Endometrial Biopsy
Your doctor has referred you to Woman’s Health Options for an Endometrial Biopsy. An Endometrial Biopsy is a safe and effective procedure to evaluate the endometrium (the tissue lining the inside of the uterus).
What to expect
- First, you must complete your paperwork and hand it in to the receptionist.
- You will see a counsellor to discuss the biopsy and regarding the biopsy procedure. The social worker will discuss your concerns, inform you of the possible risks and side effects and review the consent form with you.
- During the biopsy procedure a nurse will be present to provide support at the bed side and to ensure that you are as comfortable as possible.
- The entire process will take only a few minutes. The doctor will begin the procedure by inserting a speculum (the instrument used when a Pap test is performed) into your vagina. The doctor will then insert a flexible straw like tube called a pipelle through the cervix and into your uterus. The pipelle uses suction to remove the endometrial tissue. The tissue will then be sent to a lab for analysis.
- During the procedure most people feel mild to moderate cramping. This may last a day or two after the biopsy is completed. Some may find that the cramping is stronger and may require medication (ex: acetaminophen or ibuprofen) to relieve the cramps. Some vaginal bleeding and/or spotting is also common after the procedure.
- The nurse will provide you with an information sheet to take home and will provide a phone number you can use to contact a nurse if you have any questions or concerns.
- Your referring doctor’s office will contact you with the biopsy results.
References:
American Family Physician (2019). Endometrial Biopsy. Retrieved from: aafp.org
After-Care following your Endometrial Biopsy
Cramping
You may have mild to moderate cramping for 1-2 days.
Cramping may be improved with use of pain medication, light activity and the use of a hot water bottle or heating pad.
You can use your usual pain medication as directed on the package ie: ibuprofen (Advil), acetaminophen (Tylenol) etc.
Bleeding
You may have spotting or light bleeding after your biopsy. This could last 1-2 days.
Preventing infection
It is recommended that you do not do any strenuous exercise or heavy lifting for 1 day after your biopsy.
It is recommended that you not put anything in your vagina for 1 week or while you are still bleeding/spotting this includes:
- Vaginal intercourse
- Tampons (use pads only)
- Swimming pools / hot tubs
- Douche
*You may shower or bath but Do Not use bath salts or oils while you are still bleeding/spotting*
Contact Medical Assistance if you have:
- Heavy vaginal bleeding, or soaking one large pad in an hour
- Pain in lower abdominal (belly) area or in your vagina
- Severe persistent cramps
- Unusual vaginal odor or discharge
- Fever (temperature higher than 38 C or 100.4 F)
For 24hr professional medical advice and information dial 811 – Health Link
Ensure you have a follow-up appointment with your doctor to review your biopsy results.
Information obtained from:
Alberta Health Services – MyHealth.Alberta.ca Network, Saskatchewan Health Authority – CEAC 0788 May 2019 pg. 1 of 1 Regina Area and American Family Physician – Am Fam Physician. 2001 Mar 15:63(6):1137-1138
