GYNECOLOGY:

 diagnostic testing for fibroids

Uterine fibroids are usually found during a routine pelvic exam. A doctor may feel irregularities in the shape of the uterus through the abdomen, suggesting the presence of fibroids.  If this is the case, there is a range of diagnostic testing available to help the physician make a more accurate diagnosis.  Testing includes:

If confirmation is needed, a doctor may request that the patient get a pelvic ultrasound.  The ultrasound is also used to diagnosis, map and measure fibroids. Sometimes, fibroids are discovered during a routine prenatal ultrasound.

If traditional ultrasound doesn't provide enough information, a doctor may order other imaging studies, such as:

• Hysterosonography. This ultrasound variation may be useful if a woman has heavy menstrual bleeding despite normal results from a traditional ultrasound.

• Hysterosalpingography. This technique uses a dye to highlight the uterine cavity and fallopian tubes on X-ray images. A doctor may recommend it if infertility is a concern. In addition to revealing fibroids, it can help a doctor determine if the fallopian tubes are open.

• Hysteroscopy. A doctor inserts a small, lighted telescope called a hysteroscope through the cervix into the uterus. The tube releases a gas or liquid to expand the uterus and allows a doctor to examine the uteran walls and the openings of the fallopian tubes.

Other imaging techniques that may occasionally be necessary include computerized tomography (CT) and magnetic resonance imaging (MRI).