Endometrial biopsy

What is Endometrial biopsy?

Endometrial biopsy is a procedure where a small part of cells are taken from the inner lining of the uterus called the endometrium. It is then studied under the microscope for any abnormalities. It helps determine diseases affecting the uterus.

Questions and answers on "Endometrial biopsy"

hi
one month back tvs show an endometrium of 24mm. after the period it is 4.5mm.
if tvs is normal, any other tests are necessory to rule out uterine cancer

doctor1 MD

Brief Answer:
Endometrial biopsy is needed.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
To rule out an endometrial cancer, endometrial biopsy is the surest test. A TVS scan can only detect the thickness of the endometrium but not the nature of the endometrium. Do get...

Read Full Thread   Ask a Doctor Now

i am 42, trying for a second child through ivf . i was resulted montoux positive 7 years back for which i had taken a 9 month TB treatment...last month again i was resulted 10mm positive montoux..whereas ther is no symptom as such..i weigh 85 kgs and feel healthy...my doctor(vf specialist) has put me on akt4 which i started today..my periods are regular and the doctor has done all the required tests on me which are all normal..even hystoscopy and endometrial biopsy which has also shown no specific results...we r desperate to have our child becoz am growing older...please tell me can the doctor do the ivf procedure while i am on anti TB drugs...tell me the success rate too plz...i shall be very grateful for your kind support...

doctor1 MD

Dear Madhavi

Since your endometrial biopsy is negative for AFB, being mantoux positive will not have much effect on conception. IVF procedure can be done safely while you are on anti Tb drugs. Even if you conceive, these drugs will not harm the baby as long as you are not taking streptomycin....

Read Full Thread   Ask a Doctor Now

I just went for my three month check - up (had suragery a year ago) and everything was fine. I finished my mensies less than 10 days ago. Why am I feeling a slight cramp , slight spotting I was even constipated for a day or two? I recorded this so that wehn I see my doctor in June (for my actual well woman checkup) I can tell him about it. I have had an endometrial biopsy before (about 2-3 years ago) and everything was fine. Is this something I need to be alarmed by?

doctor1 MD

Hi I am Dr.D.Karthiga Sasi Kumar from Pondicherry
Welcome to Health Care Magic. I understand your concern.
I am not clear about the kind of surgery you had an year ago, Since you had finished your periods 10 days ago,this could be a normal phenomenon if you are having ovulation.This ovulation...

Read Full Thread   Ask a Doctor Now

Had ultrasound showed thickened endometrium to 8 mm. Post menopause. No bleeding.
Do I need an endometrial biopsy? If Doctor does one what can I do to minimize the pain?

doctor1 MD

Brief Answer:
yes you should undertake endometrial biopsy.

Detailed Answer:
Hello,
Thanks for the query to hcm,
In a post menopausal age group, the endometrial thickness should be less than 3 mm and any thickness more than 3mm should be investigated for endometrial hyperplasia with or without...

Read Full Thread   Ask a Doctor Now

ISSUE. : amount of pain to expect in an endometrial biopsy
I am scheduled for an endometrial biopsy. I have never had children
I understand that this procedure can be very painful
The MD does not provide any anesthesia i.e. Lidocaine into the uterus, numbing of the cervix
What is the best medication to take in preparation ?

doctor1 MD

Brief Answer:
Analgesic and antispasmodic

Detailed Answer:
Hi,

Thanks for the query.

I understand your concern. But if your MD is an experienced and competent you wouldn't feel extreme pain during the biopsy at all.

Endometrial biopsy is a out patient procedure where a small pipelle would be...

Read Full Thread   Ask a Doctor Now

I've been having my periods every 3 weeks for the last 3 months
lasting from 3 days now to 1 week long
i started my period yesterday and i have been having massive blood cloths chunks of blood in the amount of my fist in blood cloths when i stand up ut poors
i need to be sitting down
I've never experienced this in my life in 36 years old.
for the last 7 months I've had daily pelvic pain that don't go away my lower abdomen is swallowen as if i was pregnant i don't know what to do at this point

doctor1 MD

Brief Answer:
Ultrasound and if required, endometrial biopsy

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.Heavy and short cycles are usually due to pathology in uterus or its lining like fibroids, adenomyosis, , endometriosis, endometrial hyperplasia...

