Diagnostic Procedures
Female Reproductive System
Obstetric procedure that involves surgical puncture of the amniotic sac under ultra-
sound guidance to remove amniotic fluid
In amniocentesis, cells of the fetus found in the fluid are cultured and studied to detect
genetic abnormalities and maternal–fetal blood incompatibility. (See Fig. 8–16.)Examination of the vagina and cervix with an optical magnifying instrument (colpo-
scope)
Colposcopy is commonly performed after a Papanicolaou test to obtain biopsy specimens
of the cervix and identify abnormal cervical tissue. (See Fig. 8–17.)Visual examination of the abdominal cavity with a laparoscope through one or more
small incisions in the abdominal wall, usually at the umbilicus (See Fig. 8–18.)
Laparoscopy is used for inspection of the ovaries and fallopian tubes, diagnosis of
endometriosis, destruction of uterine leiomyomas, myomectomy, and gynecological
sterilization.372 CHAPTER 8• Reproductive Systems
amniocentesis
ăm-nē-ō-sĕn-TĒ-sĭs
amni/o: amnion
(amniotic sac)
-centesis: surgical
puncturecolposcopy
kŏl-PŎS-kō-pē
colp/o: vagina
-scopy: visual
examinationlaparoscopy
lăp-ăr-ŎS-kō-pē
lapar/o: abdomen
-scopy: visual
examinationDNA and
chromosome
analysisCell cultureBiochemical
analysisAmniotic
fluidFetal cellsCentrifugeUltrasound Amniotic fluid
monitorPlacentaAmniotic fluidUrinary
bladderVaginaFigure 8-16Amniocentesis.