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Pelvic ultrasound - abdominal
Ultrasound 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
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 ...
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.
Why the Test is Performed
A pelvic ultrasound is used during pregnancy to check the baby.
A pelvic ultrasound also may be done for the following:
-
Cysts,
fibroid tumors
, or other growths or masses in the pelvis found when your doctor examines you
Fibroid tumors
Uterine fibroids are tumors that grow in a woman's womb (uterus). These growths are typically not cancerous (benign).
Read Article Now Book Mark Article - 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
Ectopic pregnancy
An ectopic pregnancy is a pregnancy that occurs outside the womb (uterus). It is life-threatening to the mother.
Read Article Now Book Mark Article - Pelvic 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.
Normal 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 disorders of the female reproductive tract are problems in a baby girl's reproductive organs. They occur while she is growing in her m...
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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
Benacerraf BR, Goldstein SR, Groszmann YS. Normal pelvic ultrasound and common normal variants. In: Benacerraf BR, Goldstein SR, Groszmann YS, eds. Gynecologic Ultrasound: A Problem-Based Approach. Philadelphia. PA: Elsevier Saunders; 2014:221-233.
Stolz L, Adhikari S. Point-of-care pelvic ultrasound. In: Lumb P, Karakitsos D, eds.
Critical Care Ultrasound.
Philadelphia, PA: Elsevier Saunders; 2015:chap 43.
Review Date: 3/4/2016
Reviewed By: Irina Burd, MD, PhD, Associate Professor of Gynecology and Obstetrics at Johns Hopkins University School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
