Uterus & Ovaries Ultrasound Probe Positioning | Transducer Placement | Gynecological USG Scanning With the patient in supine position, place the probe in the midline hypogastric region in longitudinal orientation, and locate the bladder. After locating the bladder, you will find the uterus posterior to it. Rest the probe end on the symphysis pubis to get better views of the uterus. Tilt the probe accordingly to scan the uterus completely. Scan the endometrium by keeping the probe parallel to the uterus. Use heel-toe movements to adjust the probe for scanning the uterus. For anteverted or anteflexed uterus, use heel movement. For retroverted or retroflexed uterus, use toe movement. Move the probe laterally to scan the lateral uterus and adnexa. Scan the left and right lateral aspects of the uterus. Ovaries are mobile and have variable locations. Move the probe laterally. The internal iliac vessels are a good landmark to locate ovaries. Rotate the probe 90 degrees anticlockwise to scan the uterus in the midline in transverse plane. Tilt the probe superiorly and inferiorly to completely scan the uterus from the fundus to the vagina. Move laterally to scan the adnexae, keeping the probe in transverse orientation. Use the bladder as a window.