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Visualizing the Endometrium, was Re: GYN:Suggestions pleaseFrom: Dan Logen (pdl@whidbey.net)Mon Aug 31 09:49:16 1998
Scotia I have found that when the endometrial stripe is not well visualized, and it is important to do so, that a tenaculum on the cervix can alter the axis of the uterus. The probe can then be placed either in the anterior or posterior fornix with good visualization.
-- Dan Logen Private Practice OB-GYN Mt. Vernon, WA ---------- > From: Scotia Phillips, RT, RDMS <scotia@bellsouth.net> > To: Multiple recipients of list <ultrasound@talk.obgyn.net> > Subject: Re: GYN:Suggestions please > Date: Monday, August 31, 1998 3:06 AM > > Dear Martin: > Thank you for your response. I am sure you recognized that these are > suggestions for the unsually difficult patient. > I also don't think I would try any of this if I were a male sonographer, > however I have been scanning long enough that I remember the horror > expressed by many regarding sonographers performing transvaginal > ultrasound. There are indeed, a few of those folks remaining, male and > female, who would prefer to do any procedure other than TVS! > Fortunately, I practice in an all female office in one location. It > helps a great deal when a woman OB/GYN explains the procedure to the > patient and is present during the exam! > The patient on which this is most helpful is obese with a particularly > long uterus, about 12 to 14 cm in length, where the fundus points back > at about 55 degrees. I have found it difficult to evaluate the > endometrium and it seems that these are invariably the patients who have > cervical stenosis or some other anomaly preventing endometrial biopsy. > My lady doc would prefer not to hysteroscope these patients, or any > others uneccessarily and this manuver can allow the entire endometrium > to be seen. > > For those who find this "abhorent", I apologize for offending, however, > my purpose was to suggest what has worked for us after other manuvers > have failed. Is that not one purpose of this forum?
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