Uterine Fibroids (cont.)
Uterine Fibroids Diagnosis
A woman's health care practitioner will discuss her medical
history and conduct a physical examination that includes a pelvic exam. Often a doctor can feel an irregularly
shaped uterus when fibroids are present.
If further studies are indicated, the doctor may choose one of the following tests to help decide if
the patient has fibroids and to exclude other and potentially more serious
causes of ongoing symptoms:
- An abdominal, transvaginal or
pelvic ultrasound can help identify the number, size, and shape of most fibroids. These test use sound waves to give doctors an image of the pelvic area. A wand is passed over the abdomen (abdominal ultrasound) for one type of view. Another probe (or wand) may be inserted into the vagina to obtain additional views (pelvic or transvaginal ultrasound).
- An endometrial biopsy is performed by taking a tissue sample from the uterus. A small instrument is passed through the cervical opening to "grab" small samples of tissue inside the uterus. It can be performed at a doctor's office.
- A hysteroscopy looks at
the uterus by passing a small fiberoptic camera through the opening of the
- Hysterosalpingography involves injection of dye into
the uterus and Fallopian tubes, which is then X-rayed to identify the anatomy
of these structures.
- Laparoscopy is a
surgical procedure. The surgeon will insert a small fiberoptic camera into the abdomen
through small abdominal incisions to look directly at internal organs.
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