An ultrasound is the typical imaging test that a doctor uses to confirm the presence of uterine fibroids, using sound waves to locate and measure fibroids, according to the Mayo Clinic. Sterile saline is injected into the uterus during a transvaginal ultrasound in a procedure called a hysterosonogram, states WebMD.
The transducer, or ultrasound device, is either moved over the surface of the abdomen or inserted into the vagina for a transvaginal ultrasound, explains the Mayo Clinic. Other tests that may be required include a complete blood count to check for anemia if the patient has experienced significant vaginal bleeding. If more specific information is needed about the uterine growths and how to treat them, magnetic resonance imaging may be ordered.
Dye is used in a hysterosalpingography to make the uterus and fallopian tubes appear in greater contrast on X-ray images, states the Mayo Clinic. This test shows if the fallopian tubes are functioning normally while also locating and measuring the fibroids. A hysteroscope is an endoscope that the doctor inserts into the uterus by way of the cervix in a test called a hysteroscopy. A saline solution is inserted to facilitate assessment of the uterus and fallopian tubes. Uterine fibroids are often found by accident when a doctor notices that the uterus has an unusual size or shape during a woman’s annual pelvic exam. Most women with fibroids are asymptomatic.