Abnormal bleeding is one of the most common reasons for a woman to seek medical attention. About ten to thirty percent of reproductive age women will experience some form of menstrual disturbance. There is a whole laundry list of causes, including stress, underlying hormone imbalance, tumors, clotting disorders and even cigarette smoking. While a disturbance in the normal hormone fluctuation may be the most common reason, it is not the only cause. For this reason, an ultrasound is often performed, usually with transvaginal views. The transvaginal approach obviates the need for that overly filled bladder and can often more easily see pathology such as submucus fibroids or endometrial polyps. The thickness of the uterine lining can also be measured as well.
Sometimes, a 3D sonogram is done to note the architecture of the uterine cavity and to further delineate suspected intracavitary pathology. Finally, if either there is the suspicion of focal pathology or to amplify the findings from the sonogram, a saline sonohysterogram can be performed.
Depending on the results of these tests, further evaluation and treatment can be discussed. For more information or to schedule an ultrasound, call: (718) 925 - 6277.
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