Based on symptoms and by physical exam, there is a good chance that the doctor will be able to tell if the patient has a fibroid tumor. However, it is important for the doctor to confirm this diagnosis and rule out the possibility that what appears to be a fibroid is really not something more serious, such as an ovarian tumor, a pelvic inflammatory mass or a diverticular inflammatory mass of the colon.

The pelvic/abdominal ultrasound is the most common and accurate test that is used to confirm the diagnosis of fibroids. During this procedure, a wand-like instrument is moved across the surface the abdomen or inserted into the vagina. Sound waves create an image of the pelvic organs on a monitor. Hysterosonargraphy may also be performed. In this procedure, a catheter is inserted through the cervix and into the uterus, and a saline solution is pumped into the womb. Using ultrasound, the gynecologist or ultrasound technician can get a better view of the fibroids. This procedure can provide additional information about their size, number and location as well as evaluate the ovaries.

MRI (Magnetic Resonance Imaging) and CT (Computed Axial Tomography)
On rare occasions, other imaging studies such as magnetic resonance imaging (MRI) or computed tomography (CT) scans are used to provide additional information that may lead to a diagnosis of fibroids. The MRI is a more accurate test, but its cost precludes its routine use.

Diagnostic Hysteroscopy
If hysterosonargraphy is not available, a hysteroscopic procedure is performed with a telescope-like thing which is inserted through the cervix and vagina into the uterus, allowing a physician to check for growths and abnormalities. It is particularly useful for evaluating submucosal fibroids, the fibroids most commonly associated with abnormal uterine bleeding. The physician can actually see the fibroid or other potential causes of bleeding through the scope.

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