Your Fertility Workup: Pelvic Ultrasound

Glow

A pelvic ultrasound is performed with a small device that is gently inserted into the vagina to look at your uterus and ovaries. This ultrasound will look at the size, shape, and position of your uterus. It will also look at the size of your ovaries, follicle development in your ovaries, and it will detect any abnormal growth, like a fibroid.

What the Test Involves

The test will be performed by an ultrasound technician in an exam room. You will be asked to change into a medical gown, but you can likely leave on your bra and socks. The technician will put gel on a small device, a transducer, and gently insert it into your vagina. You will feel light pressure as the transducer is moved around to gather images.

You may also have both yourantral follicle count (AFC) test and your saline sonogram during this ultrasound. The AFC test uses the same tools to look at the number of follicles in your ovaries. The saline sonogram uses a solution to look at the shape of your uterus.

Tips & Hints

You may be asked to have a full bladder. This helps the technician view your pelvic organs. Drink water beforehand, but not too early, so that you can keep your bladder full enough without needing to use the bathroom.

If you’re menstruating and wearing a tampon, you will need to remove it for the exam, so make sure to bring an extra one for after the ultrasound.

The pelvic ultrasound is one of a series of tests involved in the infertility workup evaluating a patient for treatment. 

97.4k views • 170 upvotes • 85 comments

COMMENT (85)

Va

Posted at
I had one done this month as I had MC in March, not on any form of contiception. I was told i had Polycystic ovaries since I was in my early 20s. I had a laposcapy done in 2014 which show have got it , and also inside my womb is bulky which; makes it impossible to get pregnant. I was also told I could not get pregnant unless I do IVF, in January 2018 I got pregnant naturally, lost the baby at 12 weeks. I had two internal and external scan done, to show there was no heart beat. I had surgery to remove it. My husband and I got married on the 08.08.18 we desperately wanted a child together. I am using clear blue degital kit which shows, am not ovulating every month. I also had blood test done on my 21 day cycle, to fine out if am releasing any eggs also for hormones, all the blood test came back fine. I was sent to see a consultant at a private hospital, I had to empty my bladder first; then scan internal and external it shows have got a large fibroid more than 10cm, which cover my entire right ovaries; as he could not see it. I have to go back for a 3D scan to look at it better. What he can't understand is how they could have miss the fibroid in the first place. It was not yesterday it had been a long time, as I always have painful irregular periods. That's the reason why I had a MC. I was told they will have to do surgery and take it from there. I will be put on Clomid for a while and if it does not work, IVF as am 40 next year. My husband and I thinking of going abroad after the surgery for IVF; as its cheaper, but we also have to research carefully. Please pray for us as there is a long jounary for us.

Qu

Queen • Apr 15, 2024
May God seeyoutrueSweet

Ar

Arowolo • Mar 17, 2023
Best wishes God will surely answer u dis year

Ke

Kechi Ekwuruke • Oct 10, 2021
Its your testimony time for you and hubby🙏🙏🙏.

Ca

Posted at
HSG tests are worse.

Fi

Five • Sep 30, 2021
what is an HSG

Lo

Lori • Dec 9, 2020
Wow, Im scared. My doc requested me to do one. Oh no!

Rh

Rhee • Nov 22, 2020
Yep, I had mine almost 2 weeks ago and was horrible. Im 4 days late for ovulation now, 5 days of high readings and no peak yet 😥

S

Posted at
Ultrasound tech here! The correct term is technologist-not technician. That aside, I’ve been reading a few comments about how patients are asked to empty their bladder. It is standard procedure to have the external exam done with a full bladder and the internal exam done with an empty bladder. The simple science behind it is that the uterus lies behind the bladder. Sound travels faster through water, which illuminates everything beneath it. If the bladder is full, it acts as a window to the uterus and gives better visualization. The patient will be instructed to empty their bladder prior to the internal for the obvious reason of comfort, but also because a full bladder can cause the uterus to change position and can be more difficult to view. While this is the preferred method, not all sites will require it, so don’t worry if you’ve received no instructions (also note that if you’re concerned about this, please ask about it prior to your appointment).Please, please tell the tech if you’re having pain during the exam, as that’s an important note to make to the reading radiologist. If you need a break, you can absolutely communicate that. The thing I tell my patients the most is to try to relax. If you’re tense, the exam can feel more uncomfortable than when you’re relaxed. If you’re more comfortable inserting the probe yourself, please communicate that as well. This is such a sensitive exam, so communication is the best thing for all involved. Good luck to everyone! Baby dust to everyone 🌬

La

Posted at
Small device pffft

Sa

Posted at
I had one done, and honestly it wasn't that bad at all!

Tr

Posted at
I've had a pelvic sonogram done a few months back and that's how it was discovered about my ovarian cyst on the outside and fibroid on the inside. Was given medication to take for a month to ease the pain during my AF and told to take vitamins to help with conception. 

Ba

Badiyatu • Jan 28, 2022
Which vitamins help in conception please, I have a small Fibroid too ttc for 3 months now but still BFN!

🙏

🙏🌈💓ttc for baby number three🌈🙏 • Aug 21, 2017
I have uterin fibroids inside and mine have to come out

Ni

Nicola • Aug 5, 2017
fibroids. but was told all is fine x

Ta

Posted at
I have about 2 fibroids on my uterus an I have problems with my periods not coming on like last month i had to take provera to come on an I had to take clomid an this month I haven't came on yet but I'm trying to wait it out to see. I been trying over a year now an been taking prenatal vitamins. they told me it looks like I don't ovulate but I'm so scared I want be able to have another baby, I'll be 40 in December an my doctor wanted me to try before I turned 40. keep your fingers crossed for me guys.

Ba

Badiyatu • Jan 28, 2022
Am in Nigeria how can I get lydia pinkham please?

Ba

Badiyatu • Jan 28, 2022
Am 25 i got married last 3 months, painful sex and menstruation after an ultrasound my doctor told me that I have a small fibroid (1cm) I was just given a pain reliever that it will be fine since tha fibroid is small but am still not pregnant!

El

Elizabeth • Feb 23, 2021
Prayers in Jesus Name it’s possible

Me

Posted at
Isn't that just the routine ultrasound that doctors perform each year when going to the OBGYn? I must have had tons of those🤣

Ma

Ma • Aug 21, 2018
In the U.S. a normal annual exam does not involve an ultrasound. They use a scope and swab and they feel around. Ultra sound only comes out if you're pregnant or something abnormal is going on. I've had annuals for at least 16 years now and only had an ultrasound done once ever, this past winter because I had a 2.5 week long period. It wasnt bad at all.

je

jen • Aug 16, 2018
Wow I really like that idea. Gives the docs a better picture as to what’s else may be happening inside of your body than just a Pap smear.

Me

Melanie • Jul 13, 2018
Yes, my first visit to the OBGYN was to get the precription for the pill. But you have to get checked every year to get the presceiption. :)

Ka

Posted at
I had this test done a few months back and I was asked to empty my bladder before the exam began.

Sh

Sheena • Oct 13, 2018
I wasnt even told to do anything and he just did the test

An

Posted at
I had one was able to see cysts and once was able to see one of my eggs maturing. I used to be scared to do that but it became normal after awhile.