Based on your menstrual history and the symptoms you have, your doctor may suspect fibroids. He or she may also be able to feel fibroids during a pelvic exam. To diagnose fibroids ultrasound (either abdominal or transvaginal), and blood tests to rule out other disorders are required. Sometimes ultrasound will not be enough, and other imaging tests such as MRI, sonohysterography, or hysteroscopy may be recommended.