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Information obtained from a manual pelvic exam alone may be incomplete. With a pelvic sonogram, the uterus and ovaries are visualized. The sonogram may help explain findings from the manual exam or provide additional information. 
Common indications for a pelvic ultrasound examination include pelvic pain, abnormal vaginal bleeding, and suspicion of an abnormality on a manual gynecologic examination.

You may need to have a vaginal ultrasound which involves an intra-vaginal probe being placed that will allow for the uterus, ovaries and fallopian tubes to be easier visualized.