Objectives: Illustration of various anatomical-physiological and pathological aspects of the female pelvis using the multiplanar Ultrasonography completed with spectral and 3D Doppler and strain Sonoelastography (SE), integration named “Full Gynecological Ultrasonography” (FGU); evaluation of this technique in the non-invasive diagnosis of infertility and in the differential diagnosis of benign from malignant female pelvis. Material and methods: A retrospective analysis of 344 consecutive patients referred from Endocrine, Gynecological or Oncological Services, aged 16 – 81-year-old, examined between August 2014 – December 2017 in the Ultrasound Laboratory of Pan Med Craiova. We used a transabdominal convex 4D probe and a transvaginal probe with SE and 3D Doppler software. The results were related to the clinical, biological and pathological reports. Results: In the infertility evaluation the Doppler presented significant correlations of the ovarian disfunction (anovulatory cycles, apoptosis, tumors) with the uterine aspect (uterus volume and morphology, endometrial thickness, uterine arteries mapping and velocimetry). FGU was useful in detection and monitoring of the endometrial cancer, cervical stump recidivism, uterine fibroids before and after uterine artery embolization, ovarian carcinoma, endometrioma. Conclusions: FGU increased the US accuracy in the diagnosis of female pelvic malignancies reducing the unnecessary biopsies; the monitoring of the menstrual cycle was more accurate than the hormonal tests. FGU allowed the coupling of the morphological with the functional data, whatever the age, with special application in the endocrinological disorders, assisted fertility, post-embolization survey, with the best cost/ benefit ratio as compared with contrast CT and MRI.