Many women face the question of which ultrasound scan to choose. Understanding the difference between a pelvic ultrasound vs. transvaginal scan can help you make the right decision for your health. Both are safe, non-invasive tools used to examine pelvic organs. However, each has a specific purpose depending on your symptoms and situation.
A report from the American College of Obstetricians and Gynecologists (ACOG) reveals that over 80% of women will need pelvic imaging in their lifetime. Knowing which scan is more appropriate can lead to faster diagnosis and better care.
What Is a Pelvic Ultrasound?
A pelvic ultrasound is performed externally on the lower abdomen. It uses sound waves to produce images of the uterus, ovaries, bladder, and surrounding tissues. This scan is often the first step in evaluating pelvic pain, abnormal bleeding, or known conditions like fibroids.
To get clear images, you usually need to have a full bladder before the scan. Following the ultrasound preparation steps ensures your scan goes smoothly. This method gives a broad overview but may not show smaller or deeper structures clearly.
What Is a Transvaginal Ultrasound?

A transvaginal ultrasound gives a closer, more detailed look at the pelvic organs. It involves inserting a thin probe into the vaginal canal. This allows high-resolution images of the uterus and ovaries.
This scan is especially useful for early pregnancy, fertility issues, or abnormal bleeding. It doesn’t require a full bladder and often gives more precise results than a standard pelvic ultrasound. This targeted imaging is a key part of comprehensive ultrasound screenings offered at TrueView Ultrasound.
Which One Do You Need?
Choosing between a pelvic ultrasound vs. transvaginal scan depends on your symptoms and what your provider needs to evaluate. In some cases, both types may be used together for a more complete picture.
A pelvic ultrasound works best for general concerns or when examining larger structures. Transvaginal ultrasound is ideal when more detail is required. According to the Radiological Society of North America (RSNA), transvaginal scans can detect small abnormalities up to 33% more effectively than external scans.
What Happens During the Scan?
Both exams are painless and radiation-free. A pelvic ultrasound is done by placing a probe on your abdomen with some gel. You may feel pressure but no discomfort. A transvaginal scan uses a covered, lubricated probe gently inserted into the vagina.
Our team ensures your privacy and comfort throughout the process. The setting is calm and professional, similar to the experience during fetal imaging services we provide for expectant families.
When Should You Get an Ultrasound?
If you’re experiencing pelvic pain, irregular cycles, or fertility issues, you should consider imaging. Early diagnosis helps detect issues like cysts, fibroids, and endometriosis. Timely scans can also reduce the need for more invasive procedures.
To determine the right scan, contact the TrueView Ultrasound team in Roseville. Our experts can guide you through the process and answer your questions based on your needs.
Conclusion
Choosing the right scan—pelvic or transvaginal ultrasound—can lead to faster answers and better treatment. Each scan serves a purpose, and understanding the difference empowers you to take charge of your health. Speak with a qualified sonographer to determine which method suits your symptoms and health goals.
If you are unsure where to begin, we are here to help. At TrueView Ultrasound in Roseville, our team offers diagnostic care with clarity, privacy, and compassion. Schedule your scan today and gain peace of mind with expert care tailored to your body and your needs.