An abdomen and pelvis ultrasound is a safe, painless, and non-invasive imaging test that helps doctors assess internal organs, including the liver, kidneys, bladder, uterus, ovaries, and prostate.
Whether you are undergoing this scan for abdominal pain, reproductive health concerns, or general checkups, understanding the process can help you feel more comfortable.
What Happens During the Procedure? A Step-by-Step Guide

Step 1: Preparation Before the Scan
Your radiologist may give you specific instructions depending on the focus of the scan. If your bladder needs to be full, you may be asked to drink water before the procedure. If fasting is required, you will need to avoid eating for a few hours before the scan.
Step 2: Lying Down for the Scan
Once in the examination room, you will be asked to lie down on your back. The radiologist will apply a warm, water-based gel to your abdomen or pelvic area. This gel helps the ultrasound probe glide smoothly over your skin and ensures better image quality.
Step 3: Moving the Transducer Over the Skin
The radiologist will move a handheld device called a transducer over the abdomen or lower pelvic region. The transducer sends sound waves into your body, which bounce off organs and create real-time images on a monitor.
Step 4: Internal Ultrasound (If Needed)
For female pelvic ultrasounds, a transvaginal ultrasound may be required for a clearer view of the uterus and ovaries. This involves inserting a small, covered probe into the vaginal canal. The procedure is safe, minimally uncomfortable, and provides high-resolution images of reproductive organs.
Step 5: Completing the Scan
Once all necessary images are captured, the radiologist wipes off the gel, and you are free to go. The entire process is quick and painless.
Read More: How to Prepare for an Abdomen and Pelvis Ultrasound: Do’s and Don’ts
How Long Does the Scan Take?
An abdomen and pelvis ultrasound typically takes 15 to 30 minutes, depending on the complexity of the scan. A standard scan for routine checkups may take around 15 minutes, while detailed evaluations for specific conditions may take slightly longer.
Does Abdomen and Pelvis Ultrasound Hurt? Addressing Concerns

Ultrasound scans do not cause pain. Although you may feel slight pressure when the transducer moves over your skin, it is not uncomfortable. If a transvaginal ultrasound is needed, it may cause mild discomfort, but it is generally well tolerated.
If you have a full bladder for the pelvic ultrasound, you might feel some pressure, but this subsides once the scan is complete.
What You Will Learn From the Results
The ultrasound results provide valuable insights into your health. Some of the key findings may include:
- Liver and kidney health: Detecting cysts, tumors, infections, or structural abnormalities.
- Gallbladder issues: Identifying gallstones or signs of inflammation.
- Bladder and urinary tract health: Checking for infections, stones, or structural issues.
- Reproductive health: Detecting ovarian cysts, fibroids, or abnormalities in the uterus.
- Digestive system evaluation: Identifying blockages, appendicitis, or pancreatic disorders.
The results will be reviewed by a radiologist, and your doctor will discuss the findings with you. In some cases, additional tests may be needed for further evaluation.
Read More: Common Conditions Diagnosed with Abdomen and Pelvis Ultrasound
Tips for Staying Relaxed During the Scan
If you feel nervous about the scan, here are some simple ways to stay calm:
- Take slow, deep breaths to help relax your body.
- Wear comfortable, loose-fitting clothes for the procedure.
- Ask the radiologist to explain each step as they perform the scan.
- Distract yourself by focusing on your breathing or thinking about something pleasant.
The procedure is quick and non-invasive, so staying relaxed can make the experience even smoother.
Read More: Key Insights on Abdominal and Pelvic USG Scans for Patients