Saline Infusion Sonography Shows in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11117
SMLE Question #11117
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old nulliparous woman has 2 years of primary infertility and increasingly heavy, prolonged menses. Pelvic examination shows a slightly enlarged, nontender uterus. Transvaginal ultrasound with saline infusion sonography shows a 2.5-cm type 1 submucosal fibroid predominantly within the uterine cavity, distorting the endometrial lining. Partner semen analysis is normal, and ovulation is confirmed. She wants to preserve fertility and avoid major abdominal surgery. What is the most appropriate treatment to address her infertility?
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