Read Full Thread   Ask a Doctor Now

I am a 48 year old female. Had FSH test 4 years ago and confirmed menopause. Haven't had a period since. Just the other day I began having heavy vaginal bleeding along with lower back pain. I have had small cycts on my ovaries years ago but were more like small sacs. I haven't had any for 4 years. I also was put on Metformin 4 years ago because my A1C was borderline and began to have vaginal bleeding. Because they had no explanation for this I endured an endometrial biopsy that was negative. I went off the metformin and nothing since.

doctor1 MD

Brief Answer:
Hormonal variations

Detailed Answer:
Hi,

I understand your concerns about bleeding.

such vaginal bleeding is common once in a while due to hormonal variations caused by surge and withdrawal of progesterone hormones.

If you have got local examination of cervix, pap smear done along...

Read Full Thread   Ask a Doctor Now

My wife ET size is 15 mm in ultrasound doctors prescribed Endometrnal beyopcie bleeding is not stooping since 15 days

I have two children both are from operation so doctor suggested byopicy with minor anesthesya her age is 42

doctor1 MD

Brief Answer:
Biopsy advised

Detailed Answer:
Hi dear,
I have gone through your question and understand the concerns.

Endometrial biopsy is advised if the ET is more than 12 mm in a female with heavy bleeding and in 40-50 years age group.

This is done to confirm the diagnosis and rule out any...

Read Full Thread   Ask a Doctor Now

I am 40yrs old and have always had heavy periods. These result in me having to change my clothing frequently and also restricting activities that I enjoy. They rule my life and usually last a full 7 days. Recently they have been more prolonged. Smear tests are normal and intravaginal scan also normal. I have been given Norethisterone as a treatment but want an elective hysterectomy as I am sick of this. I am currently on an activity holiday and unable to participate as when I stand up the blood is pouring from me. No exaggeration. If a normal person loses only a few tablespoons of blood then lucky them. I am most definitely losing more than that. I have Norethisterone with me but didn't want to take this either as when I stop I will bleed again. This is miserable. I have children and don't intend having any more. I just need this to stop. I don't want a coil fitted either as this was suggest as a miracle cure.

doctor1 MD

Brief Answer:
Endometrial biopsy should be done

Detailed Answer:
Hi XXXXXXX I have gone through your question and understand your concerns. Heavy menstrual bleeding is very distressing.
At the age of 40, the cause of such bleeding can be due to hormonal disturbances leading to endometrial changes...

Read Full Thread   Ask a Doctor Now

Hi, Recently my wife undergone Endometrial Biopsy (Endometrial Tissue) and found result as Mycobacterial DNA PCR -Detected (Species-Mycobacterium Tuberculosis Complex) and we consult doctor from pulmonary department, they request to take blood test (liver functional test)- Result is normal and they suggested medicine for six month duration.
For the following prescription initially given for 15 days,
Tablet Isocaldin -300 mg
Cap.RCIN-600 mg
TAB.COMBUTOL-800 mg
TAB.COMBUTOL-200 mg
TAB.PYZINA-750 mg
TAB.PANTOCID-40 mg
TAB.BENADON-40 mg
Once its completed for 15 days, they told to take blood test (liver function test) again and they said medicine will be continued upto six months. Inbetween for every one month, they told to repeat blood test (liver function test) also.

Kindly suggest me whether my wife can take above medicines and there will be any side effects for liver or anything.
Whether it is completely cured after six months course and there is any test to confirm it is cured or not.
After completing this course, whether we can go to IVF treatment or not.
The above said mycobacterium tuberculosis complex is normal or abnormal and there will be any problem to spread over other organ in future and whether it is a important factor for fertility

Awaiting for your kind reply.....








doctor1 MD

Brief Answer:
She is having endometrial tuberculosis and she has to take these drugs.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Your wife is having endometrial tuberculosis and she has to take anti tubercular drugs for atleast 6-8 months.
She...

