Who will perform my endometrial biopsy?Ī medical assistant will get you set up in the room and review consent forms with you. This is especially true if you have had patterns of abnormal bleeding, thickening of the endometrium noted on your gynecological ultrasound or repeated failed attempts at embryo implantation. Your doctor may wish to sample your uterine lining to rule out any of the above problems. In some cases, this tissue can be prone to chronic low-grade infections, gland overgrowth resulting in polyps or even endometrial cancer. The goal of an endometrial biopsy is to gather more information about the uterine lining to determine whether there are any factors that could contribute to infertility. What is the purpose of an endometrial biopsy? This means scheduling the procedure during the first half of your menstrual cycle, before ovulation, and often includes taking a pregnancy test before the procedure. If you are scheduled for an endometrial biopsy, it is important to make sure that you are not pregnant. You may go home shortly after the biopsy. After obtaining adequate tissue, the speculum is removed. The doctor will then use a small amount of suction to extract portions of endometrial tissue for evaluation by a pathologist under a microscope. A small plastic catheter is passed through the cervix and into the uterus.
He or she will clean the cervix with iodine to decrease the chance of infection. During this procedure, one of our Las Vegas fertility specialists will perform a speculum exam to visualize the cervix. Depending on your past medical history, your doctor might provide you with additional instructions after the procedure.What to expect from an endometrial biopsy: A patient guideĪn endometrial biopsy is a procedure to collect a sample of the uterine lining, or the endometrium. You may be able to take a pain reliever to help with cramping, but be sure to ask your doctor.ĭon’t use tampons or have sexual intercourse for several days after an endometrial biopsy. You may experience some light spotting or bleeding after the procedure, so you’ll be given a menstruation pad to wear. Your doctor should have the results approximately 7 to 10 days after the biopsy. The sample of tissue is put in fluid and sent to a laboratory for analysis. The entire procedure typically takes about 10 minutes.
They next move the pipelle back and forth to get a tissue sample from the lining of the uterus. Your doctor then inserts a thin, flexible tube called a pipelle through the opening of your cervix, extending extend several inches into the uterus. You might feel pressure or slight discomfort from the clamp. Your doctor may put a clamp on your cervix to keep it steady during the procedure. In an exam room, your doctor will have you lay on a table with your feet in stirrups. What happens during an endometrial biopsy?īefore the biopsy, you’re provided with a robe or medical gown to put on. You may want to ask a friend or family member to drive you home after the procedure.
The sedative may make you drowsy, so you shouldn’t drive until the effects have fully worn off. Your doctor may also give you a light sedative before the biopsy. Your doctor may recommend that you take ibuprofen (Advil, Motrin) or another pain reliever 30 to 60 minutes before the procedure. Your doctor will probably want to know whether you have any bleeding disorders or if you’re allergic to latex or iodine.Īn endometrial biopsy can be uncomfortable. These medications can interfere with the blood’s ability to clot properly. You might have to stop taking blood thinners before an endometrial biopsy. Tell your doctor about any prescription or over-the-counter medications you are taking. This is usually requested if the test needs to be done at a particular time during your cycle. Your doctor may also want you to keep a record of your menstrual cycles before the biopsy. Your doctor might want you to take a pregnancy test before the biopsy to ensure that you aren’t pregnant. Tell your doctor if you’re pregnant or if there’s a chance you may be pregnant. How do I prepare for an endometrial biopsy?Įndometrial biopsy during pregnancy can lead to miscarriage.
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