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Making a Diagnosis

Fibroids are usually first detected during a pelvic examination. In one-third to one-half of cases, a woman has described fibroid symptoms to the physician. Manually, the doctor is able to feel whether the uterus is enlarged and irregular in shape, which can signify the presence of fibroids.

When fibroids are suspected during a pelvic exam, the next step is confirming this diagnosis with imaging tools, such as ultrasound. This helps rule out the possibility of a more serious condition such as ovarian cancer.

Confirming a diagnosis
The most common and accurate way to confirm the diagnosis of fibroids is through an ultrasound exam. In this safe and painless procedure, sound waves create an internal image of the body. When a wand moves over the body's surface, the image is transmitted to a television monitor.

Sometimes, more advanced imaging tools, such as Magnetic Resonance Imaging (MRI) or Computed Tomography scans (CT scans), are used to confirm a diagnosis of fibroids.

Diagnostic hysteroscopy
A hysteroscopy allows the doctor to see inside the uterus through a thin telescope. Through the scope, she can see the fibroids or other growths or abnormalities that could cause symptoms. Hysteroscopy is particularly useful for examining submucosal fibroids, the type most commonly associated with abnormal uterine bleeding.

 


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