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Uterine Fibroids Diagnosis

The time from the onset of symptoms to diagnosis can be up to five years19

Uterine Fibroids Diagnosis

Uterine fibroids are frequently diagnosed during pelvic examinations, and the size and location of the fibroids can usually be determined during a gynaecological examination, most commonly by ultrasound.

The time from the onset of symptoms to diagnosis can be up to five years19.

Uterine Fibroids Diagnosis

Uterine fibroids can be diagnosed in a number of different ways8 as transvaginal ultrasonography, magnetic resonance imaging, hysterosonography, hystersalpinography and hysteroscopy.

References

  • 481 Reference 8 - Evans P., et al. “Uterine fibroid tumors: diagnosis and treatment.” American Family Physician 2007; 75(10):1503-1508.
  • 495 Reference 19 - Borah.B, et al. “The impact of uterine leiomyomas: a national survey of affected women.” AM J Obstet Gynaecol. 2013; 209 (4): 319.e1-319.e20

Transvaginal ultrasonography

Transvaginal ultrasonography is non-invasive in nature and cost-efficiency. It is considered the best initial test for fibroids to be followed by further tests if necessary.

Transvaginal ultrasonography

 

Magnetic resonance imaging

Magnetic resonance imaging (MRI) is the preferred choice when precise fibroid mapping is required e.g. size and location of fibroids. This type of diagnostic method is usually used for surgical purposes.

Magnetic resonance imaging

Hysterosonography

Hysterosonography, also known as a ‘saline infusion sonogram’, uses sterile saline to expand the uterine cavity, making it easier to obtain images of the uterine cavity and endometrium. This test is a useful tool when the subject is suffering from heavy menstrual bleeding despite normal ultrasound results. This procedure is also used to evaluate the extent of submucosal fibroids, but is a relatively invasive procedure.

Hysterosonography

Hystersalpingography

Like hysterosonography, hysterosalpinography can be used to evaluate the extent of uterine fibroids. The procedure is carried out by use of a dye to highlight the uterine cavity and fallopian tubes in collaboration with X-ray. This procedure is mainly used where infertility is a problem, as a result of the fibroids, and this test can not only investigate the fibroids but also determine if the fallopian tubes are open or closed. The procedure like the hysterosonography is a relatively invasive procedure.

Hysteroscopy

This procedure involves a small, lighted telescope called a hysteroscope being placed into the cervix through the uterus. Saline solution is injection into the uterus expanding the uterine cavity and allowing the investigation of the uterus.

Hysteroscopy

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