April 16, 2026

What Does an Ultrasound at the Gynecologist Look Like?

Doctor and patient looking at ultrasound results

If your gynecologist orders an ultrasound, you might feel nervous or unsure about what to expect. What does it look like? Do you need to do anything to get ready?

These are all normal questions. An ultrasound at the gynecologist is a common, safe test. It uses sound waves to create pictures of what is going on inside your body. Here is what you can expect.

Types of Ultrasound

There are two main types of ultrasound your gynecologist might use.

The first is called a pelvic ultrasound. Your provider moves a small device across your belly. You will need a full bladder for this test. A full bladder helps create a clearer picture. This type gives your provider a look at your overall pelvic area.

The second type is called a transvaginal ultrasound. Your provider inserts a thin, wand-like device into your vagina. The device is covered with a gel to make it more comfortable. This type gives your provider a closer look at your uterus, ovaries, and other organs.

Your provider may use one or both types based on what they need to see.

Why Would Your Gynecologist Order an Ultrasound?

Your gynecologist may want you to get an ultrasound for several reasons. Some of the most common ones include pelvic pain, heavy bleeding, trouble getting pregnant, ovarian cysts or fibroids.

An ultrasound can help your provider find the cause of your symptoms. It can also help them plan your treatment or track changes over time.

What Happens During the Test?

Both types of ultrasound are quick. Most take about 20 to 30 minutes.

For a pelvic ultrasound, you lie on your back on an exam table. Your provider applies a warm gel to your belly and moves the device across your skin. You should not feel any pain.

For a transvaginal ultrasound, you lie on your back with your feet in stirrups. Your provider inserts the device into your vagina. You may feel some pressure, much like a Pap smear. It may be a little uncomfortable, but it should not hurt.

After either type, you can go back to your normal routine right away. There is usually no downtime.

How Should You Prepare?

You usually do not need to do much to prepare. For a pelvic ultrasound, your provider may ask you to drink water before the test so your bladder is full. For a transvaginal ultrasound, you may need to empty your bladder first. Your provider will give you clear steps before the visit.

If your gynecologist has ordered an ultrasound or if you have questions about what to expect, reach out to your Baptist Health provider. If you don't have one, you can find a provider using our provider directory.