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.