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Fibroid Ultrasound Question List

A plain question list for fibroid ultrasound visits, with prompts about size, number, location, cavity involvement, bleeding relevance, limits of ultrasound, next imaging, and what to track next.

Use this before or after an ultrasound for possible fibroids. It helps you ask clear questions.

It does not read your scan. It does not diagnose fibroids. It does not tell you what treatment you need.

Simple ultrasound notes

Fill in what you know.

Question Your note Why was the ultrasound ordered? What symptoms led to it? What type of ultrasound is planned? Who will explain the result? When will you get results? What follow up is planned?

Questions about what was found

Bring these to the result visit.

Question Notes Were fibroids seen? How many were seen? What size is each fibroid? Where is each fibroid? Did the report use submucosal, intramural, or subserosal? Does any fibroid affect the uterine cavity? Is the uterus enlarged? Were the ovaries seen? Was anything unclear?

If your clinician uses a hard word, ask for plain words. You can say, "Can you show me where that is?"

Location words to ask about

Office on Women's Health uses these terms:

Submucosal: grows into the uterine cavity. Intramural: grows within the wall of the uterus. Subserosal: grows on the outside of the uterus.

Ask:

Which term fits each fibroid? Is any fibroid near or inside the uterine cavity? Could that location relate to my bleeding? Could that location relate to pressure symptoms? What can location tell us? What can location not tell us?

Do not use symptoms to guess size or location. Ask your clinician to connect the report to your symptoms.

Questions about bleeding and anemia

Use this section if heavy bleeding, clots, or anemia symptoms led to imaging.

Could the scan findings relate to my bleeding? Could another cause still be possible? Do I need a blood count? Do I need iron or ferritin testing? Should I keep tracking product counts or cup amounts? What bleeding symptoms mean I should call sooner?

NICE notes that the first test for heavy menstrual bleeding can depend on history and exam. Ask why this test fits your case.

What ultrasound cannot answer

A scan report may not answer every care question.

Ask:

What did this ultrasound answer? What did it not answer? Was the view limited in any way? Could small fibroids be missed? Could polyps, adenomyosis, or endometriosis still need discussion? Does this scan explain my symptoms, or do we need more follow up? What symptoms should I keep tracking?

Do not interpret images yourself. Ask the clinician to explain the report in plain words.

Whether more imaging is needed

Ask this if symptoms are strong, the report is unclear, or care choices depend on detail.

Question Notes Did this scan answer the main question? Would MRI add useful detail? Would hysteroscopy ever be used to look inside the uterus? Is more imaging needed now, later, or only if symptoms change? What result would change the care plan?

More testing is not always needed. Ask what would make it useful in your case.

What to track after imaging

Track what your clinician asks for. If you are not sure, start here.

Track Why it helps Period start and end dates Shows timing. Heavy flow days Shows when bleeding peaks. Product counts or cup amounts Gives a rough flow record. Clots Shows size and frequency. Pain score Shows how pain changes. Pelvic pressure Shows pressure pattern. Bladder symptoms Shows frequency, urgency, or emptying trouble. Bowel symptoms Shows constipation or rectal pressure. Anemia symptoms Shows fatigue, dizziness, or shortness of breath. Missed work, school, sleep, or plans Shows daily impact.

A short script for the result visit

"I want to understand the ultrasound in plain words. How many fibroids were seen? Where are they? Does any fibroid affect the uterine cavity? Could the findings relate to my bleeding, pressure, bladder symptoms, or bowel symptoms? What should I track next?"

Privacy note

You can bring a short symptom summary instead of a full app export.

Ask what data is needed for follow up. Ask whether exact dates, bleeding logs, or private notes will go into your medical record.

Floriva can keep cycle notes on your device. Paper works too. Share only what helps the visit.