What tests are required for fibroids?
Ultrasound scan often is the best investigation. It can obviously make the diagnosis but can also tell us about numbers, size and location. It can also help with planning treatment.
For small fibroids, a transvaginal scan is more useful. For large fibroids, a transabdominal scan may be needed in addition.
MRI scan can sometimes be needed for more accurate description of size and location and for planning of surgery. MRI can be useful if there is suspicion of malignant transformation (Leiomyosarcoma). A CT scan may be needed if there is pressure on the kidneys causing dilatation.
Blood tests such as Haemoglobin levels and iron profile may be required to assess the degree of anaemia.
Hysteroscopy may be required if there are bleeding symptoms and presence of submucous fibroids. Hysteroscopy is camera inspection of the uterine cavity. This examination can be used not only for diagnosis of submucous fibroids, but they can also be treated through this approach. For more information on hysteroscopy click here.
What monitoring is required?
Fibroids would usually be monitored based on symptoms as treatment is needed only if they become symptomatic. Annual ultrasound and consultation may be useful as it gives an opportunity to reassess the situation and appraise available options.