How do you diagnose fibroids?

Sometimes fibroids are so large I will be able to feel them when I examine you – either through your stomach or with a vaginal exam.
My next step is to organise a pelvic ultrasound with an appropriately trained ultrasound specialist – this is a Doctor who has trained in Gynaecology and then subspecialised in ultrasound scanning. It is important that ultrasound are done by the right clinic as many radiology centres that offer ultrasound scanning do not have the appropriate training to perform a gynaecological exam and tell me all the information that I require.
Sometimes it may be necessary to organise another type of scan called an MRI. I would only organise this if the fibroid had features that concerned me it may be a cancerous type of fibroid. Of if the fibroid was so large I wished to get more information about the kidneys and to see if the fibroid might be causing some obstruction to the ureter on either side – the tubes between the kidneys and the bladder.