By: Ovation Obstetrics & Gynecology:
Whether you’re coming in for your first prenatal ultrasound or a routine gynecologic scan, having an ultrasound is a common and valuable part of women’s healthcare. At Ovation OB/GYN, we perform ultrasounds for a variety of reasons — from confirming pregnancy and tracking fetal growth to evaluating pelvic pain or menstrual irregularities.
If you’re feeling nervous or unsure about what happens during an ultrasound, you’re not alone. This guide is designed to walk you through what to expect before, during, and after your ultrasound appointment so you can feel prepared and confident.
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What Is an Ultrasound?
An ultrasound (also called sonography) is a safe, non-invasive imaging test that uses high-frequency sound waves to create pictures of structures inside the body. Unlike X-rays, ultrasounds do not use radiation, making them very safe for use in pregnancy and for a wide range of gynecologic evaluations.
Ultrasounds help providers assess:
- The developing baby during pregnancy
- The location and condition of reproductive organs
- Uterine fibroids or ovarian cysts
- Pelvic pain or abnormal bleeding
- Endometrial thickness or irregularities
Whether this is your first ultrasound or you’ve had one before, knowing what to expect can make the process much more comfortable.
Types of Ultrasounds You May Have
At Ovation OB/GYN, the type of ultrasound you receive depends on the reason for the exam:
Transabdominal Ultrasound
For this type of scan, a small handheld device called a transducer is moved over your abdomen. A gel is applied to help transmit sound waves. This approach is common in pregnancy ultrasounds and when a broader view of the pelvic organs is needed.
Transvaginal Ultrasound
A transvaginal ultrasound involves gently inserting a slender probe into the vagina. This method provides a closer, more detailed view of the uterus, ovaries, and fallopian tubes and is frequently used in early pregnancy scans or when evaluating specific gynecologic concerns.
Your provider will let you know which type is appropriate for your appointment.
Before Your Ultrasound: How to Prepare
Here’s what you need to know about preparing:
1. Follow Instructions from Your Provider
Depending on the type of ultrasound, you may receive specific instructions. For example:
- Transabdominal ultrasound: You might be asked to drink water beforehand so your bladder is full. A full bladder helps improve visualization of the uterus and pelvic organs.
- Transvaginal ultrasound: You may be asked to empty your bladder before the scan.
Always follow your appointment instructions — they help ensure the best possible images.
2. Wear Comfortable Clothing
You’ll want to wear something comfortable and easy to adjust for the scan. You may be asked to change into a gown for certain exams.
3. Ask Questions Ahead of Time
If you’re unsure why you need an ultrasound or what it will show, don’t hesitate to ask your provider. Understanding the reason for the test helps you feel more at ease.
During the Ultrasound: What Happens Step-by-Step
1. Arrival & Check-In
When you arrive at the clinic, you’ll check in and be escorted to the ultrasound room by a technician (sonographer) or medical assistant.
2. Positioning
You’ll either lie on an exam table with your abdomen exposed (for transabdominal scans) or with access to your pelvic area for a transvaginal scan. A pillow or support may be placed under your knees for comfort.
3. Gel Application
For transabdominal ultrasounds, a warm gel is applied to your lower abdomen. This gel helps transmit sound waves and creates clearer images.
4. The Scan
A handheld device will be gently moved over your abdomen or inserted (in the case of transvaginal ultrasound). You may feel slight pressure, but the procedure should not be painful.
- Transabdominal scan: The sonographer will move the transducer over your belly.
- Transvaginal scan: A protective cover and gel are applied to the probe, which is then gently inserted into the vagina for a closer view.
Ultrasounds are typically completed within 15–30 minutes, depending on the type and purpose of the study.
5. Interaction with Your Provider
Some practices allow you to see the ultrasound screen during the scan, while others will review the images with you afterward. Feel free to ask questions throughout the process — your comfort and understanding matter.
After the Ultrasound: What Happens Next?
Once the scan is complete:
1. Gel Is Wiped Off
The technician will wipe away any remaining gel.
2. You Resume Daily Activities
Ultrasounds do not require recovery time — you can typically return to your normal routine immediately.
3. Results Review
Your provider will review the images and discuss results with you. In some cases, results may be shared immediately, while others may require additional analysis.
If follow-up tests or appointments are needed, your provider will explain next steps.
Common Questions & Patient Concerns
Does an Ultrasound Hurt?
Most patients experience little to no discomfort. A transvaginal ultrasound may feel a bit strange or slightly uncomfortable, but it shouldn’t be painful. You can always communicate with the sonographer if you need to pause.
Is an Ultrasound Safe?
Yes — ultrasounds use sound waves, not radiation, and are very safe for both pregnancy and gynecologic imaging.
How Long Does It Take?
Most ultrasound exams are completed within 15 to 30 minutes. More detailed studies may take a little longer.
Will I Get to See the Images?
Many providers show images during the scan or review them afterward with you. Feel free to ask questions about what you see.
Why Ultrasounds Matter in Women’s Care
Ultrasound imaging is one of the most valuable tools in obstetric and gynecologic care. It allows providers to:
- Evaluate fetal development and anatomy
- Confirm pregnancy location and viability
- Investigate causes of pelvic pain
- Assess abnormalities like cysts or fibroids
- Monitor conditions that may affect reproductive health
Ultrasound helps guide clinical decisions and provides reassurance, answers, and direction for next steps in care.
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An ultrasound is a safe, common, and informative part of women’s healthcare at Ovation OB/GYN. Whether you’re seeing your baby on screen for the first time or investigating a gynecologic concern, knowing what to expect can make the experience more comfortable and empowering.
If you have questions before your appointment or would like to learn more about why an ultrasound has been ordered for you, don’t hesitate to call us — we’re here to support you every step of the way.