I don't have a lot of experience with what's standard in terms of ultrasounds. However, I know that every time I've had it done as a patient, both the doctor/NP (at the initial appointment) and the ultrasound tech (immediately prior to the ultrasound) have gone over the procedure before any undressing or imaging had taken place. There have been times when they've taken images of other organs (e.g., imaging the bladder in addition to the uterus and ovaries) that didn't seem directly related to the suspected problem -- but I always knew about that in advance.