Diagnosis and Imaging Techniques for Uterine Fibroids

Uterine fibroids are benign (non-cancerous) tumors that develop within the uterine muscle.Welcome to London Fibroid (الاورام الليفية) Clinic. Discover cutting-edge interventional radiology services in the heart of London for the treatment of uterine fibroids (تليف الرحم). While many women experience no symptoms, others may suffer from heavy menstrual bleeding, pelvic pain, and fertility issues. Proper diagnosis is crucial in determining the size, number, and location of fibroids to develop an effective treatment plan.At the London Fibroid Clinic, specialists use advanced imaging techniques to diagnose fibroids accurately. These imaging methods help determine the most appropriate treatment, whether it be Uterine Fibroid Embolization (UFE), myomectomy, or other minimally invasive procedures.

When Should You Get Tested for Fibroids?

Women should seek medical evaluation if they experience:

• Heavy or prolonged menstrual bleeding
• Pelvic pain or pressure
• Frequent urination or difficulty emptying the bladder
• Chronic constipation or bloating
• Infertility or recurrent miscarriages
• Unexplained weight gain or abdominal swelling

Physical Examination for Fibroid Diagnosis

Before ordering imaging tests, a doctor will conduct a pelvic examination to check for an enlarged or irregularly shaped uterus, which may indicate the presence of fibroids. However, since fibroids can vary in size and location, imaging is often required for a precise diagnosis.

Imaging Techniques Used to Diagnose Uterine Fibroids

The London Fibroid Clinic offers state-of-the-art imaging techniques to ensure accurate diagnosis and treatment planning.

1. Ultrasound (Transabdominal and Transvaginal)

Ultrasound is the first-line imaging test for detecting uterine fibroids. It uses high-frequency sound waves to create images of the uterus and fibroids.Types of Ultrasound:

• Transabdominal Ultrasound:
  • The probe is placed on the lower abdomen.
  • Provides a broad view of the uterus and fibroids.
• Transvaginal Ultrasound:
  • The probe is inserted into the vagina for a closer, detailed view.
  • Ideal for detecting smaller fibroids and evaluating their impact on the uterine lining.

Benefits:

✔️ Non-invasive

✔️ No radiation exposure

✔️ Widely availableLimitations:

• May not detect very small fibroids.
• Less effective in distinguishing fibroids from other uterine conditions (e.g., adenomyosis).

2. Magnetic Resonance Imaging (MRI)

MRI is the most accurate imaging test for diagnosing fibroids, as it provides detailed, high-resolution images of the uterus.How It Works:

• Uses a magnetic field and radio waves to create clear images of fibroids.
• Helps determine size, number, and type of fibroids.

When Is MRI Recommended?

✅ If ultrasound results are unclear.

✅ To differentiate fibroids from adenomyosis.

✅ To plan Uterine Fibroid Embolization (UFE) or surgical treatment.Benefits:

✔️ Provides precise imaging of fibroids.

✔️ Helps in choosing the best treatment option.

✔️ No radiation exposure.Limitations:

• More expensive than ultrasound.
• Not always necessary unless detailed imaging is required.

3. Hysterosonography (Saline Infusion Sonography – SIS)

Hysterosonography is a specialized ultrasound technique that provides better visualization of fibroids inside the uterine cavity.How It Works:

• A sterile saline solution is injected into the uterus.
• The fluid expands the uterus, allowing for a clearer view of fibroids using ultrasound.

When Is It Used?

✅ To evaluate submucosal fibroids (inside the uterine lining).

✅ For women with heavy menstrual bleeding or infertility.Benefits:

✔️ More effective than standard ultrasound in detecting submucosal fibroids.

✔️ Non-invasive and no radiation.Limitations:

• May cause mild discomfort.
• Not suitable for women with active pelvic infections.

4. Hysteroscopy

Hysteroscopy is a minimally invasive procedure used to directly examine the inside of the uterus for fibroids.How It Works:

• A thin, lighted camera (hysteroscope) is inserted into the uterus through the vagina.
• Allows direct visualization of fibroids and other abnormalities.

When Is It Used?

✅ To confirm submucosal fibroids before surgery.

✅ If other imaging tests do not provide clear results.Benefits:

✔️ Provides direct visualization of fibroids.

✔️ Can be used for diagnosis and treatment (hysteroscopic myomectomy).Limitations:

• Requires anesthesia in some cases.
• Not useful for fibroids located outside the uterine cavity.

5. Computed Tomography (CT) Scan

CT scans use X-rays to create detailed cross-sectional images of the uterus. However, they are rarely used for diagnosing fibroids due to lower accuracy compared to MRI.When Is It Used?

• Only in cases where other imaging tests are inconclusive.

Limitations:

• Radiation exposure.
• Less detailed than MRI for fibroids.

Which Imaging Technique Is Best for Diagnosing Fibroids?

How Imaging Helps in Treatment Planning

After diagnosing fibroids, the London Fibroid Clinic customizes treatment based on:

• Fibroid size and location.
• Severity of symptoms.
• Desire for future pregnancy.

Common Treatment Options Include:

✅ Uterine Fibroid Embolization (UFE): A non-surgical treatment that shrinks fibroids.

✅ Myomectomy: Surgical removal of fibroids for women planning pregnancy.

✅ Hysteroscopic Fibroid Removal: For submucosal fibroids inside the uterine cavity.

Conclusion

Accurate diagnosis of uterine fibroids is essential for effective treatment. At the London Fibroid Clinic, specialists use advanced imaging techniques such as ultrasound, MRI, hysterosonography, and hysteroscopy to detect fibroids with precision.If you experience heavy bleeding, pelvic pain, or fertility issues, early diagnosis can help prevent complications and improve treatment outcomes. Schedule a consultation today to explore your options for fibroid management and relief.