ENDOMETRIAL PIPELLE BIOPSY
About ENDOMETRIAL PIPELLE BIOPSY
This is a name of the procedure which takes a small sample of tissue from the lining of the womb (endometrium). This sample is then sent off to the laboratory to check if you have any cancer or other abnormal cells in the lining of your womb.
The biopsy may give answers to:
• Why you are having abnormal vaginal bleeding (heavy, prolonged or irregular periods, or bleeding in between periods).
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Why you are having some bleeding.
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Why an ultra sound scan shows you have a thickened lining of your womb.
If you need to have the biopsy taken it will be as part of your outpatient appointment with a doctor.
What is the benefit?
The benefit of having the biopsy taken is to check for any abnormal cells or signs of cancer so that treatment can be offered for your condition.
What are the risks?
The procedure is generally very safe. You may experience period type pain during the procedure. Very occasionally you may need some simple painkillers after the biopsy, but most women feel a little discomfort for only a short time whilst the biopsy is being taken.
In rare cases, patients may be at risk of:
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Prolonged bleeding
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Infection
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Uterine perforation (making a hole in the womb) but this is extremely rare as the device used is malleable and not a metal one.
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Feeling faint
What are the risks of not having the biopsy?
If you do not have the biopsy, then we cannot check for any abnormal cells or signs of cancer.
Sometimes it can be difficult to get the biopsy, especially if you haven’t had any children or have had treatment in the past to your cervix – in this case you may have to be taking to theatre and give a general anaesthetic so that you can get a biopsy. If this was the case it would be arranged to take place on a different date after your outpatient appointment.
As an alternative you may be suitable for an outpatient hysteroscopy. These options will be discussed in more detail with you at the end of your appointment.
After the biopsy, if you experience any tummy discomfort after the biopsy has been taken, you can take some medication.
You are able to go to work if you are feeling well and are also able to drive after the procedure. You may experience some vaginal bleeding for the next day or so after having the biopsy taken and this is completely normal. It is advisable to wear a sanitary towel just in case this happens and the nurse will offer you a sanitary towel when you are getting dressed after having the biopsy taken.
You can continue with normal activities such as having a bath or shower, exercise and driving. It is recommended that you do not have sex until the bleeding has stopped completely.