Few things: Sometimes the exam can be painful just because it is an uncomfortable procedure other times because there is an abnormality they are pressing on. The free fluid depends on how much. A tiny amount is normal in females.
Answered 11/28/2017
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Depends: I pelvic pain with ultrasound is nonspecific and may indicate additional pelvic examination by a physician. A small amount of free pelvic fluid is typically physiologic, relating to menstrual cycle/ovulation but a larger amount may indicate something else, such as inflammation, etc.
Answered 3/28/2017
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