An endometrial biopsy is a procedure for taking a sample of the lining of the uterus for testing. The uterus is the organ at the top of the vagina. Babies develop in the uterus, and menstrual blood comes from the uterus. The lining of the uterus is called the endometrium.
When is it used?
This procedure may help your healthcare provider find the cause of medical problems you may be having, such as:
Your uterus is bleeding too much, at the wrong times, or not at all.
You are having bleeding after menopause.
You are having trouble getting pregnant.
This procedure may also be done to check how well treatment for a problem is working.
How do I prepare for this procedure?
Tell your healthcare provider if you think you may be pregnant. Your provider may wait to do this procedure until after your baby is born.
Your healthcare provider may recommend that you do not douche, use vaginal creams or ointments, or have sex for a few days before the exam.
You may or may not need to take your regular medicines the day of the procedure. Some medicines (like aspirin) may increase your risk of bleeding during or after the procedure. Tell your healthcare provider about all medicines and supplements that you take. Ask your provider if you need to avoid taking any medicine or supplements before the procedure.
Tell your provider if you have any food, medicine, latex, or other allergies
Follow any other instructions your provider may give you.
Ask any questions you have before the procedure. You should understand what the healthcare provider is going to do and how long it will take you to recover.
What happens during the procedure?
You donâ€™t need numbing medicine for this test. The procedure can be done in your healthcare provider’s office.
You will lie on your back on the exam table with your knees bent and the heels of your feet in stirrup heel holders. You will be asked to slide your hips to the end of the table and let your knees tilt to each side so that your legs are spread apart.
Then your healthcare provider will gently put a thin, lubricated tool called a speculum into your vagina. The speculum holds open the walls of the vagina so your provider can see the cervix (the opening of the uterus). Your provider will insert a tiny strawlike tube into your vagina and then into the uterus through the cervix. The tube will be used to remove a sample of the lining of the uterine wall. The sample will go to the lab for tests.
You may have mild cramps during the procedure.
What happens after the procedure?
You may go home after the procedure. You may have some cramping and bleeding for a few days after the procedure.
Follow your healthcare providerâ€™s instructions. Ask your provider:
How and when you will hear your test results
If there are activities you should avoid and when you can return to your normal activities
How to take care of yourself at home
What symptoms or problems you should watch for and what to do if you have them
Make sure you know when you should come back for a checkup. Keep all appointments for provider visits or tests.
What are the risks of this procedure?
Every procedure or treatment has risks. Some possible risks of this procedure include:
The uterus may be injured or punctured by the tool used to get a sample.
You may have infection or bleeding.
Ask your healthcare provider how the risks apply to you. Be sure to discuss any other questions or concerns that you may have.
Developed by RelayHealth.
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-09-16 Last reviewed: 2014-09-17
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Endometrial Biopsy: References
Del Priore, Giussepe, et al. Endometrial sampling procedures. Accessed from http://www.UpToDate. Com on October 17, 2013.
Gibbs, R. B. Karlan, A. Haney, I. Nygaard. Danforthâ€™s Obstetrics and Gynecology. 9th ed. Lippincott Williams and Wilkins, 2008. Accessed on February 1, 2009 from http://www.ovidsp.tx.ovid.com.
Katz V., G. Lentz, R. Lobo, D. Gershenson. Comprehensive Gynecology. 5th ed. Mosby Elsevier, 2007. Accessed on April 29, 2011 from http://www.mdconsult.com.
Schorge, J., J. Schaeffer, L. Hoalvorson, B. Hoffmen, K. Bradshaw, F. Cunningham. Williams Gynecology. 1st ed. The Mcgraw Hill Companies, Inc. 2008. Accessed April 29, 2011 from http://www.accessmedicine.com.