A pelvic ultrasound looks at the bladder and:

• The ovaries, uterus, cervix, and fallopian tubes of a woman (female organs ).

Organs and structures that are solid and uniform (such as the uterus, ovaries, or prostate gland) or that are fluid-filled (such as the bladder) show up clearly on a pelvic ultrasound . Bones or air-filled organs, such as the intestines, do not show up well on an ultrasound and may keep other organs from being seen clearly.

Pelvic ultrasound can be done three ways: transabdominal, transrectal, and transvaginal.

• Transabdominal ultrasound. A small handheld device called a transducer is passed back and forth over the lower belly. A transabdominal ultrasound is commonly done in women to look for large uterine fibroids or other problems.
• Transvaginal ultrasound. The transducer is shaped to fit into a woman's vagina . A woman may have both transabdominal and transvaginal ultrasounds to look at the whole pelvic area. A transvaginal ultrasound is done to look for problems with fertility. In rare cases, a hysterosonogram is done to look at the inside of the uterus by filling the uterus with fluid during a transvaginal ultrasound. Sometimes, a small sample of tissue (biopsy) may be taken with small tools inserted through the vagina during a transvaginal ultrasound.