A pelvic ultrasound is a non-invasive way to look at the uterus, fallopian tubes, and the bladder. Ultrasounds can be helpful to diagnose and monitor certain problems, such as a pelvic mass, abnormal bleeding, pelvic pain, or infertility.
Saline sonohysterography or SIS (saline infusion sonogram) is a non-invasive technique using a slow infusion or sterile saline into the uterine cavity during ultrasound imaging. This procedure allows your physician to evaluate abnormalities of the endometrium (lining of the uterus) like fibroids and/or polyps. This more detailed test is often performed when your doctor is considering a procedure to treat abnormal bleeding or fertility issues.
A colposcopy is done when we need to further evaluate an abnormal pap smear. Your doctor places a speculum into the vagina and uses a large cotton swab to apply vinegar to your cervix. As we look through a specially-designed microscope equipped with a green light, the vinegar will cause abnormal areas on the cervix to “light up”. We then usually take a few biopsy specimens which can feel like a menstrual cramp. A liquid iron solution is placed over the biopsy area to stop the bleeding, and it will cause a discharge that looks like coffee grounds for up to several days. You should not use tampons or have intercourse for at least one week after your procedure.
An endometrial biopsy is done to obtain tissue from inside the uterus to determine the cause for irregular bleeding, which is sometimes only due to changes in hormones. It only takes a few minutes, and the procedure can also let us know if you have a polyp (extra tissue growth) or even cancer. Your doctor will glide in a speculum and may numb your uterus. A long, thin suction device will then be threaded through your cervix and into your uterus. You may experience a feeling like strong menstrual cramps, which usually resolve within a few minutes. You may resume normal activities after an endometrial biopsy.
Urodynamic testing measures how well the bladder, sphincters, and urethra store and release urine. Most urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely. Urodynamic tests help see how well your bladder and sphincter muscles work. A catheter is used to empty the bladder completely. Then a special, smaller catheter is placed in the bladder.