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Diagnostic tests | Endometrial biopsy

 What is an endometrial biopsy like?

 

 What is an endometrial biopsy like?

The Endometrial Biopsy Atlas of the Louisiana State University Health Sciences Center offers a complete description of this procedure with drawings.

 Georgia P., Massachusetts, USA: Endometrial biopsy, a diagnostic procedure for endometrial cancer, is a procedure which removes tissue from the lining of the uterus for analysis. Abnormal bleeding after menopause or extremely heavy bleeding are symptoms suggesting the need for this procedure.

This is a painful procedure for many, because an instrument must be introduced into the uterus itself. Sometimes a suction catheter is used if the doctor cannot access the uterine tissue easily through the cervix. However, it is quick, and done during an office visit. Doctors usually recommend taking several pain relievers (I prefer Aleve®) to help with the discomfort, and another good idea is to take a sanitary pad, since there can be bleeding after the biopsy.

Endometrial tissue from the biopsy is sent to a pathologist for examination of the cells under a microscope.

 Sue D., Pennsylvania, USA: When I had my abnormal bleeding checked, my gynecologist tried, but was not able to finish, an endometrial biopsy. Because my cervix had never been stretched by childbirth, she could not push the biopsy instrument through it without causing me severe discomfort. I started cramping right away and she stopped as soon as she realized that it was not going to be successful. Instead she ordered a vaginal ultrasound to see how thick the walls of the endometrium and uterine walls were and then a D & C (dilation and curettage) to finally get the tissue samples for biopsy.

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