming pregnant
Infertility means you cannot get pregnant (conceive). There are 2 types of infertility:Primary infertility refers to couples who have not become preg...
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- Ectopic pregnancy, a pregnancy that occurs outside the uterus
Ectopic pregnancy
An ectopic pregnancy is a pregnancy that occurs outside the womb (uterus).
Read Article Now Book Mark Article - Pelvic and abdominal pain
Pelvic ultrasound is also used during a biopsy to help guide the needle.
Biopsy
A biopsy is the removal of a small piece of tissue for laboratory examination.
Read Article Now Book Mark ArticleNormal Results
The pelvic structures or fetus are normal.
What Abnormal Results Mean
An abnormal result may be due to many conditions. Some problems that may be seen include:
- Abscess in the ovaries, fallopian tubes, or pelvis
- Birth defects of the womb or vagina
Birth defects of the womb or vagina
Developmental differences of the female reproductive tract affect the reproductive organs of a female infant. They occur while the baby is growing i...
Read Article Now Book Mark Article - Cancers of the bladder, cervix, uterus, ovaries, vagina, and other pelvic structures
Bladder
Bladder cancer is a cancer that starts in the bladder. The bladder is the body part that holds and releases urine. It is in the center of the lower...
Read Article Now Book Mark ArticleCervix
Cervical cancer is cancer that starts in the cervix. The cervix is the lower part of the uterus (womb) that opens at the top of the vagina.
Read Article Now Book Mark ArticleUterus
Endometrial cancer is cancer that starts in the endometrium, the lining of the uterus (womb).
Read Article Now Book Mark ArticleOvaries
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.
Read Article Now Book Mark ArticleVagina
Vaginal cancer is cancer of the vagina, a female reproductive organ.
Read Article Now Book Mark Article - Growths in or around the uterus and ovaries (such as cysts or fibroids)
- Twisting of the ovaries
- Enlarged lymph nodes
Enlarged lymph nodes
Lymph nodes are present throughout your body. They are an important part of your immune system. Lymph nodes help your body recognize and fight germ...
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Risks
There are no known harmful effects of pelvic ultrasound. Unlike x-rays, there is no radiation exposure with this test.
References
Dolan MS, Hill CC, Valea FA. Benign gynecologic lesions: vulva, vagina, cervix, uterus, oviduct, ovary, ultrasound imaging of pelvic structures. In: Gershenson DM, Lentz GM, Valea FA, Lobo RA, eds. Comprehensive Gynecology. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 18.
Nickels LC, Duran-Gehring P. Emergency ultrasound. In: Walls RM, ed. Rosen's Emergency Medicine: Concepts and Clinical Practice. 10th ed. Philadelphia, PA: Elsevier; 2023:chap e3.
Porter MMB, Goldstein SR. Pelvic imaging in reproductive endocrinology. In: Strauss JF, Barbieri R, Dokras A, Williams CJ, Williams Z, eds. Yen & Jaffe's Reproductive Endocrinology. 9th ed. Philadelphia, PA: Elsevier; 2024:chap 33.
Review Date: 3/31/2024
Reviewed By: LaQuita Martinez, MD, Department of Obstetrics and Gynecology, Emory Johns Creek Hospital, Alpharetta, GA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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