Normal Uterine Measurements Fibroids (Leiomyomas)įibroids are the most common type of benign uterine neoplasm. You may especially want to assess for uterine pathologies if uterine measurements are larger than the normals indicated in the chart below (Nalaboff 2001 Ozcan & DeCherney, 2019). Uterine abnormalities are a common cause of pelvic complaints that can be detected well using Point-of-Care Ultrasound. LUQ Free Fluid Uterine Ultrasound Pathology Bleeding associated with known placenta previa.The following contraindications apply only to transvaginal ultrasound. Gynecology/Pelvic Ultrasound Contraindications Localization of intrauterine contraceptive device.Indications/Contraindications Gynecology/Pelvic Ultrasound Indications Free Fluid Evaluation with Pelvic Ultrasound.

Transvaginal Pelvic Ultrasound Protocol.Step 2: Obtain Transverse View of Uterus.Step 1: Obtain Sagittal/Longitudinal View of Uterus.Transabdominal Pelvic Ultrasound Protocol.Gynecology/Pelvic Ultrasound Contraindications.Gynecology/Pelvic Ultrasound Indications.We cover Obstetric/OB Ultrasound in a different post which you can read HERE. This post will focus on covering point of care ultrasound (POCUS) pelvic applications of the non-pregnant patient. Identify emergent gynecologic cases requiring referral.Evaluate patients for common gynecologic pathologies using ultrasound.Perform a pelvic ultrasound exam using Transabdominal and Transvaginal techniques.Identify indications for pelvic ultrasound evaluation.Lastly, we will take a look at several of the main gynecologic pathologies.īy the end of this post, you will be able to use Gynecology/Pelvic Ultrasound to: We’ll walk you through the steps of how to perform gynecology/pelvic ultrasound using transabdominal and transvaginal approaches. Other potential benefits of POCUS to your patients include shortening the time before gynecologic consultation (Alonso et al., 2020) and decreasing the length-of-stay of patients in the Emergency Department (Wilson et al., 2016). Ultrasound is a first-line imaging study for several gynecologic pathologies, so point-of-care ultrasound (POCUS) is a perfect tool to quickly and easily narrow down your differential diagnosis. Gynecologic and pelvic complaints are common in the clinical settings and can be a result of many causes such as fibroids, adnexal masses, pregnancy, ovarian cysts, ovarian torsion, pelvic inflammatory disease, etc. Oversight, Review, and Final Edits by Vi Dinh (POCUS 101 Editor).

Primary Authors: Annalise Lang, Vi Dinh Co-authors: Jessica Ahn, Jade Deschamps, Satchel Genobaga, Victor Lee, Reed Krause, Devin Tooma, Seth White.

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