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Your doctor may suspect that you have a uterine fibroid problem based on:
The results of a pelvic exam. This checks the size of your uterus.
The history of your symptoms and your menstrual periods.
You will probably also have a pelvic ultrasound or hysterosonogram. This can 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. These tests help your doctor see how large your fibroids are. The doctor can also see where they are growing.
If you've had heavy menstrual bleeding, you may have a complete blood count (CBC) to check for anemia.
Laparoscopy may be used to look for and locate fibroids on the outer surface of the uterus before removal.
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 getting pregnant, you will probably have other tests to look for other possible causes of your symptoms. Other causes include endometriosis and pelvic inflammatory disease (PID).
If you have specific symptoms, such as urinary or bowel problems, you may need more tests. These tests can find the reason for the symptoms. Or they can help you build a treatment plan.