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Ultrasound tests use sound waves to create images of the internal organs. Pelvic ultrasounds are frequently ordered to evaluate the organs of the pelvis which include the cervix, uterus, fallopian tubes, ovaries, and bladder. Below are some common indications for a pelvic ultrasound.

• Confirm pregnancy, evaluate the fetus.
• Look for fibroids, polyps or other tumors of the uterus that may cause pelvic pain, or vaginal bleeding.
• Evaluate the endometrium of the uterus (the inner lining) in post-menopausal vaginal bleeding for polyps or cancer.
• Look for ovarian cysts and tumors which can also cause pelvic pain.
• Rule out ovarian torsion (twisting of the ovary) or ectopic preganancies. These are generally done in an acute setting such as the ER.
• Evalute for pelvic infection such as tubo-ovarian abscess.

Pelvic ultrasounds can be done in two stages. The first is called "transabdominal" - the probe is used over the skin of the abdomen. The second is "transvaginal" (aka endovaginal). This requires inserting a probe into the vagina. This gives the technologist performing the exam and doctor interpreting it greater internal detail. Below is a brief outline of the procedure.

1. You may be asked to drink several small cups of water to fill your bladder for the first part of the test.
2. After you sign in, you'll be taken to the ultrasound room.
3. An ultrasound technician will perform the test.
4. Once you enter the room, you will lie down on a bed/gurney.
5. The technologist will ask you to lift up your clothing, exposing your stomach and upper pelvis area.
6. He or she will place a a warmed gel solution over the skin.
7. The technologist will use an ultrasound probe and glide it over your abdomen while taking pictures.
8. If the transvaginal portion of the test is to be done, you'll be asked to void your bladder. The transvaginal test is much like a gynecological exam.
   
9. You'll return to the ultrasound room and the technologist will ask you to place your feet into stirrups at the end of the table.
10. A drape or towel will be placed across your knees.
11. The technologist will insert a sterilized tube-like probe, covered with a condom and gel.
12. The probe will be moved side to side, up and down to look at the uterus, ovaries, etc. The technologist will take pictures during this portion of the test as well.
13. The technologist may ask the Radiologist doctor to review the scan before you leave.
14. An official report is generated by the doctor in about 24-48 hours.

If you are insured pelvic ultrasounds are covered. However, for uninsured women these tests can be quite expensive. You can expect to pay anywhere between $200 and $700 for this test.

Have you had a Pelvic ultrasound? What was it like? Please leave your comments below.