By: Whitney Pearson Endometrial ablation is the removal or destruction of the endometrium (lining of the uterus). Tubal ligation- Fallopian tubes are surgically cut or blocked off to prevent pregnancy A baseline transvaginal ultrasound is first performed to view the endometrium, including its thickness and any ovarian abnormality. The doctor then inserts a speculum into the vagina. A small catheter is then inserted and placed directly behind the cervix. The sonographer then inserts the transvaginal probe into the vagina. The doctor will infuse a sterile saline solution into the vagina. The ultrasound will show the saline in the vagina making any abnormalities in the endometrium easy to detect. It is a valuable technique for evaluating unexplained vaginal bleeding that may be the result of uterine abnormalities such as: polyps, fibroids, scarring, masses or congenital defects. 34 year old female Gravida 2, Para 0, Abora 2 Symptoms- heavy, irregular bleeding Patient is scheduled for an ablation and possible tubal ligation A ultrasound guided Hysterosonogram is first needed to be done before the ablation Saggital view of the uterus Transverse view of the uterus Due to this transverse image of the uterus, the sonographer and radiologist had a suspicion that the patient may have a Bicornuate uterus. This image shows that there may be 2 possible funduses. 2 distinct fundus are seen in these transverse images. Uterus 1 Uterus 2 2 endometrium are also seen 1 Cervix This images shows only one cervix. 2 uterus’s are shown The radiologist describes this as a Bicornuate-Unicalus uterus. Bicornuate means 2 uterus Unicalus means 1 cervix Catheter Right Left Bicornuate- Unicalus uterus with a polyp in the left endometrium. The polyp will be removed from the left Uterus. A Bicornuate- Unicalus uterus does not need any additional surgery. Both Uterus’s will stay in place.