Click here to view an animated version of this procedure.
Copyright © Nucleus Medical Media, Inc.
This is a procedure to remove a tissue sample from the lining of the uterus (womb).
Reasons for Procedure
Some reasons for an endometrial biopsy include:
- Evaluate the cause of bleeding in postmenopausal women
- Evaluate heavy menstrual bleeding or bleeding between menstrual periods
- Obtain a tissue sample to test for cancer or precancerous conditions
- Monitor the uterine lining in women on estrogen replacement therapy
- Help evaluate the cause of infertility or repeated miscarriages
If you are planning to have an endometrial biopsy, your doctor will review a list of possible complications, which may include:
- Damage to the uterus (rare)
Factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure. If you are pregnant, the test cannot be done.
What to Expect
Prior to Procedure
You may need to schedule the biopsy for a certain time during your menstrual cycle.
Your doctor may do the following:
- Physical and pelvic exam
- Blood tests
- Urine test
Leading up to your procedure, you may be advised to:
- Take a pain reliever one hour before the procedure.
- Wear or bring a sanitary pad to the health clinic.
Usually none is needed. Sometimes local anesthesia is used to numb the cervix.
Description of the Procedure
You will lie on a table with your feet in footrests. The doctor will use a speculum to look into the vagina. An instrument called a tenaculum will be used to grasp the cervix. A flexible, thin, suction tube will be passed through the vagina