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Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

Endometrial Biopsy

Endometrial Biopsy

The inner layer of the uterus is called the endometrium. The process of removing parts from the inner layer of the uterus is called an endometrial biopsy. A biopsy means “taking a piece” of tissue in the uterus for pathological examination under a microscope from the inner layer.

The most important factor that ensures the order of menstruation and prevents bleeding that can menstruate is the health status of the uterine layer. Unexpected or long menstrual bleeding can occur when there is a disease in part or all of the inner layer of the uterus, or when this layer is damaged by a certain condition. Such irregular bleeding may occur in polyps of the inner layer of the uterus, irregular thickening, uterine cancer, or cervical precursor lesions. In a woman with irregular or unexpected bleeding, the process to illuminate the cause of this bleeding is called an endometrial biopsy.


Why Is An Endometrial Biopsy Performed?

The cause of uterine biopsy is to know the causes of abnormal bleeding. In this procedure, a tissue sample is taken from the uterus to be examined under a microscope to determine whether any cells are abnormal. This procedure can be performed by taking a piece of a tissue sample from the uterus while the woman is having or after having a miscarriage. In some cases, a piece may remain in the uterus after a miscarriage, and a biopsy may be performed on the uterus to remove this piece. Because it will cause infection or excessive bleeding in the body, it is important to check the uterus area and biopsy if necessary.


How Is Endometrial Biopsy Performed?

Removal of tissue from the uterus can be done in the doctor's office or the hospital. A biopsy from the uterus is performed in conjunction with hysteroscopy, in which a thin light device is used to observe the inside of the uterus. A specialist doctor who will perform a biopsy of the uterus during this procedure may want to expand the cervix. For this purpose, some necessary drugs can be used. The doctor can apply various anesthesia techniques to biopsy the uterus. The doctor decides for himself the anesthesia to use. In general anesthesia, drugs are administered intravenously and with a mask to avoid being awake during the procedure.


A patient who is not given anesthesia is awake and a biopsy of the uterus is performed by numbing the area around the cervix. During the biopsy procedure from the uterus, lying on your back and placing the legs on the legs on a stretcher, the doctor places an examination instrument in the vagina while performing a pelvic floor examination. The cervix is slowly expanded by holding the cervix tool. It is taken by absorbing the tissue contained in the uterus or the fluid contained in it with a tool called a shovel. These samples are sent to laboratories for examination of tissue found in most people. In addition, the endometrial method can be applied when performing a biopsy from the uterus. During the biopsy process, the cervix may not need to be enlarged because the part is removed with a very thin plastic tool. An endometrial biopsy can also be performed without requiring anesthesia during a doctor's examination. At this time, the patient may feel very little pain. After the necessary conditions are met, the biopsy is completed by taking the desired tissue from the uterus.


Post-Processing Healing Process

After the endometrial biopsy procedure, it is possible to go home half an hour later. After a short period after the procedure, the person can continue their daily routine. After a biopsy is performed under general anesthesia, it may be normal to have some nausea and vomiting. Problems such as sore throat may occur during recovery. After a biopsy is applied to the uterus, a small amount of pain in the groin, slight spots, and bleeding in the vaginal area may occur. During a biopsy from the uterus, new formation occurs in the uterus and short-term changes may occur during the menstrual period. Bacteria and infections can enter this area during the return of the uterus to its former state. It is very important to keep the vagina clean and sterile after a biopsy. A biopsy from the uterus is performed without procedural problems. It is applied in a short time and all that needs to be done after the piece is removed from the uterus is to make an appointment with the doctor to carry out the checks.


How Do I Prepare For An Endometrial Biopsy?

  • Your doctor will explain the procedure and you can ask questions that you are interested in.
  • You will be asked to sign a consent form to perform the procedure. Read the form carefully and ask questions if there is anything that is not clear.
  • Usually, you do not need to make any preparation before the procedure. However, your doctor may recommend taking a painkiller 30 minutes before the procedure.
  • If you are pregnant or think you may be, tell your doctor.
  • Tell your health care professional about all the medications you take (prescription and over-the-counter) and herbal supplements.
  • Tell your doctor if you have problems with bleeding disorders, or if you are taking blood thinners, aspirin, or other medications that affect blood clotting. Your doctor can tell you to stop taking these medications before the procedure.
  • Your doctor may ask you to keep a record of your menstrual cycles. You may need to plan the procedure for a specific time of your cycle.
  • If your doctor gives you a sedative before the procedure, you will need someone to take you home later.
  • You should bring a sanitary pad to wear after the procedure.
  • Depending on your condition, your doctor may ask for another preparation.


Next Steps

  • Make sure you know before accepting the test or process:
  • Name of the test or process
  • Your reason for taking the test or procedure
  • Results to expect and what they mean
  • Risks and benefits of testing or processing
  • What are the possible side effects or complications
  • When and where to take the test or procedure
  • Who will perform the test or procedure, and what are the qualities of this person?
  • What would have happened if you hadn't done the test or the procedure?
  • Alternative tests or procedures to consider
  • When and how to get results

Kadın Hastalıkları ve Doğum Uzmanı - Op. Dr. Nazlı Oral Korkmaz

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