A USG Pelvis, or Pelvic Ultrasound, is a non-invasive imaging test that uses high-frequency sound waves to create detailed images of the structures within the pelvic region. It is a safe, painless, and radiation-free method commonly used for both men and women to assess reproductive and urinary organs.

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🩺 USG Pelvis (Pelvic Ultrasound) – Complete Details

Types of Pelvic Ultrasound

  1. Transabdominal Ultrasound

    • Performed by moving the ultrasound probe over the lower abdomen.

    • Requires a full bladder for better visualization.

    • Commonly used in both men and women.

  2. Transvaginal Ultrasound

    • Performed in women using a probe inserted gently into the vagina.

    • Provides closer and clearer images of internal pelvic organs like the uterus and ovaries.

    • Usually done with an empty bladder.

  3. Transrectal Ultrasound

    • Performed in men by inserting a small probe into the rectum.

    • Used mainly to visualize the prostate gland and nearby structures.

Purpose / Indications

In Women

  • Evaluate uterus, cervix, fallopian tubes, and ovaries

  • Detect fibroids, cysts, or tumors

  • Assess menstrual irregularities or abnormal bleeding

  • Monitor follicular growth during fertility treatment

  • Confirm and monitor pregnancy

  • Diagnose ectopic pregnancy

  • Identify causes of pelvic pain or infertility

In Men

  • Examine bladder, seminal vesicles, and prostate gland

  • Evaluate urinary tract problems

  • Detect prostate enlargement, infection, or tumors

In Both Genders

  • Check urinary bladder for wall thickness, stones, or residual urine

  • Identify pelvic masses or infections

  • Investigate pelvic trauma

Preparation

  • For Transabdominal Scan:

    • Drink 3–4 glasses of water about an hour before the test.

    • Do not empty the bladder before the scan.

  • For Transvaginal or Transrectal Scan:

    • Usually requires an empty bladder.

    • You may be asked to change into a gown.

Procedure

  1. The patient lies on an examination table.

  2. A gel is applied to the skin to help transmit sound waves.

  3. The transducer (probe) is moved gently over the pelvic area (or inserted in the vagina/rectum if needed).

  4. Real-time images are displayed on a monitor.

  5. The procedure typically takes 15–30 minutes.

What It Shows

  • Size, shape, and position of pelvic organs

  • Presence of masses, cysts, or fibroids

  • Thickness of the uterine lining (endometrium)

  • Condition of the ovaries (size, follicles)

  • Bladder wall and any residual urine

  • Prostate size and texture (in men)

Advantages

  • Safe (no radiation)

  • Painless

  • Quick and accurate

  • Widely available and cost-effective

Limitations

  • Image quality may be affected by obesity or intestinal gas.

  • May not detect very small lesions or deep tissue abnormalities.

  • Sometimes, CT or MRI is advised for further evaluation.

Conclusion

A USG Pelvis is an essential diagnostic tool in evaluating reproductive and urinary systems. It helps detect abnormalities early and guides further treatment without any health risks. Whether assessing fertility, pelvic pain, or prostate issues, pelvic ultrasound remains a first-line, reliable imaging choice for both men and women.

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