The dye is inserted through a small tube that the doctor inserts in your vagina, through your cervix, and into your uterus. This is a test that involves introducing a special type of dye into your uterus and fallopian tubes, and then taking an x-ray. This is usually done in a procedure or operating room, although some new and very small hysteroscopes may allow visualization to be done in office settings. The image is transmitted to a screen and allows your doctor to view the lining of your uterus, and to take a biopsy or remove small polyps. The hysteroscope is a thin tube with a camera and a light on the end, which is inserted in your vagina, through your cervix, and into your uterus. This procedure allows your doctor to see inside your uterus, using an instrument called a hysteroscope. The technician will maneuver the probe in order to capture images of the pelvic organs. A lubricated probe (transducer) will be placed about 5 cm into your vagina. Transvaginal ultrasound uses sound waves to provide images of the female reproductive organs, including the uterus, cervix, ovaries, fallopian tubes, and pelvic area. There is no radiation involved in ultrasound. Pelvic ultrasound can help in the diagnosis of abnormal menstrual bleeding, and can be used to view the lining of the uterus. Sometimes to better visualise the uterus a sterile ultrasound probe is placed in the vagina (transvaginal ultrasound) or rectum (rectal ultrasound). A gel is applied to your skin to help the sound waves travel better. The procedure uses sound waves that are emitted from a small, handheld device (transducer) that is placed on your lower abdomen. Pelvic ultrasoundĪ pelvic ultrasound is used to visualize the organs in the lower pelvis, including the uterus, cervix, fallopian tubes, ovaries, and bladder. This allows the doctor to feel for abnormalities behind the uterus, and on the lower walls of the vagina. The doctor will insert one finger in your rectum and one in your vagina, in order to feel the tissues deep in your pelvis. ![]() Rectal-vaginal examĪ recto-vaginal exam can be used to feel your ovaries and the ligaments of your uterus. Any unusual growths or painful spots can be identified. The doctor will be able to find and feel your uterus and your ovaries. After visually inspecting your vulva, vagina, and cervix, your doctor will insert one or two gloved fingers inside your vagina, while using the other hand to press on your lower belly. The position and size of your uterus, ovaries and cervix can also be assessed. Pelvic examĪ pelvic exam allows your doctor to examine your pelvic organs. If you have a known bleeding disorder, it is important to tell your doctor so that you may take the proper preparations to ensure that bleeding resulting from a test will be well controlled – particularly in the case of biopsy. This list of tests does not include blood tests that you might take, and is specifically referring to physical exam, imaging, radiology, and biopsies. What tests are used to help diagnose abnormal menstrual bleeding? Knowing what the test will involve can help ease any worries you may have. ![]() Blood and urine samples may be collected, and there are a number of ways that the inside of your pelvic organs can be visualized. If you are experiencing abnormal menstrual bleeding, your doctor will likely recommend that you undergo some testing.
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