🩺 Ultrasound in Gynecology

✅ Answer: (d) Fibroid Uterus

📖 What is Ultrasound?

Ultra = Beyond
Sound = Sound waves

👉 Ultrasound (Ultrasonography) uses high-frequency sound waves to create images of organs inside the body. It is painless, non-invasive, and does not use radiation.

📖 What is a Fibroid Uterus?

Fibroid = A benign (non-cancerous) tumor made of smooth muscle.
Uterus = Womb.

👉 Fibroids are the most common benign tumors of the uterus, especially in women of reproductive age.

Common symptoms include:

• Heavy menstrual bleeding
• Pelvic pain or pressure
• Abdominal swelling
• Infertility in some women

🔍 Why is Ultrasound the Best Initial Test?

Ultrasound clearly shows:

• Number of fibroids
• Size of fibroids
• Location within the uterus

👉 Therefore, it is the first-line imaging investigation for diagnosing uterine fibroids.

❌ Why Other Options Are Wrong?

(a) Endometrial Carcinoma
❌ Ultrasound may suggest abnormalities, but confirmation requires an endometrial biopsy.

(b) Cancer Cervix
❌ Diagnosed primarily by Pap smear, colposcopy, and biopsy.

(c) Leiomyosarcoma
❌ A rare malignant uterine tumor that cannot be reliably diagnosed by ultrasound alone; histopathological examination is required.

📌 Disclaimer: For nursing exam preparation only. Ultrasound is the preferred initial imaging test for uterine fibroids, while cancers require tissue biopsy for definitive diagnosis.