How are fibroids diagnosed?

Fibroids are usually first found on routine pelvic exam or suspected based on symptoms. More definitive ways to diagnose
fibroids include the following:

Transvaginal ultrasound uses high-frequency sound waves to provide

images of structures in the body, such as the uterus, fibroids, ovaries,
and other organs.

Sonohysterogram (also known as hydrosonogram) is an ultrasound

technique in which sterile water isinserted into the uterus to better
see the inside shape of the uterus. This test is helpful for
diagnosing and planning treatment for a submuscosal fibroid or
polyp.

Magnetic Resonance Imaging (MRI) uses powerful magnets to

produce images of both internal organs and soft tissues of the body.
MRI is helpful for locating and measuring uterine fibroids and
provides a more detailed image than ultrasound. MRI is commonly
used to help determine the treatment plan, especially when the
surgicalintervention being considered is a myomectomy.
Hysterosalpingogram (HSG) is a special x-ray of the uterus and
fallopian tubes after dye is injected into the uterus. HSG can reveal
abnormal structures ofthe uterus and tubes, and is commonly used
as a diagnostic tool in an infertility workup.

Hysteroscopy is a surgical procedure that uses a narrow, lighted

telescope-like instrument (hysteroscope) to examine the inside of the
uterus. During this procedure, the hysteroscope is passed through the
cervix, and a liquid or gas is released to expand the inside of the uterus
for better visualization. Hysteroscopy is a minor surgical
outpatient procedure that requires IV sedation or light anesthesia. This
technique is used to diagnose and treat abnormalities of the uterine
cavity (insideof the uterus), such as fibroids, polyps, or scarring.

Endometrial biopsy is a test used to look for abnormal gland cells in the lining of the uterus (the endometrium). The biopsy is
done in clinic and requires a thin flexible tube that is passed through the cervix to collect a small piece of endometrium.
Endometrial biopsy may be helpful in diagnosing causes ofabnormal vaginal bleeding. Mild spotting or cramping may occur
during or after the biopsy.

Nsg. Management