In-Office Gynecologic Ultrasound — What Happens at Your Appointment
Gynecologic ultrasound at Lapeer Women’s Health is performed in the office by Dr. Andrei — not sent to a separate radiology facility. The probe is placed, the images are captured, the findings are reviewed with you, and the clinical next steps are discussed at the same appointment. No waiting days for a radiologist report.
Ultrasound uses sound waves to produce real-time images of the uterus, ovaries, fallopian tubes, and surrounding pelvic structures. There is no radiation, no contrast dye, and no sedation. It is the most commonly used imaging procedure in gynecology and the first step in evaluating most pelvic complaints — from abnormal bleeding and pelvic pain to fibroid monitoring and ovarian cyst characterization.
This page covers what happens during the procedure itself — preparation, placement, what you will feel, and what Dr. Andrei is looking at as the images are captured. For information on the clinical indications and diagnostic interpretation, see the Gynecologic Ultrasound page in Diagnostic Services.
What the Ultrasound Images Show
Dr. Andrei systematically evaluates the following structures at every gynecologic ultrasound visit. What is specifically documented depends on the clinical indication for the scan.
Uterine size and shape
Uterine length, width, and depth measured. Contour assessed for irregularity suggesting fibroids or adenomyosis. Fundal, anterior, posterior, and lateral walls examined systematically.
Endometrial stripe
Thickness of the uterine lining measured and recorded. Critical for evaluating postmenopausal bleeding, abnormal uterine bleeding, and assessing the need for endometrial biopsy.
Fibroids
Number, size, and location of fibroids documented — submucosal, intramural, or subserosal. Cavity distortion assessed. Findings compared to prior imaging when available.
Ovaries
Both ovaries located, sized, and assessed for follicles, cysts, masses, or morphologic changes. Antral follicle count performed when ovarian reserve assessment is indicated.
Ovarian cysts and masses
Cysts characterized by size, wall thickness, internal echogenicity, and septation. Simple, complex, and endometrioma patterns identified. Follow-up imaging interval recommended based on morphology.
Free fluid and adnexal structures
Free fluid in the cul-de-sac assessed for amount and character. Adnexal structures beyond the ovaries evaluated when clinically indicated — including hydrosalpinx or paraovarian cysts.
What Happens During Your Ultrasound Appointment
The in-office gynecologic ultrasound at Lapeer Women’s Health takes 15–30 minutes from start to finish. No fasting, no sedation, no recovery period. Results are discussed with you before you leave.
Preparation
For transvaginal ultrasound, arrive with a comfortably full bladder and you may be asked to partially empty it before the exam — a full bladder is not needed and can interfere with image quality. For transabdominal ultrasound, a full bladder is required. Dr. Andrei’s office provides preparation instructions specific to your scan type when your appointment is scheduled.
Positioning
You are positioned on the exam table as for a pelvic exam. A sheet is provided. The lower half of your clothing is removed. Dr. Andrei explains what she will be doing before she begins.
Probe placement
For transvaginal ultrasound, a narrow probe covered with a sterile sheath and gel is gently inserted into the vaginal canal. Most patients feel mild pressure. The probe is repositioned at different angles to capture views of the uterus and each ovary. For transabdominal ultrasound, a probe is moved over the lower abdomen with gel applied to the skin.
Image capture and measurement
Dr. Andrei captures images of the uterus, endometrium, and both ovaries — measuring structures and documenting findings as the scan progresses. This typically takes 10–20 minutes depending on anatomy and findings. Patients with fibroids, larger ovaries, or complex anatomy may take longer.
Results and next steps
Dr. Andrei reviews the findings with you at the same appointment — explaining what was seen, what is normal, what requires follow-up, and what the next step is. If an in-office procedure is indicated based on the findings — such as an endometrial biopsy for a thickened stripe — it can often be performed at the same visit.
Questions About In-Office Ultrasound
In-Office Ultrasound.
Results at Your Visit.
Gynecologic ultrasound performed and interpreted by Dr. Andrei at both Lapeer and Rochester Hills offices. No separate facility, no delayed report — findings reviewed and next steps discussed before you leave.
The information on this page is intended for educational purposes only and does not constitute medical advice. Individual symptoms, diagnoses, and treatment options vary significantly. Reading this content does not establish a physician-patient relationship with Dr. Ramona D. Andrei or Lapeer Women’s Health. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately. Please consult a qualified healthcare provider for advice specific to your situation. Content reviewed by Dr. Ramona D. Andrei, MD PhD FACOG.
Gynecologic care for women of every age
Lapeer Women’s Health — Rochester Hills
2710 S Rochester Rd, Suite 2
Rochester Hills, MI 48307
Serving patients in Lapeer, Rochester Hills, and surrounding communities throughout Southeast Michigan.