Diagnosis
· Pelvic exam
Uterine fibroid are
frequently found incidentally during a routine pelvic exam. Your doctor may
feel irregularities in the shape of your uterus, suggesting the presence of
fibroids. If you have symptoms of uterine fibroid, you doctor may order these
tests:
·
Ultrasound. If confirmation is
needed, your doctor may order an ultrasound. It uses sound waves to get a
picture of your uterus to confirm the diagnosis and to map and measure
fibroid. A doctor or technician moves the ultrasound device (transducer) over
your abdomen (transabdominal) or places it inside your vagina (transvaginal) to
get images of your uterus.
·
Lab tests. If you have abnormal
menstrual bleeding, your doctor may order other tests to investigate potential
causes. These might include a complete blood count (CBC) to determine if you
have anemia because of chronic blood loss and other blood tests to rule out
bleeding disorders or thyroid problems
Other imaging tests
If traditional
ultrasound doesn't provide enough information, your doctor may order other
imaging studies, such as:
·
Magnetic resonance imaging (MRI). This imaging test can show the size and location of fibroid,
identify different types of tumors and help determine appropriate treatment
options.
·
Hysterosonography. Hysterosonography (his-tur-o-suh-NOG-ruh-fee), also called a
saline infusion sonogram, uses sterile saline to expand the uterine cavity,
making it easier to get images of submucosal fibroids and the endometrium.
·
Hysterosalpingography. Hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fee) uses a
dye to highlight the uterine cavity and fallopian tubes on X-ray images. Your
doctor may recommend it if infertility is a concern. In addition to revealing
fibroids, it can help your doctor determine if your fallopian tubes are open.
·
Hysteroscopy. For this, your
doctor inserts a small, lighted telescope called a hysteroscope through your
cervix into your uterus. Your doctor then injects saline into your uterus,
expanding the uterine cavity and allowing your doctor to examine the walls of
your uterus and the openings of your fallopian tubes.
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