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Definitive Diagnosis for Uterine Fibroids

If a fibroid tumor was detected during your pelvic or prenatal care exam, our specialists will conduct a thorough evaluation to confirm a diagnosis and gather details that will help determine your treatment options.

Your physician will recommend one of the following diagnostic exams:

Preparing for Your First Appointment

On your first visit, your physician may conduct a physical exam. Please be prepared to discuss your symptoms and share information or documentation you have that may help inform your diagnosis or treatment options, including:

  • Medical records
  • Imaging scans
  • Imaging reports
  • A list of your current medications

Exams for Uterine Fibroid Diagnosis

Diagnostic hysteroscopy

Diagnostic hysteroscopy is a technique that gynecologists use to examine fibroid tumors and other uterine conditions. A gynecologist inserts a thin tube, called a hysteroscope, through the vagina and cervix into the uterus. Only a few millimeters in diameter, the hysteroscope is equipped with a miniature camera and light. This technology allows the gynecologist to see inside the uterus by projecting video images on a digital screen. In some cases, a gynecologist may perform operative hysteroscopy to remove or destroy fibroid tissue immediately, requiring no additional procedure for treatment.

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Magnetic resonance imaging (MRI)

Magnetic resonance imaging (MRI) provides the highest level of enhanced visualization for uterine fibroid diagnosis. MRI technology offers unmatched precision to help physicians pinpoint the exact location of fibroids in the uterus and assess the volume of blood flow feeding fibroid tumors. By comparing MRI scans taken before and after treatment, physicians are also able to measure effectiveness based on reduction in blood flow and fibroid tumor size, in addition to other changes.

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Dr. Nathaniel Crump with a patient


Ultrasound images allow physicians to see the location and size of fibroid tumors in the uterus. During an ultrasound procedure, the imaging probe (called a transducer) may be placed on the abdomen (transabdominal ultrasound) or inside the vagina (transvaginal ultrasound) to capture images of the uterus.

Your physician may order a sonohysterography (or saline-infused sonography), which requires the injection of a solution into the uterus before the ultrasound procedure. Sonohysterography provides enhanced visualization compared to traditional ultrasound.

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