A womb biopsy involves the removal of a tiny amount of tissue from the lining of the uterus (the endometrium). This screening test may reveal cell alterations caused by aberrant tissues or alterations in hormonal changes. A tiny piece of endometrial cells is taken to assist the physician in diagnosing specific health problems. 

When Is Womb Biopsy Used?

When you experience any of the following symptoms, the doctor may advise you to get a womb biopsy:

  • Menstrual irregularities
  • Bleeding after menopause
  • Heavy or long periods.
  • Thickened uterine lining

Biopsy results may reveal abnormal cells connected to hormonal changes, as well as aberrant structures such as polyps or fibroids. These may result in unusual bleeding. A womb biopsy may also be used to screen for reproductive disorders such as uterine infections (endometritis).

What You Can Expect During The Procedure

Before the procedure, you will be given a gown or hospital garment to wear. The surgeon would have had you lay on the bed, having your legs in stirrups in an examination room. Physicians subsequently do a quick pelvic examination. They will also gently clean your cervix and vagina. The physician may use clamps to maintain your cervix stable throughout the surgery. 

Your doctor will then insert a thin, flexible tube known as a pipelle through the entrance of your cervix and several inches into your uterus. They then move the pipelle backward and forward to get a tissue sample from the uterine lining. Usually, the complete process takes around 10 to 15 minutes.

What You Can Expect After The Procedure

It is typical to have slight cramps, bleeding, or vaginal discharge for a few nights after the operation. Use prescription painkillers as directed by your health professional. Ibuprofen and several other pain killers may raise the risk of bleeding. 

Take only the medicines that your doctor has recommended for you. Do not wash, use tampons, or have intercourse for 2 to 3 days following a womb biopsy and the duration indicated by the healthcare professional. You may have additional restrictions on your activities, such as no intense exercise or lifting heavy. You may resume your usual diet unless otherwise directed by your doctor. Your health professional will inform you when you need to return for more care or treatment.

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