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Endometrial Biopsy

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Endometrial Biopsy
An endometrial biopsy is usually recommended in women with abnormal vaginal bleeding or women with certain types of pap smear abnormalities.  This is a minimally invasive procedure that can be performed in the office.  For this procedure your doctor will ask you to come in during the first 10 days of your menstrual cycle.  A pregnancy test will be done first (if you have not yet gone through menopause) to confirm that you are not pregnant.

Then your provider will perform a speculum examination while you are lying on your back with your legs gently positioned in stirrups.  The cervix is then cleaned with a disinfectant.  Sometimes you provider may use a little bit of local anesthetic to ensure that you are comfortable.  We also recommend that you take an over the counter pain killer such as ibuprofen before you come to clinic.  Once the cervix is clean, the doctor may put a small clamp on the cervix to help hold it steady.  A small thin plastic device (about 3mm wide) is placed into the uterus.  This device is called a pipelle, it creates a small amount of suction and collects uterine cells.  As the pipelle is moved in and out of the uterus, more cells are collected.  When the cell sample is adequate, the cells are placed in a small plastic container and sent to the pathologist to be examined under a microscope.  This allows your doctor to determine if the uterine cells are abnormal, pre-cancerous or cancerous.  The entire procedure takes about 10 minutes.

To learn more about the endometrial biopsy procedure options available at Advanced & Minimally Invasive Gynecology, contact our practice.