Pelvic ultrasound - abdominalUltrasound pelvis; Pelvic ultrasonography; Pelvic sonography; Pelvic scan; Lower abdomen ultrasound; Gynecologic ultrasound; Transabdominal ultrasound
A 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 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 Article
How 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 doctor examines you
- Bladder growths or other problems
- Kidney stones
- Pelvic inflammatory disease, an infection of a woman's uterus, ovaries, or tubes
- Abnormal vaginal bleeding
- Menstrual problems
- Problems becoming pregnant (infertility)
- Normal pregnancy
- Ectopic pregnancy, a pregnancy that occurs outside the uterus
- Pelvic and abdominal pain
Pelvic ultrasound is also used during a biopsy to help guide the needle.
A biopsy is the removal of a small piece of tissue for laboratory examination.Read Article Now Book Mark Article
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
- Cancers of the bladder, cervix, uterus, ovaries, vagina, and other pelvic structures
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 Article
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 Article
Endometrial cancer is cancer that starts in the endometrium, the lining of the uterus (womb).Read Article Now Book Mark Article
Ovarian cancer is cancer that starts in the ovaries. The ovaries are the female reproductive organs that produce eggs.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
There are no known harmful effects of pelvic ultrasound. Unlike x-rays, there is no radiation exposure with this test.
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.
Kimberly HH, Stone MB. Emergency ultrasound. In: Walls RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018:chap e5.
Porter MB, Goldstein S. Pelvic imaging in reproductive endocrinology. In: Strauss JF, Barbieri RL, eds. Yen & Jaffe's Reproductive Endocrinology. 8th ed. Philadelphia, PA: Elsevier; 2019:chap 35.
Review Date: 1/10/2022
Reviewed By: John D. Jacobson, MD, Department of Obstetrics and Gynecology, Loma Linda University School of Medicine, Loma Linda, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.