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Hysteroscopy
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If a uterine abnormality is suspected after the HSG, your doctor
may opt for this procedure, performed with a thin telescope mounted
with a fiber optic light, called a hysteroscope. The hysteroscope
is inserted through the cervix into the uterus and enables the
doctor to see any uterine abnormalities or growths. "Photos" are
taken for future reference. This procedure usually is performed
in the early half of a woman's cycle so that the build-up of the
endometrium does not obscure the doctor's view. However, if the
doctor is planning to do an endometrial biopsy at the same time,
it is done near the end of the cycle.
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Laparoscopy-
A narrow fiber optic telescope is inserted through a woman's abdomen
to look at the uterus, fallopian tubes, and ovaries and to discern
endometriosis or pelvic adhesions, and is the best diagnostic
tool for evaluating the ovaries. This test us usually done two
or three days before menstruation is expected, and only after
an HCG beta blood test ensures the woman is not pregnant.
Sonosalpingography
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In this test, under ultrasound guidance one can observe the passage
of fluid i. e. saline (injected into the cervix via a syringe
attached to a catheter), through the uterus into the tubes and
finally spilling around the ovaries into the pouch of Douglas.
This is an outpatient procedure.
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