An endometrial biopsy is a procedure done in your doctor's office in which he/she takes a sample of the lining of your uterus. The lining of the uterus is called the endometrium.
(last reviewed February 1, 2008)
Why would my doctor do an endometrial biopsy?
There are many reasons why your doctor might want to do an endometrial biopsy. Some examples are:
Your doctor is monitoring your response to a treatment that you are getting
you have pelvic pain and he or she suspects a possible infection
(last reviewed February 1, 2008)
Are there any other ways to evaluate the endometrium?
Yes, but they are generally more involved than a simple biopsy. your doctor will help you decide which one is right for you. Examples include:
D&C (dilation and curettage)
hysteroscopy
(last reviewed February 1, 2008)
How does the doctor do an endometrial biopsy?
The endometrial biopsy will be done in your doctor's office. the steps are as follows:
You will lie on the examining table with your feet in stirrups, just as you do for a regular pelvic exam.
The doctor will insert a speculum (the same instrument used for the pap test) into your vagina. and it will be opened slightly so that the cervix can be seen.
Your cervix will be cleaned with antiseptic. Then your doctor will gently stretch open your cervix.
A tiny strawlike tube will be inserted into your vagina and then into the uterus through the cervix.
The tube will be used to remove a sample of the inner layer of the uterine wall.
The sample will be sent to the lab for tests.
(last reviewed February 1, 2008)
Will I feel pain during the endometrial biopsy?
You will feel some mild cramping during the procedure. In general you do not need an anesthetic during the biopsy, although many doctor recommend taking an anti-inflammatory medication like ibuprofen around an hour before your scheduled appointment.
(last reviewed February 1, 2008)
Are there any risks to having an endometrial biopsy?
It is very rare to have any complication from this procedure. However, some possible comoplications include puncture of the uterus, infections and severe bleeding.
