Ultrasound examination - transvaginal ultrasound
It is a valuable technique for evaluating unexplained vaginal bleeding that may be the result of uterine abnormalities such as fibroids, polips, atrophy, scaring, masses.Hysterosonography is also used to investigate uterine abnormalities in women who experience infertility or multiple miscarriages.
It is best to perform hysterosonography one week after menstruation to avoid the risk of infection. At this time in the menstrual cycle, the endometrium is at its thinnest, which is the best time to determine if the endometrium is normal. The timing of the exam may vary, however, depending on the symptoms and their suspected origins. Hysterosonography should not be performed if you are pregnant.
Hysterosonography should typically not be performed in women with active pelvic inflammatory disease.

