What does my pelvic ultrasound results indicate?

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Interpreting Your Pelvic Ultrasound Results

Without access to your specific pelvic ultrasound results, I cannot provide an interpretation of your individual findings. Pelvic ultrasound interpretation requires review of the actual images and report by a qualified healthcare provider who ordered the test and understands your clinical context 1.

Purpose of Pelvic Ultrasound

  • Pelvic ultrasound is used to visualize the uterus, ovaries, fallopian tubes, cervix, and surrounding structures 1
  • It can be performed transabdominally (through the abdomen) or transvaginally (with a probe inserted into the vagina) for better visualization 1
  • The transvaginal approach provides superior detail of pelvic organs but requires an empty bladder, while transabdominal requires a full bladder 1

Common Indications for Pelvic Ultrasound

  • Persistent vaginal discharge 1
  • Dysuria or urinary tract symptoms in sexually active females 1
  • Dysmenorrhea unresponsive to NSAIDs 1
  • Amenorrhea or abnormal vaginal bleeding 1
  • Lower abdominal pain 1
  • Pregnancy evaluation 1
  • Suspected pelvic inflammatory disease 2
  • Evaluation for retained products of conception post-abortion or postpartum 3
  • Assessment of pelvic organs after hysterectomy 4

Important Limitations of Pelvic Ultrasound

  • Pelvic ultrasound is not indicated for evaluation of inguinal hernias, which require different imaging approaches 5
  • Accuracy of pelvic examination compared to transvaginal ultrasound shows significant discrepancies (22% of assessments differ), with ultrasound being more accurate when confirmed by surgical findings 6
  • Occasionally, nongynecologic findings related to the gastrointestinal tract may be detected incidentally 7

Next Steps After Your Pelvic Ultrasound

  • Schedule a follow-up appointment with your healthcare provider to discuss the results 1
  • If your ultrasound was indeterminate (unclear findings), your provider may recommend additional testing or specialist consultation 1
  • For specific conditions like pelvic congestion syndrome, additional imaging such as MRI or CT with contrast might be needed if suggested by initial ultrasound findings 8

Important Considerations

  • The interpretation of pelvic ultrasound should be done in conjunction with your clinical symptoms and medical history 1
  • Ultrasound findings alone may not provide a definitive diagnosis for many conditions 1
  • Some conditions may require additional specialized testing beyond the initial ultrasound 1, 8

To properly interpret your pelvic ultrasound results, please consult with the healthcare provider who ordered the test, as they can explain the findings in the context of your specific medical situation.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Ultrasound of pelvic inflammatory disease.

Ultrasound quarterly, 2004

Research

Ultrasound evaluation of the posthysterectomy pelvis.

Journal of clinical ultrasound : JCU, 1982

Guideline

Ultrasound for Inguinal Hernia Diagnosis

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Pelvic Congestion Syndrome Diagnosis and Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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