An endometrial biopsy is a relatively quick and simple procedure. The endometrial biopsy steps can be performed right in your local gynecologist’s office, although some cases may need to be done in the hospital. The difference between an endometrial biopsy vs. colposcopy is the removal of a tissue sample. There may be some bleeding after a uterine biopsy, which is why you may have to wait up to a week to have sex after endometrial biopsy procedures.
Endometrial Biopsy Procedure
During an endometrial biopsy, a small sample is taken from the lining of your uterus — the endometrium — so that it can be studied for signs of cellular abnormalities. You might also hear an endometrial biopsy referred to as a uterine biopsy. Although the term biopsy is often associated with cancer, there are many other reasons your gynecologist in Queens, NYC might recommend one, such as if you are experiencing:
- Abnormal uterine bleeding
- Unexplained absence of uterine bleeding
- Bleeding after menopause
An endometrial biopsy allows your doctor to examine the cells of your uterine lining under a microscope, and to see if anything looks abnormal. A biopsy can also allow your doctor to check for endometriosis, adenomyosis or endometrial cancer. It’s also a test to determine the effectiveness of hormone therapy. An endometrial biopsy is the only definitive way to diagnose uterine cancer, and the results are reliable: up to 95 percent accurate.
Endometrial Biopsy vs. Colposcopy
Unlike a colposcopy, an endometrial biopsy is used to help diagnose problems in your uterus. While both procedures can be helpful in determining the cause of unexplained or irregular vaginal bleeding, a colposcopy focuses solely on the cervix itself. During a colposcopy, a top gynecologist in Queens uses a magnifying instrument called a colposcope to closely examine your cervix. It feels similar to a pap smear, although it takes a bit longer to perform.
A cervical biopsy can be done at the same time as a colposcopy. During a cervical biopsy, your doctor removes cells from the cervix for examination. This is another difference in an endometrial biopsy vs. colposcopy: an endometrial biopsy removes cells from your uterine lining, not from your cervix. Depending on your symptoms, you may require both a colposcopy and an endometrial biopsy. Both procedures help your gyno in Queens diagnose gynecological issues, such as:
What to Do Before Your Endometrial Biopsy
Before your endometrial biopsy appointment in Rego Park or Forest Hills, New York, your gynecologist goes over the details of the procedure and answers any questions you have about the biopsy. You’re asked about any medications or supplements you’re taking, too, including vitamins and birth control pills. Make sure you give the doctor a complete and accurate medical history.
Sometimes, the doctor requests that you take an over-the-counter pain reliever before your appointment to minimize discomfort. When you arrive, you may be given a sedative to help you relax, but the procedure itself isn’t necessarily painful. You’re given a hospital gown or drape to put on after you disrobe. The endometrial biopsy steps can begin once you’re resting on the examination table with your feet in stirrups.
During the Biopsy Procedure
Your gynecologist performs a pelvic exam and cleans your cervix and vagina before inserting a speculum. A clamp may be used to keep your cervix steady. These endometrial biopsy steps may cause you to feel some pressure or be a little uncomfortable. Tell your doctor if you do. Some patients report brief but significant pain or cramping when the cervical clamp is put in place.
Then, your gynecologist in Queens, NYC carefully guides a long, narrow tube through the opening in your cervix and into your uterus. He removes a small portion of the endometrium. The size of the sample depends on the reason you’re undergoing these endometrial biopsy steps. The entire procedure takes as little as 10 minutes, and you’re able to go home shortly after it’s done.
What to Do After Your Endometrial Biopsy
Before you leave the doctor’s office — and it’s a good idea to have a friend or family member drive you home, especially if you’ve had a sedative — your gyno in Queens goes over specific recovery instructions. Over-the-counter pain relief is usually sufficient to control post-endometrial biopsy cramping and pain.
Refrain from placing anything in your vagina for a few days — having sex after endometrial biopsy procedures may lead to pain or infection. Even using tampons is highly discouraged. You may experience some bleeding after uterine biopsy procedures, so it’s a good idea to wear a sanitary napkin afterward. Your doctor may give you lifting restrictions or other instructions after the procedure. Follow them to the letter.
Be sure to keep any follow-up appointments. You’ll be contacted as soon as the results of your biopsy are received. Contact the doctor’s office if you experience:
- Severe bleeding
- Bleeding that lasts longer than a couple of days
- A foul-smelling discharge
- Intense pain
Endometrial Biopsy Risks
The risks from the endometrial biopsy steps aren’t usually serious. As with any surgical procedure, however minimally invasive, there are some risks. Your risks include:
- Prolonged or heavy bleeding
- Puncture of the uterine wall, although this is extremely rare
If you’re pregnant, an endometrial biopsy could lead to miscarriage, so it’s important to let your doctor know if there’s a chance you may be. If in doubt, you may be asked to take a pregnancy test even if you believe you aren’t pregnant, just to be safe. If you have an infection or have pelvic inflammatory disease (PID), these conditions may interfere with having a biopsy. Your doctor reviews the risks with you before you agree to the procedure.
While there are some risks involved with a uterine biopsy, they’re small compared to the risks and lifestyle impact of putting off diagnosis and treatment. For many women, undergoing the endometrial biopsy steps leads toward a healthier, happier life.
As a best in class gynecologist in Queens, Dr. James Gohar provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations in Queens NY.
For more information about the Endometrial Biopsy Procedure, treatment options or to schedule a consultation with the (gynecologist) OBGYN doctor, the best rated Endometrial Biopsy Procedure specialist, Dr. James Gohar, please contact our Queens office.
Gynecologist Dr. James Gohar (OBGYN Doctor)
Forest Hills Medical Services
108-16 63rd Rd
Forest Hills, NY 11375
☎ (718) 897-5331