Some physicians spray a topical anesthetic directly onto the cervix. Does my procedure require an anesthetic?Īnesthesia is not typically required for an endometrial biopsy procedure. Some may prefer a trusted family member to bring them. The vast majority of patients will be able to drive themselves to and from the procedure. Can my family visit me?Įndometrial biopsies are performed in a medical office setting. Gynecologists perform endometrial biopsy procedures in an office setting. Where is an endometrial biopsy procedure performed? The procedure takes only a few minutes and causes mild cramps. Using negative pressure, the doctor pulls a small amount of endometrial tissue into the pipelle for sampling. The gynecologist inserts a thin, flexible tube called a pipelle into the uterine cavity through the cervix’s opening called the cervical os. Most often, an endometrial biopsy is performed as part of the evaluation of abnormal uterine bleeding, but it also is used in cases of infertility. Women with postmenopausal bleeding, heavy periods, irregular periods, or abnormal findings on a sonogram may be candidates for this procedure. Female reproductive system with image diagramĪn endometrial biopsy is used to diagnose or rule out endometrial cancer or precancerous changes in the tissue called endometrial hyperplasia. To find out if any abnormal cells are present, the doctor must sample the endometrial tissue to be tested and evaluated under a microscope. An endometrial biopsy is a simple office-based procedure where a doctor removes a small amount of tissue from inside the uterine cavity.
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