Uterine fibroids - Diagnosis. Methods of diagnosis of uterine fibroids
If you suspect uterine fibroids begin with a survey of history-taking. The doctor pays attention to the beginning of menarche, presence and number of abortions, childbirth and their complications, the presence of the disease in close relatives. Of great importance are the intrauterine intervention, performed prior to diagnostic or therapeutic purposes, carried infectious diseases of female genitalia, pathology of other organs and systems, especially endocrine, cardiovascular, hematopoietic. It is important to clarify the severity and duration of blood loss during menstruation.
Collecting history is an important moment
During the physical examination assessed coloration of the skin and mucous membranes, which are observed in the pallor of anemia, which is a consequence of prolonged or massive blood loss.
On palpation of the abdomen in the suprapubic area may be determined by the increased up to 12 weeks of pregnancy and a uterus in the form of asymmetric hummocky solid education. Bimanual vaginal examination can suspect the presence of fibroids smaller. The absence of palpation symptoms characteristic of this disease does not exclude its presence.
The next diagnostic step is an ultrasound scan. It allows you to accurately determine the size and location of myoma nodes. For better visualization of the tumor and evaluate its characteristics using two types of sensors: transabdominal and transvaginal. This method is used to monitor growth rate and monitoring the effectiveness of treatment.
During the examination the doctor palpates the abdomen
Thanks to expand the range of ultrasound examinations became possible a detailed study of blood flow within tumors using three-dimensional ultrasound and Doppler, color Doppler mapping.
You can use a computer, or magnetic resonance imaging to clarify the structure of the myoma node, and for the differential diagnosis of adenomyosis.
If you suspect a submucosal fibroid location, the diagnostic value of endoscopy are (hysteroscopy) and X-ray methods (hysterosalpingography).
There is this kind of research, as gisterosonografiya. This is an ultrasonic method of diagnosis, which is used in case of heavy menstrual bleeding, or acyclic. Injected through the catheter sterile saline into the uterine cavity, thereby increasing its clearance, it contributes to an accurate visualization of changes in the myometrium.
In patients with uterine bleeding is mandatory determination of hematocrit, hemoglobin, coagulation parameters.
When the location of subserous fibroids, the presence of nodes on the stem, as well as to assess the condition of the pelvic organs may conduct a diagnostic laparoscopy.
The diagnosis of uterine fibroids with absolute precision allows you to put the remote node histology, which is mandatory. From the results depends on the prognosis and further tactics of the patients.