How do you diagnose and manage uterine fibroids and endometriosis?

We combine thorough clinical history with high-resolution pelvic sonography and, when indicated, targeted pelvic MRI to map the exact anatomical boundaries of fibroids (submucosal, intramural, subserosal) or endometriotic lesions. Management includes medical hormonal therapies, pain management, and minimally invasive surgical options.

When is pelvic MRI recommended over ultrasound for gynecological conditions?

Pelvic MRI provides gold-standard soft tissue contrast, which is especially valuable for distinguishing diffuse adenomyosis from uterine fibroids, mapping deep infiltrating endometriosis, and planning fertility-sparing myomectomies.

Do all uterine fibroids and ovarian cysts require surgery?

No. Asymptomatic or small fibroids and simple functional ovarian cysts often only require periodic ultrasound monitoring. Surgical or medical intervention is reserved for lesions causing severe pelvic pain, abnormal uterine bleeding, rapid enlargement, or fertility impairment.

Gynecological Conditions Treatment

Clinical Service Guide • Lead by Dr. Mary Wanjiku

Expert management and treatment for conditions such as endometriosis, fibroids, PCOS, and abnormal bleeding.

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High-resolution sagittal pelvic MRI radiology scan showing uterine wall and pelvic cavity

Diagnostic Radiology • Pelvic MRI

Clinical pelvic magnetic resonance imaging for non-invasive structural mapping.

Reference diagnostic visualization. Individual evaluations are tailored in clinic.

What's included in this service

Accurate diagnosis of complex symptoms
Medical and surgical treatment options
Pain management strategies
Long-term care planning

Who it's for

Designed specifically for:

Women experiencing pelvic pain, irregular periods, or diagnosed reproductive health conditions.

Need guidance deciding? Dr. Mary Wanjiku provides tailored triage consultations.

Diagnostic Pathway & Pathology Mapping

Precision diagnosis: How we investigate & map gynecological conditions

Conditions such as uterine fibroids, endometriosis, and adenomyosis require precise anatomical localization to guide the safest, most effective treatment. At Silver Cradle Clinic, we correlate clinical symptoms with high-resolution pelvic ultrasonography and, when indicated, pelvic Magnetic Resonance Imaging (MRI).

Diagnostic Modality • Pelvic MRIT2-Weighted Sagittal

High-resolution clinical sagittal pelvic MRI scan

Structural Pelvic MRI Mapping

Magnetic Resonance Imaging provides clear demarcation between the endometrium, junctional zone, and outer myometrium. It is the gold standard for distinguishing between diffuse adenomyosis and focal fibroids prior to intervention.

Anatomical Correlation • ClassificationUterine Cross-Section

Medical illustration of uterine fibroids showing submucosal, intramural, and subserosal types

Fibroid Classification & Impact

Fibroids are categorized by location: Submucosal (within uterine cavity, causing heavy bleeding), Intramural (within uterine muscle wall), and Subserosal (growing outward, causing pelvic pressure).

01. Symptoms

Clinical History

Evaluating bleeding patterns, pelvic discomfort, and cycle regularity.

02. Sonography

Pelvic Ultrasound

First-line transabdominal and transvaginal high-frequency imaging.

03. MRI Scans

Targeted MRI

Millimeter-level mapping of fibroid boundaries and vascular supply.

04. Solution

Tailored Care

Conservative medical therapy or minimally invasive surgical options.

Frequently asked questions

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Other specialized care pathways that complement Gynecological Conditions Treatment.

Diagnostic Sonography

2D/3D/4D obstetric sonography for fetal biometry and pelvic evaluation.

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Advanced diagnostic imaging for accurate health monitoring.

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African couple in compassionate fertility consultation with specialist physician

Fertility Evaluation

Empathetic preconception evaluation and personalized reproductive guidance.

Fertility Support Services

Compassionate guidance for couples facing conception challenges.

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Dr. Mary Wanjiku and the Silver Cradle team provide expert, confidential care tailored to your individual health journey.

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