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Gynecologic Ultrasound

Ultrasound to help evaluate pelvic pain, unusual bleeding and other gynecologic concerns.

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Pelvic imaging beyond pregnancy

Ultrasound is used for more than pregnancy care. A gynecologic ultrasound, also called a pelvic ultrasound, creates images of the uterus, ovaries and surrounding pelvic structures. It uses sound waves rather than X-rays.

Your provider may recommend a scan to investigate symptoms or take a closer look at a finding from an exam.

Pelvic ultrasound can help evaluate:

  • Pelvic pain or pressure
  • Unusual vaginal bleeding or other menstrual concerns
  • Suspected ovarian cysts or uterine fibroids
  • The uterine lining and other pelvic structures during a fertility evaluation

The images are considered alongside your symptoms, medical history and other findings. An ultrasound alone does not answer every question, and further evaluation may be needed.

What happens during the scan?

For a transabdominal ultrasound, gel is placed on the lower abdomen and a handheld probe moves across the skin.

For a transvaginal ultrasound, a slender, covered probe is placed inside the vagina to obtain closer views of the pelvic organs. You may feel pressure or discomfort. Tell the person performing the scan if you are uncomfortable.

The approach depends on the reason for the examination. Your care team can explain what is recommended and answer questions beforehand.

Preparing for your appointment

Ask which type of scan is planned and whether you need to follow bladder or other preparation instructions. Mention any possibility of pregnancy and any allergies, including latex.

Bring your questions and any relevant previous imaging reports. Before leaving, ask how you will receive results and what follow-up may be needed.

Looking for pregnancy imaging?

Visit our Pregnancy Ultrasound page for ultrasound care during pregnancy.

Read more

Common questions

Do I need to be pregnant to have an ultrasound?

No. Pelvic ultrasound is also used to investigate gynecologic symptoms and look at the uterus and ovaries outside pregnancy. The reason for the scan determines what your provider needs to assess.

Will I need an internal scan?

Not necessarily. Pelvic ultrasound may use an abdominal scan, a transvaginal scan or both. Ask why a particular approach is recommended and discuss any concerns before the exam begins.

Do I need a full bladder?

Preparation depends on the type of scan. An abdominal pelvic ultrasound may require a full bladder, while a transvaginal scan is usually performed with an empty bladder. Follow the instructions for your appointment rather than assuming the preparation is the same for every ultrasound.