Transvaginal Ultrasound for the Diagnosis of Abnormal Uterine Bleeding

Karen C Wheeler, Karen Wheeler, Wheeler KC, Goldstein SR, Steven R. Goldstein
Clinical Obstetrics and Gynecology · 2016 · vol. 60(1) , pp. 11–17 · doi:10.1097/grf.0000000000000257 · PMID:28005589 · W2567719439
article OA: closed CC0 ⤵ 3 in-corpus citations
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Transvaginal ultrasound is the first-line imaging test for abnormal uterine bleeding, diagnosing structural causes and ovulatory dysfunction using 2D, 3D, and saline infusion sonohysterography.

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Abstract

Transvaginal ultrasound is the first-line imaging test for the evaluation of abnormal uterine bleeding in both premenopausal and postmenopausal women. Transvaginal ultrasound can be used to diagnose structural causes of abnormal bleeding such as polyps, adenomyosis, leiomyomas, hyperplasia, and malignancy, and can also be beneficial in making the diagnosis of ovulatory dysfunction. Traditional 2-dimensional imaging is often enhanced by the addition of 3-dimension imaging with coronal reconstruction and saline infusion sonohysterography. In this article we discuss specific ultrasound findings and technical considerations useful in the diagnosis of abnormal uterine bleeding.

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Condition tags

adenomyosis

MeSH descriptors

Endometrium Ultrasonography Uterine Hemorrhage Uterine Hemorrhage Endometrium Endosonography Female Humans Hysteroscopy Leiomyoma Leiomyoma Leiomyoma Polyps Sodium Chloride Sodium Chloride Ultrasonography Uterine Hemorrhage

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