Endometrial Biopsy

Endometrial Biops

The inner layer of the uterus is called the endometrium. The process of taking a piece from the inner layer of the uterus is called endometrial biopsy. Biopsy means "taking a piece" from the inner layer of the uterus for pathological examination under microscope.

The most important factor that ensures the regularity of menstrual bleeding and prevents bleeding that can cause menstrual bleeding is the health of the uterine layer. Unexpected or prolonged menstrual bleeding may occur when some or all of the inner layer of the uterus is a disease or this layer is damaged by a certain situation. Such irregular bleeding may occur in polyps of the inner layer of the uterus, irregular thickening, uterine cancer or anterior cervical lesions. The procedure performed to clarify the cause of this bleeding in a woman with irregular or unexpected bleeding is called endometrial biopsy.

 

Why Is Endometrial Biopsy Performed

The reason for performing uterine biopsy is to know the causes of abnormal bleeding. This procedure to obtain a tissue sample from the uterus is taken for examination under a microscope to determine if any cells are abnormal. This procedure can also be performed by removing a piece from the uterus after or after the woman has a miscarriage. In some cases, a piece may remain in the uterus after abortion and a biopsy can be performed on the uterus to remove this piece. Since it will cause infection or excessive bleeding in the body, it is important to check the uterine area and perform a biopsy when necessary.

 

How is Endometrial Biopsy Performed

Removal of the womb can be done in a clinical setting in the doctor's office or hospital. Biopsy of the uterus is performed together with hysteroscopy, in which a thin light device is used to observe the inside of the uterus. During this procedure, the specialist doctor who will biopsy the uterus may want to enlarge the cervix. Some medications can be used for this. The doctor may apply various anesthesia before performing a biopsy from the uterus. The doctor decides on the anesthesia to use. In general anesthesia, drugs are administered intravenously and with a mask without being awake during the procedure.

The patient, who is not anesthetized, is awake and the uterine biopsy is performed by numbing the area around the cervix. During the process of biopsy from the uterus, it is started to be applied by lying on the back and placing the legs on the thighs on the stretcher, and by placing the examination device in the vagina while the doctor performs the pelvic floor examination. By holding the cervical instrument, the cervix is ​​expanded slowly. The fluid inside the uterus is sucked off with a device called a spade or a paddle.

These samples are sent to laboratories for examination of tissue found in most people. In addition, the endometrial method can be applied for biopsy from the uterus. In the biopsy procedure, it may not be necessary to enlarge the cervix because the piece is removed with a very thin plastic instrument.

Endometrial biopsy can also be performed without requiring anesthesia during the doctor's examination. In the meantime, the patient may feel a little pain. After the necessary conditions are met, the desired part is taken from the uterus and the biopsy is completed.

 

Post-Procedure Recovery Proces

It is possible to go home half an hour after the endometrial biopsy procedure. After a short while after the procedure, the person can continue his daily routine. It is normal to have some nausea and vomiting in the biopsy performed under general anesthesia. Problems such as sore throat may occur during recovery.

After the biopsy applied to the uterus, a small amount of pain in the groin, light spotting and bleeding in the vagina area may occur. During the biopsy from the uterus, new formation in the uterus may occur and short-term changes may occur during a menstrual period. During the recovery of the uterus, bacteria and infections can enter this area. It is extremely important to keep the vagina clean and sterile after this procedure. Biopsy of the uterus is performed without any problem. It is applied in a short time and after the uterus is removed, an appointment is made with the doctor for the necessary controls.