Read Full Thread   Ask a Doctor Now

Recent questions on  Endometrial biopsy

doctor1 MD

I have been bleeding very heavy for a month after not having a period for three months. I just has a endometrial biopsy and a D&C today. My doctor says I must have a hysterectomy removing uterus, ovaries and tubes. I had breast cancer in 2005 and have been cleared since then. Isn t there a y other options?

doctor1 MD

okay here goes. Post-menopausal, 53 y/o 300lb woman. Previous history of bilateral oopherectomy (hence post-meno, at at 37) and both tubes removed: endometriosis. HRT for 5 years, then stopped due to inability to regulate bleeding. several endo biopsies and hysteroscopies in the past all negative; HPV test neg, All prev PAP neg. 1 benign polyp removed in 2008, bleeding stopped for about 3 years. para 3, gravida 1. current situation. ENDOMETRIAL BIOPSY results are ENDOMETRIAL INTRAEPITHELIAL NEOPLASIA, cribriform type, arising in an ENDOMETRIAL POLYP. Fragments of hemorrhagic proliferative endometrium. The endometrial polyp is extremely hemorrhagic and contains multiple glands demonstrating atypical nuclei and internal cribriforming consistent with EIN. TVUS 2 weeks ago showed 19mm endo thickness. PAP and cervical/vaginal checkup 4 weeks ago all normal. thoughts?

doctor1 MD

PELVIC ULTRASOUND: I had a biopsy last Thursday how long do you have to edit before you resume intercourse? What does of this means? HISTORY48 years female : Postmenopausal bleeding Comparison: 4-28-14 pelvic ultrasound Transabdominal sonographic evaluation of the pelvis reveals a retroflexed uterus measuring 11.0 x 5.2 x 4.6 cm. Transvaginal sonographic evaluation of the pelvis reveals several nabothian cysts in the cervix. The endometrial stripe is heterogeneous and exhibits a maximum thickness of 11 mm which is abnormally thickened for a postmenopausal female not on hormone replacement therapy. The uterine myometrium is diffusely heterogeneous, raising the possibility of adenomyosis. Multiple subcentimeter cystic spaces are noted in the endometrium. Neoplasia cannot be excluded. A small amount of free fluid is visible in the pelvis. A posterior, intramural fibroid measures 0.8 x 0.8 x 0.7 cm. The right ovary measures 3.0 x 3.0 x 1.4 cm. A hypoechoic lesion in the right adnexa, measuring 2.2 x 2.0 x 1.0 cm is most suggestive of a paraovarian cyst. The left ovary measures 4.4 x 2.1 x 1.9 cm and contains a 0.8 x 0.7 x 0.7 hypoechoic lesion with an echogenic rim; this lesion is not significantly changed from the prior exam. IMPRESSION: 1. Thickened endometrial stripe containing numerous subcentimeter cystic spaces; neoplasia cannot be excluded. Further evaluation with endometrial biopsy or sonohysterography should be considered. 2. Hypoechoic lesion previously noted in the right ovary is not evident on the current exam. 2. Subcentimeter, hypoechoic lesion in the left ovary which exhibits an echogenic rim is not significantly changed from 4-28-14. A similar lesion was noted on a 10-30-13 pelvic ultrasound,

doctor1 MD

Hi, may I answer your health queries right
61 yr post menopausal women - transvaginal ultra sound shows 6mm endometrium lining & 3 fibroids
Now am having endometrial biopsy - have had gastro intestinal issues including diaherra regularly
Pap test &viral test came back negative

doctor1 MD

53 years old, no period for 3 1/2 years, last pap in 8/2016 was okay, history of uterine fibroids. Wiped self earlier and had ever so light pink on the toilet paper. Should I worry?

doctor1 MD

Hello We have done multiple times IUI but didn't concieve so Dr did laparoscopy of endometrium tissue and result is M TB detected but fallopian tubes n other thing is normal. I am worried now our DR might start anti toxik treatment for M TB which...

doctor1 MD

I had a Transvaginal ultrasound due to fibroids found upon pelvic exam. I'm 45 years old and still have my periods. I am not symptomatic but the ultrasound showed a 2.2 cm thickness of the endometrial evho complex. Multiple fibroids. Some pelvic...

Ask Question
Dr. Andrew Rynne
MD

Hi, I am Dr. Andrew Rynne (Family Physician). I will be guiding you through the process. Please write your question below.