Pelvic Ultrasound: Procedure, Pregnancy Use, Price & What Your Report Means

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A pelvic ultrasound is one of the most commonly recommended scans used to evaluate organs in the pelvic region. This non-invasive imaging test helps visualise the uterus, ovaries, bladder, cervix, and other surrounding structures. Doctors often advise a pelvic ultrasound for routine gynecological evaluation, fertility issues, pregnancy checks, or to investigate pelvic pain or irregular bleeding. A pelvic ultrasound is a diagnostic test that uses sound waves to create images of the organs within the pelvis. It can help in identifying cysts, fibroids, infections, and other abnormalities. It may also be used as part of the fertility evaluation or during early pregnancy to check the uterus and the baby’s development.

 

Types of Pelvic Ultrasound Scans

Types of Pelvic Ultrasound Scans

There are primarily two types:

  • Transabdominal Pelvic Ultrasound: The probe is moved over the abdomen with a gel to capture images.
  • TVS Pelvic Ultrasound (Transvaginal): A small probe is inserted into the vagina for a closer look at the uterus and ovaries. This is particularly helpful in early pregnancy or when more detailed imaging is needed.

How is a Pelvic Ultrasound Done?

If you are undergoing a transabdominal pelvic ultrasound scan, you may be asked to drink water beforehand so that your bladder is full. This helps in getting clearer images. The technician applies gel on your lower abdomen and moves the probe across it. For TVS, the probe is covered with a protective sheath and gently inserted vaginally. Both types are safe and relatively quick. The entire procedure usually takes about 15–30 minutes.

Pelvic Ultrasound During Pregnancy

A pelvic ultrasound during pregnancy plays a crucial role in monitoring fetal health. It can help confirm pregnancy, determine the gestational age, assess the baby’s heartbeat and movement, and even detect multiple pregnancies. It’s a standard part of antenatal care and is considered safe for both the mother and baby.

Understanding Your Pelvic Ultrasound Report

Your pelvic ultrasound report will include images and a radiologist’s summary. It may mention the size, shape, and condition of the uterus, ovaries, and endometrial lining. If there are any cysts, fibroids, or fluid collections, they will be noted. In pregnancy, the report usually includes information on gestational sac, yolk sac, fetal pole, and crown-rump length. Don’t worry if it sounds too technical, your doctor will help interpret the findings for you.

What are the Signs of a Bad Pelvic Ultrasound?

What are the Signs of a Bad Pelvic Ultrasound?

A “bad” or inconclusive scan doesn’t always mean something is wrong. It may simply mean the images were not clear enough. Some signs that may raise concern could include:

  • Absent fetal heartbeat when expected
  • Unusual fluid collection
  • Abnormal mass or growth
  • Poorly visualised organs due to insufficient bladder filling or patient movement

Your doctor may recommend a follow-up scan or additional testing for clarity.

Pelvic Ultrasound Price in India

At Garbh, we understand that medical expenses can sometimes feel overwhelming, especially when it comes to regular monitoring or repeated scans. That’s why we aim to keep our pelvic ultrasound services as affordable as possible, without compromising on care or accuracy. We believe in complete transparency, so you’ll always know what to expect, no hidden charges, no confusing packages. From the very beginning, our team walks you through the procedure, pricing, and any additional recommendations, helping you make informed choices with clarity and confidence.

Who Should Get a Pelvic Ultrasound?

Your doctor may suggest a pelvic ultrasound scan if you are experiencing:

  • Lower abdominal pain
  • Irregular periods
  • Heavy bleeding
  • Trouble conceiving
  • Suspected fibroids, PCOS, or cysts

It can also be part of routine health check-ups or pregnancy monitoring.

How to Prepare for the Test

How to Prepare for the Test

  • For abdominal scans: Drink 3-4 glasses of water about an hour before the scan. A full bladder offers better imaging.
  • For TVS scans: No special preparation is usually needed. You may be asked to empty your bladder beforehand.

Always follow the instructions given by your clinic for the most accurate results.

Common Conditions Detected

A pelvic ultrasound can help in diagnosing:

  • Uterine fibroids
  • Ovarian cysts
  • Endometriosis
  • Ectopic pregnancy
  • Uterine abnormalities
  • Early pregnancy concerns
  • Pelvic inflammatory disease

When to See a Doctor After the Scan

If your pelvic ultrasound report mentions anything unclear, suspicious, or abnormal, or if your symptoms persist, it’s best to consult your doctor. They might recommend further scans, lab tests, or referral to a specialist.

 

FAQs

What is a pelvic ultrasound and why is it done?
Ans. A pelvic ultrasound uses sound waves to examine organs in the pelvic region. It helps assess reproductive health, diagnose causes of pain or bleeding, or monitor pregnancy.

How is a pelvic ultrasound scan performed?
Ans. It can be done via the abdomen or vaginally (TVS). A gel is applied, and a probe is used to capture images.

What is the difference between a pelvic ultrasound and a TVS scan?
Ans. A pelvic ultrasound is abdominal, while TVS (transvaginal scan) involves inserting a probe into the vagina for closer imaging.

Is pelvic ultrasound safe during pregnancy?
Ans. Yes, it’s completely safe. It’s routinely used in early and late pregnancy to check the baby’s growth and wellbeing.

What conditions can a pelvic ultrasound detect?
Ans. It helps detect fibroids, cysts, endometriosis, infections, ectopic pregnancy, and congenital abnormalities.

What is the average price of a pelvic ultrasound in India?
Ans. Typically ranges from ₹800 to ₹2500, depending on the scan type and location.

What do the results of a pelvic ultrasound report typically show?
Ans. The report describes the uterus, ovaries, and other structures, noting any irregularities, size, or growths.

What are the signs of a bad or inconclusive pelvic ultrasound?
Ans. Blurry images, missing data, or unclear structures can make the report inconclusive. Follow-up may be needed.

How do I prepare for a pelvic ultrasound scan?
Ans. Drink water before an abdominal scan; no preparation is needed for TVS.

When should you consult a doctor after a pelvic ultrasound?
Ans. If there’s anything abnormal in your report or your symptoms don’t improve.

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Dr Sabia Mangat has done her post graduation in obstetrics and gynaecology. She completed her one year fellowship programme in Reproductive Medicine And IVF from IIRH (International Institute for training and research in Reproductive Health ) and BACC healthcare Bangalore, under mentorship of Padmashree Dr Kamini A Rao( stood first in her fellowship exam).

She has trained in advanced laparoscopy under Dr B Ramesh at Altius hospital bangalore.
She has also trained in colour doppler scans at Mediscan Chennai .

She is a certified member of Chandigarh obstetrics and gynaecology society ( COGS), Indian Society of Assisted Reproduction (ISAR), Indian Fertility Society ( IFS) ,FOGSI and IMA.

Dr. Trishdeep, our Director and Consultant Radiologist, brings nearly five years of dedicated experience to our team. He completed a two-year fellowship in fetal medicine at the prestigious Bangalore Fetal Medicine Centre after earning his MD. With extensive expertise, Dr. Trishdeep has conducted thousands of advanced pregnancy scans and has performed or assisted in nearly 50 complex fetal procedures, including amniocentesis, chorionic villus sampling, fetal blood transfusion, and fetal reduction.

He is certified by the Fetal Medicine Foundation UK and is an active member of several professional bodies, including the Fetal Medicine Foundation (UK), the International Society of Ultrasound in Obstetrics and Gynecology (ISUOG), the Fetal Medicine Foundation (India), and the Society of Fetal Medicine (India). Dr. Trishdeep has a particular interest in fetal procedures and the management of complications in monochorionic twin pregnancies.