USG Pelvis
A focused scan for Uterus, Ovaries, Bladder.
Overview
Examines Uterus, Ovaries, Bladder. Performed at an NABL-accredited Meridian Health centre with a same-day report and a free doctor review.
The full panel
3 areas across 1 groupEvery parameter, grouped by body system — no clicking to expand.
What this scan measures
The pelvic organs — in women the uterus, its lining (endometrium) and the ovaries; in both sexes the urinary bladder, and in men the prostate. It measures the size and position of the uterus, counts and measures ovarian follicles or cysts, and assesses the bladder before and after passing urine.
It is the first-line test for pelvic pain, irregular or heavy periods, suspected fibroids or ovarian cysts, difficulty conceiving, and urinary symptoms. Because it uses sound rather than radiation it is safe to repeat, which matters when a cyst or a follicle is being tracked across a cycle.
Symptoms that lead to this scan
- Pelvic or lower abdominal pain
- Heavy, irregular or unusually painful periods
- Difficulty conceiving, or follicle tracking during fertility treatment
- Urinary frequency, urgency or difficulty emptying the bladder
- A mass felt on examination
Understanding your results
Many findings are normal variants of a particular point in the cycle: a follicle up to about 2.5 cm in mid-cycle, or a small amount of free fluid just after ovulation, are expected rather than abnormal. Fibroids are common, and it is their size, number and position — not their presence — that decides whether anything is done. An ultrasound description of multiple small follicles cannot by itself diagnose polycystic ovary syndrome, which requires the clinical picture and hormone results as well. Endometrial thickness is interpreted entirely differently before and after menopause.
Why the preparation matters
You will be asked to drink 750 ml to 1 litre of water about an hour before and NOT pass urine, because a full bladder does two jobs: it pushes gas-filled bowel loops out of the way, and it acts as an acoustic window that sound travels through cleanly to reach the uterus and ovaries behind it. An empty bladder is the commonest reason a pelvic scan has to be repeated. If a transvaginal scan is also performed, it is done after emptying the bladder and only with your consent.
Ultrasound — safety and who should not be scanned
Full Ultrasound guideUltrasound uses sound waves, not radiation, and there is no known harmful effect at diagnostic settings — it is the only cross-sectional modality used freely in pregnancy and repeatedly in children. Operators still follow the ALARA principle, using the lowest output for the shortest time needed, particularly in obstetric scanning. There is nothing to recover from and no restriction afterwards. The main limitation is not safety but operator dependence: the quality of an ultrasound depends heavily on the person holding the probe.
- No absolute contraindications
- There is no medical reason ultrasound cannot be performed on anyone, at any age, including in pregnancy. The limitations below are about image quality and consent rather than harm.
- Open wounds, burns or dressings over the area
- The probe needs direct contact with skin through gel, so a recent surgical wound, a burn, an ulcer or a plaster cast over the region may make the scan impossible or require it to be deferred until the dressing can be removed.
- Bowel gas and body habitus
- Sound does not travel through gas, so gas-filled bowel can obscure the pancreas, aorta and pelvic organs, and depth reduces resolution in larger patients. Fasting and a full bladder are used to improve the window; where the view remains inadequate, a CT or MRI is recommended instead.
- Transvaginal or transrectal scanning requires consent
- Internal probes give far better resolution of the pelvis, but they are always optional. They are not used without explicit consent, and a transabdominal approach is offered instead — including where an internal scan would be inappropriate.
- Not a substitute for mammography in screening
- Ultrasound complements mammography rather than replacing it: it cannot reliably show the microcalcifications that mammography detects. For symptomatic assessment in younger women it is the correct first test; for population screening it is not.
- Fetal sex determination is illegal in India
- Under the PCPNDT Act, no person or centre may disclose the sex of a fetus at any stage, and no request for it will be entertained. This applies to every obstetric scan and does not affect any other part of the examination or its report.
Who should consider this scan
- Women with pelvic pain or menstrual irregularity
- Couples investigating difficulty conceiving
- Women with known fibroids or ovarian cysts under follow-up
- Anyone with urinary symptoms or a suspected bladder problem
- Post-menopausal women with any vaginal bleeding
Conditions it helps detect
How it works
Patient stories
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