Before visiting a gynecologist, answer the following questions:

  • When did you notice the first symptoms?
  • How did the disease develop?
  • What, in your opinion, could provoke it?
  • Had you any traumas or surgeries of an abdominal cavity?
  • Have you any chronic diseases?
  • Were you pregnant? If yes, how did your pregnancy proceed?
  • Have/had you any gynecological diseases?
  • Did your menstrual cycle change in the last six months?
  • Have your closest female relatives any gynecological pathologies?

The more reliable answers you give to these questions, the more accurate diagnostic tests will be appointed.

Diagnostics of uterine fibroids

At the early stages, it's quite difficult to detect uterine fibroids.

The disease does not have specific markers pointing at the development of fibroids. Tumors of small size (up to 2 cm) develop asymptomatically. Gynecological examination and ultrasound may not detect the symptoms.

Medical research focuses mostly on a differential exclusion of fibroids. Doctors apply instrumental methods of examination to confirm the diagnosis and determine the nature of a tumor.

Before the examination, specialists should consider a patient's history, general condition, menstrual flow.

Gynecological exam

The examination is performed on a gynecological chair and includes:

  • pelvic exam;
  • samples taking for lab tests (cytology, sexually-transmitted infections, bacterial inoculation for flora);
  • manual exam - a doctor determines the size of the uterus and its structure.
Manual vaginal examination allows suspecting the fibroids of 2-6cm in size (this size is equal to 6 weeks of pregnancy).

Ultrasound detects uterine fibroids in 96 cases out of 100. It specifies the uterine fibroids localization, their stage, and size.

Ultrasound can monitor tumors from 1cm in diameter. Fibroid growths look like dark round spots that can be distinguished from other tissues.

Specialists apply:

  • transvaginal ultrasound (through the vagina);
  • transabdominal ultrasound (through the abdominal wall).

A tumor that is located on the back of the uterus not always can be found during palpation and transabdominal ultrasound. For its visualization, an ultrasonographer uses a vaginal sensor.

Doctors can also appoint a Doppler ultrasound test to detect vessels feeding a tumor. It has a significant meaning in case of surgical fibroids treatment.

Magnetic resonance imaging (MRI)

A patient with uterine fibroids requires MRI only if it is not possible to obtain an accurate clinical picture in other ways. This procedure allows to exclude the presence of a malignant tumor, and determine the location and size of the nodes as precious as possible.

MRI is also used before the HIFU procedure and to select the correct access point in laparoscopic myomectomy.

Aspiration biopsy

For the diagnosis of fibroids and other gynecological pathologies, doctors apply endometrial biopsy. The biopsy of fibroid nodes is carried out only after their removal to confirm they are benign.

Aspiration biopsy is performed without anesthesia with the help of a special papel tool. The device is inserted into the uterine cavity and, like a syringe, vacuums a piece of the endometrium.

This method is less traumatic than diagnostic curettage that was used to collect material from the uterus. It does not require general anesthesia and hospitalization.

Depending on the disease being studied, a biopsy is performed on certain days of the cycle and is prescribed in case ultrasound has detected suspicious changes in the endometrium.

To exclude misdiagnosis of uterine fibroids, laboratory tests are also carried out and include:

  • general and biochemical blood tests;
  • urianalysis;
  • tests for oncomarkers;
  • coagulogram;
  • tests for HIV, syphilis, hepatitis.
  • In the most complex diagnostic cases,
  • hormonal examination;
  • hysterosalpingography (examination of tubal permeability);
  • laparoscopy (provides an examination of the external tissues of the uterus and adjacent organs;
  • irrigoscopy (X-ray of the large intestine) - to assess the condition of adjusting organs.

Where to provide an examination of uterus fibromas?

Currently, there are a lot of ways to preserve the uterus. The key principle of their usage is only timely, high-quality diagnostics. Accuracy and efficiency of the conducted examinations are highly important if there is a suspicion of the cancer development.

Diagnosis and treatment of uterine fibroids in best hospitals of the world allow a woman stay healthy and become a mother.

Advantages of diagnosis of uterine fibroids in top world hospitals:

  • efficiency (examination takes 2-3 days)
  • consultation with specialists with international recognition
  • the development of an individual diagnostic program according to the stage of development of the disease and the localization of the tumor
  • modern equipment application (top hospitals adopt the latest developments in the field of medicine, apply non-standard approaches to examination and treatment).

German, Israeli and Turkish medical centers can make the diagnose of uterine fibroids even at the earliest stages when the tumor size is only a few millimeters. It gives a possibility to choose the optimal treatment program and prevent further development of the disease.