Submucosal fibroid is detected by
Correct Answer: Hysteroscopy
Description: USG: Ultrasound is the most readily available, least costly imaging technique to diagnose fibroid. It checks the number, location, and size of fibroids and helps to reduce overlooking small fibroids during surgery (which might lead to persistence or recurrence of symptoms).
Sonohysterography – is instillation of saline into endometrial cavity during TVS
Hysteroscopy or hysterosalpingography: These methods are useful to detect submucous fibroid in unexplained infertility and repeated pregnancy wastage. The presence and site of submucous fibroid can be diagnosed by direct visualization during hysteroscopy or indirectly as a filling defect on HSG. Hysteroscopy also allows its excision under direct vision.
Uterine Curettage: It can also help in diagnosis of submucous fibroid by feeling of a bump during curettage.
Laparoscopy: is helpful if uterine size is less than 12 weeks, for detection of subserous fibroid and not submucous. It can also differentiate a pedunculated fibroid from an ovarian tumor not revealed by clinical examination and ultrasound.
Category:
Gynaecology & Obstetrics
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