What tests are needed to diagnose uterine fibroids?

What tests are needed to diagnose uterine fibroids? Uterine fibroids are a common benign tumor in women. They have no obvious clinical manifestations, mainly irregular menstruation. Most patients do not feel any discomfort, so the diagnosis of uterine fibroids is also a problem that female friends should pay attention to. So what tests are needed to diagnose uterine fibroids? Our experts will introduce it to you in detail below.

The diagnosis of uterine fibroids requires the following tests:

1. Uterine probe examination: When fibroids enlarge the entire uterus, the uterine cavity often also enlarges or deforms. A uterine probe can be used to detect the size and direction of the uterine cavity to assist in diagnosis.

2. Hysterosalpingography: This examination is an ideal method for uterine fibroid examination. It can not only show the number and size of submucosal fibroids, but also locate them. Therefore, it is very helpful for the early diagnosis of submucosal fibroids, and the method is simple. The radiograph of the fibroids shows that there is filling and incompleteness in the uterine cavity.

3. Ultrasound examination: B-ultrasound examination is more common in China. It can identify fibroids with an accuracy rate of 93.1%. It can show enlarged uterus, irregular shape, number, location, size of fibroids, whether the fibroids are uniform or liquefied cystic, and whether there is compression of other organs around. Due to the dense density of tumor cells per unit volume in fibroid nodules, the content of connective tissue scaffold structure and the different arrangement of tumors and cells, fibroid nodules show three basic changes when scanned: weak echo, equal echo and strong echo.

4. Diagnostic curettage: Diagnostic curettage is the most commonly used, simple and easy auxiliary diagnostic method in gynecology. Its basic requirements are to explore and understand the situation of the uterine cavity and scrape the endometrium for pathological examination. During diagnostic curettage, the depth, direction, deformation and submucosal fibroids of the uterine cavity are explored, and vaginal examination is assisted to determine the location of the fibroids and their impact on the uterine cavity. When the anterior wall fibroids protrude into the uterine cavity, the uterine probe enters in a direction that is biased to the back first. On the contrary, if the fibroids come from the posterior wall, the probe enters forward first, and there is a sense of climbing when moving forward. Only when you cross the protruding part can you reach the bottom of the uterus. When curettage, you should feel whether the uterine wall is smooth, whether there are protrusions and tumors sliding at the bottom of the uterus, but small submucosal fibroids are easily slipped over and missed, which is the shortcoming of diagnostic curettage.

The above is an introduction to the examinations that need to be done for the diagnosis of uterine fibroids. I believe you have already understood that female friends should have regular gynecological examinations to achieve early detection and early treatment. If you have other questions related to uterine fibroids, please consult our online experts or call our consultation phone, and the experts will give you detailed answers.

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