04/07/2022
Diagnosis of uterine fibroids
At the beginning of tumor development, the process has an asymptomatic course. Fibroids are more often discovered by chance during a physical examination in a gynecological office. With the development of the tumor, symptoms appear that require a mandatory visit to a gynecologist.
Diagnosis is not difficult. The doctor can establish the presence of a tumor in the uterus during a routine examination in the gynecological chair. At the same time, the structure of the organ has a dense texture, often with a bumpy surface.
In the presence of heavy bleeding during menstruation, an ultrasound examination of the pelvic organs may be required. With the help of ultrasound, the localization of the nodes, their size and density are determined.
In most cases, an ultrasound is enough to make a diagnosis. But the study should be carried out using two sensors: abdominal and vaginal, in order to exclude or confirm the presence of subserous nodes located remotely from the uterus.
With a large size of the uterus, which does not allow an assessment of its condition, an MRI of the small pelvis is performed.
In the case of submucosal uterine fibroids, hysteroscopy (endoscopic method) is recommended. For diagnostic purposes, a special camera is introduced into the cavity, which allows visualizing the state of the organ from the inside. But not every patient can conduct this study, since this is an operative intervention that has a number of contraindications. In order to carry out this operation, intravenous anesthesia is required.
