What to Expect from Your Endometrial Biopsy

There are several reasons your provider at the Center for Women's Health in Sugar Land and Richmond, TX, may order an endometrial biopsy. The most common are abnormal uterine bleeding, bleeding post-menopause, or Pap test results showing irregular cells in your uterus. This diagnostic procedure may also be recommended if you're experiencing infertility or have a history of endometrial cancer or precancerous conditions.

An endometrial biopsy is the most common and accurate test to diagnose endometrial cancer. The Center for Women's Health team has extensive experience performing this procedure. Here, they explain what you can expect when undergoing an endometrial biopsy.

Undergoing the procedure

An endometrial biopsy is a simple in-office procedure that takes about 15 minutes. You lie on the exam table with your feet in stirrups. Your doctor gently inserts a speculum into your vagina, cleans your cervix with an antiseptic solution, and then inserts a thin tube to collect a sample of the endometrial tissue.

Will I feel pain?

You may feel mild discomfort or cramping, similar to menstrual cramps. Some women may experience brief, sharp pain during the procedure. However, most women can resume their normal activities immediately afterward.

Preparation and recovery

Before the procedure, we may suggest taking an over-the-counter pain reliever, such as ibuprofen, to help alleviate any discomfort. You may be advised to avoid intercourse or stop using tampons for a few days afterward. We also suggest bringing a sanitary pad to the appointment, as there may be some light bleeding or spotting afterward.

What the findings can reveal

Your biopsy sample is sent to a laboratory for analysis. The results are typically available within a few days. 

The findings can help diagnose various conditions, including:

• Endometrial hyperplasia: A condition in which the lining of the uterus becomes too thick, increasing the risk of endometrial cancer.
• Endometrial cancer: This type of cancer begins in the lining of the uterus.
• Uterine Polyps: These growths in the uterus lining can cause abnormal uterine bleeding.
• Infection: An endometrial biopsy can also detect signs of uterine infection.

In some cases, an endometrial biopsy can be inconclusive, and further testing may be necessary.

To learn more about endometrial biopsies, or to schedule your appointment, contact the Center for Women's Health Richmond or request an appointment online.