Several tests are available to diagnose or look for possible causes of pelvic pain and vaginal bleeding. The choice of which and how many tests to perform depends on your history of problems and your current symptoms.
Some of the tests we'll discuss here may not be right for your situation. However, the possible procedures and tests besides laparoscopy include:
· Hysteroscopy, during which a small telescope-like instrument is placed into the uterus, through the uterus, vagina, and cervix, to look for abnormalities within the uterine cavity.
· Hysterosalpingogram, is a procedure during which dye is injected through the vagina and cervix into the uterus and the fallopian tubes. An x-ray is then taken, which can tell your doctor whether the tubes are blocked or open or whether there are any fibroids inside the uterus or any irregularities of the uterine cavity.
· Ultrasound, is a common examination during which high-frequency sound waves create pictures of your internal abdominal structures. This is done by placing an instrument on your abdomen or in your vagina.
A surgical alternative to laparoscopy is major abdominal surgery. However, this alternative carries greater risks, requires a much longer period to recover, and causes more pain and discomfort. Therefore, when laparoscopic surgery is possible, diagnosis and treatment can be achieved at a lower risk and less discomfort. If you have any questions about possible alternatives for your particular situation, you should discuss the different alternative methods for surgery with your doctor and decide which one, if any, is right for you.