Fluid-Enhanced Ultrasound

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Fluid-Enhanced Ultrasound

One technique that is particularly useful in the office evaluation of abnormal uterine bleeding is sonohysterography, or fluid-enhanced ultrasound.

A thin catheter is introduced through the cervix and into the uterine cavity. Then, transvaginal ultrasound scanning is performed while sterile saline is injected through the catheter into the cavity. This separates the uterine walls and outlines any intrauterine masses, such as polyps or fibroids. The uterine lining can also be carefully evaluated for thickening or projections.

Once identified, these abnormalities can be removed through D&C. Conversely, those whose cavities and lining are normal will not usually not benefit from D&C or hysteroscopy as no abnormality will be found.

You can watch a 5 minute video demonstrating this technique here.

This information is provided by The Brookside Associates. The Brookside Associates, LLC. is a private organization, not affiliated with any governmental agency. The opinions presented here are those of the author and do not necessarily represent the opinions of the Brookside Associates or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. All material presented here is unclassified.

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