Ultrasounds are used to help diagnose or treat common breast and gynecological health issues. Abnormal uterine bleeding, cysts, tumors, fibroids and pelvic pain are all conditions that can be diagnosed and evaluated through pelvic ultrasound imaging. It’s also useful when looking for unknown causes of pelvic pain or abnormal bleeding, diagnosing fertility problems, and locating an IUD for removal.

Breast Ultrasound

Breast ultrasound is a widely used adjuvant to mammography for the detection of breast cancer and other breast abnormalities. Along with 3D mammogram, breast ultrasound is an ideal screening for early detection, especially for people with dense breast tissue.

A doctor may schedule a breast ultrasound after discovering a lump in the breast tissue during a routine physical examination or mammogram.

They may also request a breast ultrasound for:

  • Assessing unusual nipple discharge
  • Evaluating cases of mastitis, which is the inflammation of the mammary tissues
  • Assessing symptoms, such as breast pain, redness, and swelling
  • Examining skin changes, such as discoloration
  • Monitoring existing benign breast lumps
  • Verifying the results of other imaging tests, such as an MRI scan or a mammogram

Prior to your scheduled breast ultrasound:

  • People should avoid applying any lotions or powders to their skin before the test, as these may decrease the accuracy of ultrasound images.
  • Having any form of metal on the body can also interfere with the test results, so it is important to avoid wearing jewelry or a watch.
  • Wearing separate items of clothing on the top and bottom instead of a dress or one-piece outfit often makes it easier to avoid removing all clothing. For some people, choosing a button up or zippered shirt might also make the undressing process more comfortable.

Gynecologic Ultrasound

Indications for pelvic sonography include but are not limited to the following:

  1. Pelvic pain
  2. Dysmenorrhea (painful menses)
  3. Amenorrhea
  4. Menorrhagia (excessive menstrual bleeding)
  5. Metrorrhagia (irregular uterine bleeding)
  6. Menometrorrhagia (excessive irregular bleeding)
  7. Follow‐up of a previously detected abnormality
  8. Evaluation, monitoring, and/or treatment of infertility patients
  9. Delayed menses, precocious puberty, or vaginal bleeding in a prepubertal child
  10. Postmenopausal bleeding
  11. Abnormal or technically limited pelvic examination
  12. Signs or symptoms of pelvic infection
  13. Further characterization of a pelvic abnormality noted on another imaging study
  14. Evaluation of congenital anomalies
  15. Excessive bleeding, pain, or signs of infection after pelvic surgery, delivery, or abortion
  16. Localization of a intrauterine contraceptive device
  17. Screening for malignancy in patients at increased risk
  18. Urinary incontinence or pelvic organ prolapse
  19. Guidance for interventional or surgical procedures

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