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A pelvic ultrasound is a gentle, non-invasive imaging exam that uses sound waves to produce clear, detailed pictures of pelvic organs including the uterus, ovaries, and bladder. It may be completed externally across the lower abdomen or internally, based on what your provider needs to evaluate. At the Center for Advanced Gynecology, we typically recommend and prefer the more precise transvaginal pelvic ultrasound because it sits closer to the pelvic structures, helping deliver sharper images and more reliable findings.
Pelvic ultrasound exams play a key role in diagnosing concerns and tracking ongoing pelvic conditions. Common reasons include:
If you live in Lynchburg, your provider may suggest a pelvic ultrasound when certain symptoms, risks, or concerns are present, including:
A pelvic ultrasound offers several meaningful advantages, including:
Pelvic ultrasounds are widely considered very safe, with no major or lasting risks. You may notice mild pressure or brief discomfort when the transducer is placed on the abdomen or inserted for a transvaginal exam, but the sound waves themselves have no known harmful effects. A sterile, unscented lubricating gel is applied to the probe and a single-use protective cover is used, and in rare cases some patients may have sensitivity or a minor reaction to the gel or the plastic sheath.
For Lynchburg residents, your pelvic ultrasound visit is designed to feel clear, calm, and well explained from the start. You will relax on an exam table while your provider reviews each step. If you are having a transabdominal ultrasound, a full bladder is needed to improve the view of the pelvic organs, so you may be asked to drink water ahead of time and avoid urinating. If you are having a vaginal ultrasound, you will empty your bladder first, then lie back as you would for a pelvic exam with your feet supported in stirrups.
Your provider will either glide a transducer across your lower abdomen using a water-based gel on the skin or gently place a slender probe into the vagina, which is the transvaginal approach. Transvaginal ultrasound is often preferred because it creates sharper, more detailed images of the uterus, ovaries, and surrounding pelvic structures.
During the scan, you may be asked to shift positions or briefly hold your breath to help capture clearer views. Most appointments take about 15 to 30 minutes from start to finish.
After imaging is complete, the gel is wiped away, you can get dressed, and you can return to normal activities right away. At the Center for Advanced Gynecology, your provider performs the ultrasound, so you typically receive feedback and explanations about the findings during the same visit.
Founded in 2018, The Center for Advanced Gynecology is committed to strengthening your overall wellbeing through highly focused gynecologic care, including advanced surgical options when a procedure is truly necessary. Our team brings deep experience in evidence-based, non-surgical management for chronic pelvic pain, painful intercourse, pudendal neuralgia, and persistent vaginal, vulvar, and bladder discomfort. From the beginning, we also recognized that the Lynchburg community needed more than narrow specialty visits, so our practice continues to expand in comprehensive routine care, including cancer screening, Pap testing, menopause support, hormonal imbalance evaluation, hormone replacement therapy, breast health services, contraceptive guidance, urinary incontinence care, and treatment for pelvic organ prolapse.
A transvaginal ultrasound uses a slim probe placed in the vagina to image the pelvic organs up close. A transabdominal ultrasound creates images through the lower abdominal wall to view pelvic structures. A transrectal ultrasound places a probe in the rectum and is primarily used to evaluate the rectum and lower colon, and it is rarely performed in our gynecology office.
Preparation is usually simple and minimal. For a transabdominal exam, you may be asked to arrive with a comfortably full bladder to improve visibility. For a transvaginal exam, you will typically empty your bladder beforehand, and if you are on your period you should remove any tampon. Your provider will give you any additional, appointment-specific directions in advance.
Most patients report little to no meaningful discomfort. With a transabdominal scan, you may feel mild pressure as the transducer moves across the lower abdomen. With a transvaginal scan, you might notice brief, slight discomfort with insertion, though it is usually minimal and often described as less uncomfortable than a Pap smear.
Most pelvic ultrasound appointments take about 15 to 30 minutes while you lie on your back as images are captured. A key benefit of imaging at the Center for Advanced Gynecology is that your provider performs the ultrasound and can review findings with you in real time, which often eliminates the need for a separate follow-up visit just to receive results.
If an ultrasound identifies a concern involving the reproductive organs, next steps may include additional testing such as an MRI, repeat imaging to monitor changes over time, a biopsy when appropriate, or surgical evaluation if needed.
Yes. Healthy fallopian tubes are not usually visible on ultrasound, but they can become easier to see when they are thickened or filled with fluid. This may occur with blockage and dilation, infection, or in certain cases of ectopic pregnancy.
Yes, pelvic ultrasound is routinely used to follow pregnancy progress, evaluate fetal development, and screen for possible concerns. Transvaginal ultrasound is commonly used during the first 12 to 14 weeks, and later imaging is typically performed using a transabdominal approach.
In most cases, you can return to normal daily activities immediately after the exam. Your provider will review the images with you and recommend any appropriate next steps if anything unusual is identified.