Fibroids Diagnosis


If confirmation is needed, an ultrasound — a painless exam that uses sound waves to obtain a picture of the uterus — to confirm the diagnosis and to map and measure fibroids. A technician moves the ultrasound device (transducer) over the abdomen (transabdominal) or places it at the vaginal lips (transvaginal) to obtain images of your uterus. This study can miss intracavitary lesions.


This study is ideal for women with heavy periods or abnormal uterine bleeding. A narrow, lighted telescope called a hysteroscope is inserted through the cervix into the uterus. Saline is introduced expanding the uterus and allowing examination of the uterine cavity. Fibroids, polyps, lesions and/or growths can not only be visualized but removed as well.

Other imaging tests used less often is sonohysterography and hysterosalpingography.

Other Tests

If abnormal uterine bleeding is occurring, it is important to check a hemoglobin to determine if iron deficiency anemia exists because of chronic blood loss. If you are 40 or older it is imperative to evaluate the endometrial tissue with an endometrial biopsy (EMB) to rule out atypical hyperplasia or endometrial carcinoma (cancer of the uterus).