What is an Endometrial Biopsy?
An endometrial biopsy is a medical procedure used to obtain a small sample of the [endometrial tissue] lining the uterus. The tissue is then examined under a microscope to identify any abnormalities, including [cancer], hyperplasia, or infections. It's a common diagnostic tool in gynecology.
To investigate abnormal uterine bleeding
To diagnose [endometrial hyperplasia] or cancer
To evaluate the effects of hormone therapy
To assess the uterine lining in cases of infertility
Avoiding the use of tampons, douches, or vaginal medications for at least 24 hours before the procedure
Informing your doctor of any medications or allergies
Taking a pain reliever like ibuprofen before the procedure to minimize discomfort
The patient lies on an exam table with their feet in stirrups.
The doctor inserts a speculum into the vagina to visualize the cervix.
A thin, flexible tube called a pipelle is inserted through the cervix into the uterus.
Using suction, a small sample of endometrial tissue is collected.
The sample is sent to a lab for analysis.
[Cramping] and discomfort during and after the procedure
Light vaginal bleeding or spotting
Infection, although rare
Uterine perforation, which is extremely rare
Contact your healthcare provider if you experience severe pain, heavy bleeding, or signs of infection, such as fever.
Normal endometrial tissue, indicating no abnormalities
Endometrial hyperplasia, which means the lining is too thick and may require further treatment
[Cancerous cells], necessitating more aggressive treatment
Infections or inflammatory conditions
Your doctor will discuss the results and recommend any necessary follow-up care.
You may experience light cramping or spotting for a few days.
Avoid using tampons and abstain from sexual intercourse for a few days to prevent infection.
Over-the-counter pain relievers can help manage discomfort.
Follow any specific post-procedural instructions provided by your healthcare provider.
Severe pain unrelieved by over-the-counter pain medication
Heavy vaginal bleeding
Fever or chills
Foul-smelling vaginal discharge
Conclusion
An endometrial biopsy is an essential diagnostic tool in gynecology, helping to diagnose various conditions affecting the uterine lining. While it may cause some discomfort, it provides critical information that can guide appropriate treatment and management.
