Amenorrhea other imaging findings

Hysterosalpingography (HSG) may be helpful in the diagnosis of the anatomic defects that can cause amenorrhea. Findings on a hysterosalpingography diagnostic of Asherman syndrome include multiple irregular linear (or lacunar) filling defects showing intrauterine adhesion, inability to distend the endometrial cavity, and totally non-filled uterine mostly in severe cases. Testicular scan can be helpful in diagnosing intra-abdominal or inguinal testes seen in patients with androgen insensitivity syndrome.

• Hysterosalpingography is an abdominal X-ray imaging technique where contrast medium is injected into the uterine cavity through vagina and cervix.

• Hysterosalpingography (HSG) may be helpful in the diagnosis of the anatomic defects that can cause amenorrhea. Findings on a hysterosalpingography diagnostic of Asherman syndrome include:^[2]
  • Multiple irregular linear (or lacunar) filling defects showing intrauterine adhesion
  • Inability to distend the endometrial cavity
  • Totally non-filled uterine mostly in severe cases

• Testicular scan consists of radioisotope scan of whole body using fluorine-18 fludeoxyglucose to identify the exact location of testes.
• Testicular scan can be helpful in diagnosing intra-abdominal or inguinal testes seen in patients with androgen insensitivity syndrome.

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