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Surgery

Endometrial Biopsy

A test that takes a small tissue sample from the lining of the uterus for examination.

What is an endometrial biopsy?

1The endometrium lining the uterus2Cervix3Vagina

A schematic to help you understand the location and approach.

The endometrium is the tissue lining the inside of the uterus. A small sample is examined under a microscope to investigate the cause of bleeding or ultrasound findings.

Which area is involved?
The endometrium lining the uterus
How is it done?
Taking a small sample with a thin instrument or another method
What is the purpose?
Analyzing the tissue sample to investigate the cause

Ultrasound and biopsy provide different information.

Ultrasound looks at the thickness and shape of the endometrium, and a biopsy analyzes cells and tissue from the sample. It is considered when further evaluation is needed, such as for abnormal vaginal bleeding or bleeding after menopause. Being advised to have this test does not mean a cancer diagnosis.

You can hear an explanation during your visit, review what you need to know, and then decide.

Please tell us before the examination.

Pregnancy possibility

If there is any chance of pregnancy, please be sure to tell us so we can confirm whether the test is appropriate.

Bleeding and treatment history

Please bring details of your bleeding pattern, medicines such as hormone therapy, and previous ultrasound and biopsy results.

Pain and what the test feels like

If a previous pelvic exam or procedure was very painful, please mention it in advance and discuss pain-control options.

A sample is collected and the results are interpreted.

  1. How it is done and how to prepare

    You will hear about methods such as passing a thin instrument through the cervix to collect a portion of the endometrium. Whether anesthesia or fasting is needed depends on the actual plan.

  2. Collection and assessment

    During collection, menstrual-like discomfort or bleeding can occur. Please tell us right away if the pain is severe.

  3. Results and next steps

    We check whether the sample is adequate and review the results. If the amount is insufficient or symptoms continue, a repeat or different test may be needed.

If changes worsen after the test, contact us right away.

Checking for bleeding, pain, and infection

Pain and light bleeding can occur, and infection, uterine injury, or other problems may rarely occur. Contact the testing facility if you have heavy bleeding, worsening abdominal pain, or fever.

Frequently Asked Questions

Does this exam remove all of the endometrium?

This is a test that collects a tissue sample for diagnosis. Its purpose differs from other treatments such as endometrial ablation, so confirm which method will be used.

If the test is normal, is it okay to just watch the bleeding?

If symptoms continue, we reassess the results together with your current condition. Please tell us again if bleeding persists or returns.

Feel free to bring your questions.

Please tell us what is bothering you and your previous examination and treatment history. Together we will confirm the care you need.

This is general medical information. Individual care plans and what is offered at the clinic are confirmed during consultation.

Sources of medical information