Polycystic Ovary Syndrome (PCOS): Diagnosis, Research & Management
Polycystic Ovary Syndrome (PCOS) is a common endocrine disorder that affects individuals with ovaries, often during their reproductive years. Characterized
Gynaecology > Uterine Cavity Assessment
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If you are under 40 and have been having unprotected sexual intercourse every 2 – 3 days for one year without conceiving, we are here to help you discover the reasons why.
Our experienced team of specialists can evaluate your uterine health, hormone levels, and overall fertility. Please call us to book an appointment. It is advisable for both you and your partner to see a doctor, as fertility issues can affect both men and women.
Female fertility naturally begins to decline after age 30, and for women aged 36 or older, it is advised to consult with a doctor about fertility as soon as you start trying to conceive, as fertility tests can take time.
In cases of female infertility or subfertility, a uterine cavity assessment is recommended. This assessment allows the doctor to examine the shape of the uterus and fallopian tubes, and to check for structural or functional issues, including tumours, polyps, fibroids, cysts, adhesions, scarring, or endometriosis.
Assessing the uterine cavity involves various methods for evaluating its structure and health. Transvaginal ultrasound uses a probe to image the uterus and its lining, detecting issues like fibroids or polyps. Sonohysterography enhances this by injecting saline for clearer views.
Hysterosalpingography employs X-rays and contrast dye to visualise the cavity and fallopian tubes, identifying abnormalities such as polyps or adhesions. Hysteroscopy, a minimally invasive procedure, directly examines the uterine cavity to diagnose and treat conditions like fibroids or septums.
MRI provides detailed images when needed. Each method is chosen based on clinical indications, aiding in diagnosing fertility issues, abnormal bleeding, or other uterine health concerns effectively.
A uterine cavity assessment is recommended for:
Uterine cavity assessment is a crucial diagnostic tool in gynaecology and reproductive medicine, offering several significant benefits:
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Before undergoing a uterine cavity assessment, it is essential to understand the different types of procedures available and what each involves. Your healthcare provider will recommend the most appropriate assessment based on your symptoms and medical history. If possible, bring a friend or family member to provide support and help you get home if you receive sedation. Dress in comfortable, loose-fitting clothing on the day of the procedure.
Transvaginal Ultrasound (TVUS) uses a transducer in a private room to create uterine and ovarian images in 15 – 30 minutes with minimal discomfort. Hysterosalpingography (HSG) takes place in a radiology suite, where a speculum and catheter inject contrast dye to capture images filling the uterus and fallopian tubes in about 30 minutes, causing cramping. Lastly, Hysteroscopy employs a hysteroscope to view the uterus on a screen in an office or hospital, lasting 15 – 45 minutes with cramping managed by local anaesthesia or mild sedation.
After the procedure, you may rest for a short period before going home. It’s normal to experience mild cramping or spotting for a day or two. Your healthcare provider will discuss the findings with you, either immediately after the procedure or during a follow-up appointment. Based on the results, your provider will recommend the next steps, which may include further tests or treatment.
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