Endometrial biopsy

Endometrial Biopsy: What You Need to Know

An Endometrial Biopsy is a procedure used to diagnose diseases of the uterus. It involves obtaining a sample of the tissue from the lining of the uterus, called the endometrium. This sample is sent to a laboratory for analysis to help identify any problems in the uterus.

Preparing for an Endometrial Biopsy

Before having an Endometrial Biopsy, you should make sure to schedule an appointment with your doctor. He or she will discuss the procedure with you in detail and answer any questions you have. You may also be asked to have a pelvic exam prior to the biopsy.

Your doctor may also advise you to avoid putting anything in your vagina for several days before the biopsy, including tampons, sex, douching, or the insertion of any other medical devices. This is to reduce the risk of infection.

Endometrial Biopsy Procedure

During the procedure, the doctor will insert a speculum into the vagina to hold it open. Then, with a special instrument or a small brush, a small sample of the endometrial tissue is obtained and placed into a container for further processing.

The procedure may cause some mild to moderate discomfort, but it is generally not painful. It usually takes about 10 to 20 minutes for the doctor to perform the biopsy.

Types of Endometrial Biopsy

An Endometrial Biopsy can be performed in several different ways, depending on the needs of the patient. The most common types of Endometrial Biopsy are:

  • Transvaginal biopsy: This type of biopsy is done through the vagina and is the most common type of Endometrial Biopsy.
  • Dilation and Curettage: Also known as a D&C, this procedure involves the dilation of the cervix and the scraping of tissue from the endometrium.
  • Office biopsy: In this type of biopsy, the doctor uses a special instrument to take a sample of the endometrium.

Why Have an Endometrial Biopsy?

An Endometrial Biopsy is typically performed to diagnose uterine conditions, such as uterine cancer, endometriosis, or heavy menstrual bleeding. It can also be used to diagnose conditions that cause abnormal bleeding, such as polyps, fibroids, or other disorders.

In addition, an Endometrial Biopsy may be ordered if a woman has had infertility for more than a year or if she has had multiple miscarriages.

When to Have an Endometrial Biopsy

Your doctor will recommend the best time for you to have an Endometrial Biopsy. Generally speaking, the procedure is performed when a woman is menstruating, as this is when the endometrium is at its thinnest and most easily accessed. Your doctor may also recommend that you take a hormonal medication prior to the procedure to further thin the endometrium.

Risks Associated with an Endometrial Biopsy

While Endometrial Biopsy is generally considered a safe procedure, there are some risks associated with it. These risks include infection, bleeding, cramping, or pain. Additionally, there is a very small risk of damage to the uterus if the doctor's instruments come in contact with it.

It’s important to discuss all the risks and benefits of the procedure with your doctor prior to having an Endometrial Biopsy.