When you are having difficulty conceiving and approach a doctor, the doctor will check if the female partner is ovulating, the uterus is normal, the fallopian tubes are patent and healthy and the male partner has a normal semen report.
So how will the doctor check if the uterus is normal or OK?
There are many different ways of checking the uterus.
- Vaginal Ultrasound– This is the most common procedure done to check for the uterus in which a transvaginal ultrasound probe is inserted into the vagina. The sound waves from the probe are carried to a screen on which we can see an image of the uterus and both ovaries.
- Sonohysterogram- This is a special type of vaginal ultrasound in which a small amount of fluid is placed inside the uterus with a small plastic tube. It allows the doctor to see the shape of the uterine cavity.
- Hysterosalpingogram– In this test, a small amount of dye is injected through the cervix and a series of X- rays are taken to trace the path of dye through the uterus, fallopian tubes and spill into the abdomen. This test gives information about the uterus and fallopian tubes. It is generally done after your periods are over. You may experience mild to severe cramping with this test.
Hysteroscopy- This is a surgical procedure to diagnose and treat problems of the uterus in which a small lighted telescope attached to a camera is put inside the uterus through the cervix to see the inside of the uterine cavity. The images from the camera are projected and seen on a screen.
A hysteroscopy may be required in following patients
- Patients having trouble conceiving
- Those having repeated miscarriages
- If there is an abnormality detected on a pelvic ultrasound like an endometrial polyp or submucous fibroid.
- Those who have scanty bleeding during menses
- If a uterine malformation like a uterine septum or a bicornuate uterus etc. is suspected.
- If there is a doubt of adhesions inside the uterus like after genital Koch’s etc.
- Along with laparoscopy to try opening the ends of fallopian tubes which open in the uterus( proximal tubal cannulation)
So consult your doctor today if you have any doubts about your uterus.