St. Luke's Hospital
Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
Find a Physician Payment Options Locations & Directions
Follow us on: facebook twitter Mobile Email Page Email Page Print Page Print Page Increase Font Size Decrease Font Size Font Size
America's 50 Best Hospitals
Meet the Doctor
Spirit of Women
Community Health Needs Assessment
Home > Health Information

Multimedia Encyclopedia

    Print-Friendly
    Bookmarks

    Endometrial biopsy

    Biopsy - endometrium

    Endometrial biopsy is the removal of a small piece of tissue from the lining of the uterus (endometrium) for examination.

    This procedure may be done with or without anesthesia. This is medicine that allows you to sleep.

    • You lie on your back with your feet supported by foot rests.
    • Your health care provider gently inserts an instrument (speculum) into the vagina to hold it open so that your cervix can be viewed. The cervix is cleaned with a special liquid. Numbing medicine may be applied to the cervix.
    • The cervix may then be gently grasped with an instrument to hold the uterus steady. Another instrument may be needed to gently stretch the cervical opening if there is tightness.

    An instrument is gently passed through the cervix into the uterus to collect the tissue sample.

    • The tissue sample and instruments are removed.
    • The tissue is sent to a lab. There, it is examined under a microscope.
    • If you had anesthesia for the procedure, you are taken to a recovery area. Nurses will make sure you are comfortable. After you wake up and have no problems from the anesthesia and procedure, you are allowed to go home.

    • Tell your health care provider about all the medicines you take. These include blood thinners such as warfarin, clopidigrel, and aspirin.
    • You may be asked to have a test to check if you are pregnant.
    • In the two days before the procedure, do not use creams or other medicines in the vagina.
    • Do not douche. (You should never douche. Douching can cause infection of the vagina or uterus.)
    • Ask your health care provider if you should take pain medicine, such as ibuprofen or acetaminophen, just before the procedure.

    The instruments may feel cold. You may feel some pain when the cervix is grasped. You may have some cramping as the instruments enter the uterus and the sample is collected.

    The test is done to find the cause of:

    • Abnormal menstrual periods (heavy, prolonged, or irregular bleeding)
    • Bleeding after menopause
    • Bleeding from taking hormone therapy medicines
    • Thickened uterine lining seen on ultrasound

    The test is usually done in women over age 35.

    This test can also be used to test for endometrial cancer.

    The biopsy is normal if the cells in the sampleare notabnormal.

    Abnormal menstrual periods may be caused by:

    • Uterine fibroids
    • Fingerlike growths in the uterus (uterine polyps)
    • Infection
    • Hormone imbalance
    • Endometrial cancer or precancer (hyperplasia)

    Other conditions under which the test may be performed:

    • Abnormal bleeding if a woman is taking the breast cancer medication, tamoxifen
    • Abnormal bleeding due to changes in hormone levels (anovulatory bleeding)

    Risks

    Risks of endometrial biopsy include:

    • Infection
    • Causing a hole in (perforating) the uterus or tearing the cervix (rarely occurs)
    • Prolonged bleeding
    • Slight spotting and mild cramping for a few days

    References

    Choby BA. Endometrial biopsy. In: Pfenninger JL, Fowler GC, eds. Pfenninger & Fowler’s Procedures for Primary Care. 3rd ed. Philadelphia, Pa: Elsevier Mosby; 2010:chap 143.

    Lentz GM. Endoscopy: hysteroscopy and laparoscopy: indications, contraindications and complications. In Lentz GM, Lobo RA, Gershenson DM, Katz VL, eds. Comprehensive Gynecology. 6th ed. Philadelphia, Pa: Elsevier Mosby; 2012:chap 10.

    BACK TO TOP

    • Pelvic laparoscopy

      illustration

    • Female reproductive anat...

      illustration

    • Endometrial biopsy

      illustration

    • Uterus

      illustration

    • Endometrial biopsy

      illustration

      • Pelvic laparoscopy

        illustration

      • Female reproductive anat...

        illustration

      • Endometrial biopsy

        illustration

      • Uterus

        illustration

      • Endometrial biopsy

        illustration

      A Closer Look

        Self Care

          Tests for Endometrial biopsy

          Review Date: 9/30/2013

          Reviewed By: Susan Storck, MD, FACOG, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Bellevue, Washington; Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Bethanne Black, and the A.D.A.M. Editorial team.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
          adam.com

          A.D.A.M. content is best viewed in IE9 or above, Fire Fox and chrome browser.


          Back  |  Top
          About Us
          Contact Us
          History
          Mission
          Locations & Directions
          Quality Reports
          Annual Reports
          Honors & Awards
          Community Health Needs
          Assessment

          Newsroom
          Services
          Brain & Spine
          Cancer
          Heart
          Maternity
          Orthopedics
          Pulmonary
          Sleep Medicine
          Urgent Care
          Women's Services
          All Services
          Patients & Visitors
          Locations & Directions
          Find a Physician
          Tour St. Luke's
          Patient & Visitor Information
          Contact Us
          Payment Options
          Financial Assistance
          Send a Card
          Mammogram Appointments
          Health Tools
          My Personal Health
          mystlukes
          Spirit of Women
          Health Information & Tools
          Clinical Trials
          Health Risk Assessments
          Employer Programs -
          Passport to Wellness

          Classes & Events
          Classes & Events
          Spirit of Women
          Donate & Volunteer
          Giving Opportunities
          Volunteer
          Physicians & Employees
          For Physicians
          Remote Access
          Medical Residency Information
          Pharmacy Residency Information
          Physician CPOE Training
          Careers
          Careers
          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
          Copyright © St. Luke's Hospital Website Terms and Conditions  |  Privacy Policy  |  Patient Notice of Privacy Policies PDF Sitemap St. Luke's Mobile