Your doctor may suspect that you have a uterine fibroid problem based on:
- The results of a pelvic exam.
- The history of your symptoms and your menstrual periods.
You will probably also have a pelvic ultrasound or hysterosonogram to confirm that you have one or more uterine fibroids. A hysterosonogram is done by filling the uterus with sterile saline during a transvaginal pelvic ultrasound.
Hysteroscopy is a procedure that allows a doctor to look at the inside of the uterus.
If you have severe pain, bleeding, or pelvic pressure or have had repeat miscarriages or trouble becoming pregnant, you will probably have other tests to look for other possible causes of your symptoms. Two examples of possible causes are endometriosis and pelvic inflammatory disease (PID).
And tests for specific symptoms, such as urinary or bowel problems, may be needed to diagnose the problem or to help build a treatment plan.