Fibroids Diagnosis

Fibroids may be entirely without symptoms, in which case they will be found during a routine gynaecological (pelvic) examination. However, when they produce symptoms specific tools to diagnose fibroids may be employed.

Fibroids Diagnosis: Ultrasound scan

An ultrasound uses sound waves to get an image of the internal organs. This can help determine if the lumps are fibroids or another type of tumour, such as an ovarian cyst. It can also provide more detailed information about the size and location of fibroids.

The scan may be performed via the abdomen (trans-abdominal) or through the vagina (trans-vaginal) or both. The former is usually utilized if the fibroids are very big. Unfortunately this requires a full bladder, which may be uncomfortable. The trans-vaginal scan is suitable for smaller fibroids, gives better imaging, and does not cause any significant pain or discomfort (it is similar to the insertion of a tampon, and obviously cannot be used if a woman is a virgin).yellow_flower2lr

• Refinements on ultrasound as described about include sonohysterography, when fluid that shows up on ultrasound is injected into the uterus and then ultrasound pictures are taken. This provides excellent imaging for lesions inside the womb such as submucous fibroids or polyps. Another option is Hysterosalpingography (HSG) which involves injecting x-ray dye into the uterus and taking x-ray pictures.

The above tests may be sufficient to confirm the diagnosis of fibroids, but additional tools may be required, including higher-resolution imaging tools such as CT scan and MRI (magnetic resonance imaging), and surgical procedures such as hysteroscopy and laparoscopy.

Fibroids Diagnosis: Magnetic Resonance Imaging (MRI) – uses magnets and radio waves to produce the picture

Fibroids Diagnosis: X-rays – uses a form of radiation to see into the body and produce the picture

Fibroids Diagnosis: Cat Scan (CT) – takes many X-ray pictures of the body from different angles for a more complete image

Fibroids Diagnosis: Hysteroscopy

A hysteroscopy examines the inside of the womb by using a small telescope (hysteroscope) which is inserted into the womb through the vagina and cervix. Hysteroscopy can also be used to take a biopsy (tissue sample) of the lining of the womb. Hysteroscopy may be performed under local or general anaesthetic, and sometimes even without anaesthetic. It can usually be done as a day-case, meaning that the patient can go home on the same day.

Fibroids Diagnosis: Laparoscopy

Where a hysteroscopy (see above) looks at the inside of the womb, a laparoscopy looks at the size and shape of the outside of the womb. It can also be used to take tissue samples. The procedure involves making a small cut (about 1cm wide) in the lower abdomen, just below the belly button, and inserting a thin telescope (the laparoscope). A probe is usually also inserted into the vagina to help move the womb so the laparoscope can see it from different angles.

The operation usually takes about 30 minutes and is done in hospital. A general anaesthetic is given before the procedure. Carbon dioxide is usually pumped into the abdomen as part of the procedure and this may leave a sensation of bloating after the procedure, but this resolves rapidly.

Book A Fibroids Diagnosis Appointment At Our Fibroids Clinic
Call: 020 8947 9877

For an NHS appointment please ask your GP to refer you to the
Myoma Clinic, St George’s Hospital.

St George’s Fibroids Clinic London | Parkside Hospital Fibroids Clinic Wimbledon
Princess Grace Hospital Fibroids Clinic | St Anthony’s Hospital Fibroids Clinic


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