Exams and Tests

Your health care provider will discuss your medical history and conduct a physical examination that includes a pelvic exam. Often your doctor can feel an irregular uterus.

If further studies are indicated, your doctor may choose 1 of the following tests to help decide if you have fibroids and to exclude more serious disease:

• A transvaginal or pelvic ultrasound can help identify the number, size, and shape of your fibroids. This test uses sound waves to give doctors an image of your pelvic area. A wand is passed over your abdomen and may be inserted into your vagina.
  
  
• An endometrial biopsy is performed by taking a tissue sample from the uterus. A small instrument is passed through your cervical opening to "grab" small samples of tissue inside your uterus. It can be performed at your doctor's office.
  
  
• A hysteroscopy looks at the uterus by passing a small fiberoptic camera through the opening of the cervix.
  
  
• 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 your abdomen to look directly at internal organs.

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