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What Is the Difference Between a Pelvic Scan and an Abdominal Scan?

What is the Pelvic Scan and an Abdominal Scan? Ultrasound imaging is one of the most trusted and non-invasive diagnostic ...

What is the Pelvic Scan and an Abdominal Scan?

Ultrasound imaging is one of the most trusted and non-invasive diagnostic tools in healthcare, offering real-time insights into various organs and systems. Two of the most commonly performed types of ultrasounds are pelvic scan and abdominal scan, which are often recommended for diagnosing or monitoring medical conditions. Although they may seem similar, these scans are quite different in their focus areas, uses, and preparation requirements.

This guide will help you understand the key differences, their importance, and when you might need one—or both.

Difference Between a Pelvic Scan and an Abdominal Scan

What Is a Pelvic Scan?

A pelvic ultrasound is a diagnostic imaging test designed to examine the organs and structures located within the pelvis.

Focus Areas

  • For women: Uterus, ovaries, fallopian tubes, cervix, and bladder.
  • For men: Prostate gland, seminal vesicles, and bladder.

Common Uses

A pelvic ultrasound is often performed to:

  • Diagnose gynecological conditions such as polycystic ovary syndrome (PCOS), uterine fibroids, endometriosis, or ovarian cysts.
  • Monitor pregnancy and detect complications such as ectopic pregnancies or placental issues.
  • Investigate symptoms like pelvic pain, abnormal bleeding, or infertility.
  • Assess prostate enlargement or other male reproductive concerns.
  • Examine the bladder for urinary retention or bladder dysfunction.

Types of Pelvic Ultrasounds

  1. Transabdominal Ultrasound: The probe is placed on the lower abdomen. It provides a broad view but may lack fine detail.
  2. Transvaginal Ultrasound: A thin probe is inserted into the vagina for a closer, more detailed view of female reproductive organs.
  3. Transrectal Ultrasound: Often used for men to examine the prostate gland.

What Is an Abdominal Scan?

An abdominal ultrasound focuses on the upper abdomen and evaluates the organs involved in digestion and filtration.

Focus Areas

This scan assesses the:

  • Liver
  • Gallbladder
  • Kidneys
  • Pancreas
  • Spleen
  • Stomach
  • Major blood vessels, including the aorta

Common Uses

Abdominal ultrasounds are frequently performed to:

  • Detect gallstones, kidney stones, or liver disease.
  • Diagnose pancreatitis, appendicitis, or abdominal tumors.
  • Assess the health of major blood vessels, especially for aneurysms or blood clots.
  • Monitor conditions like fatty liver disease or hepatitis.
  • Guide procedures such as biopsies or fluid drainage.

Key Differences Between Pelvic and Abdominal Scans

FeaturePelvic ScanAbdominal Scan
Focus AreaPelvic organs (reproductive and urinary systems)Abdominal organs (digestive and filtration systems)
ProcedureExternal or internal (transvaginal/transrectal)External only
Common UsesGynecological, pregnancy, and urinary issuesDigestive and vascular conditions
PreparationOften requires a full bladderMay require fasting

When Might You Need Both Scans?

Doctors may recommend both pelvic and abdominal scans if your symptoms involve overlapping regions. For instance:

  • Chronic pelvic or lower abdominal pain: A pelvic scan can rule out reproductive issues, while an abdominal scan can assess digestive or urinary causes.
  • Unexplained bloating: Both scans might help determine whether the cause is gynecological, gastrointestinal, or renal.
  • Fertility issues: Pelvic ultrasounds assess reproductive health, and abdominal ultrasounds may identify secondary causes like kidney or liver dysfunction.

How to Prepare for Each Scan

  • Pelvic Scan:
    • Transabdominal: You may need to drink water before the scan to fill your bladder, which improves image clarity.
    • Transvaginal or Transrectal: Usually requires an empty bladder.
  • Abdominal Scan:
    • You might need to fast for 6–8 hours beforehand to reduce gas in the stomach, ensuring clearer imaging of the abdominal organs.

Always follow your healthcare provider’s specific preparation instructions.


Frequently Asked Questions (FAQs)

  1. Are pelvic and abdominal ultrasounds painful?
    Both are non-invasive and painless. Transvaginal or transrectal scans might cause mild discomfort.
  2. How long does each scan take?
    Both scans typically take 20–30 minutes.
  3. Do I need both scans at the same time?
    It depends on your symptoms. Your doctor may recommend both to ensure a comprehensive assessment.
  4. Are these scans safe during pregnancy?
    Yes, ultrasounds are safe and commonly used to monitor fetal development.
  5. What conditions can a pelvic scan detect?
    Conditions like PCOS, uterine fibroids, ovarian cysts, endometriosis, and pregnancy complications.
  6. What conditions can an abdominal scan detect?
    Issues such as gallstones, liver disease, kidney stones, pancreatitis, and aneurysms.
  7. Do I need a referral for these scans?
    Some clinics require a referral, but many allow you to book directly.
  8. How soon will I get results?
    A radiologist typically reviews the images, with results available in a few days.
  9. Are these scans covered by insurance?
    Coverage depends on your provider and the medical necessity of the scan.
  10. Where can I book these scans in London?
    At Phoenix Ultrasound, where our state-of-the-art equipment and experienced team ensure accurate, timely results.

Why Choose Phoenix Ultrasound?

At Phoenix Ultrasound, we understand how important accurate and compassionate care is. We specialize in both pelvic and abdominal scans, ensuring a comfortable and informative experience. Our expert team is dedicated to helping you take control of your health.


Take Control of Your Health Today

Don’t ignore persistent symptoms or leave your health to chance. Whether it’s abdominal pain, fertility concerns, or routine monitoring, early detection can make all the difference.

Book your pelvic or abdominal ultrasound today at Phoenix Ultrasound in London. Call us at 020 3318 1373 or visit our website to schedule your scan. Prioritize your health—it’s worth it.

Abdominal and urinary tract ultrasound