Endometrial Biopsy

This test is designed to evaluate whether the lining of the uterus (endometrium) has been properly stimulated hormonally to allow a fertilized egg to implant and grow into a pregnancy. A tiny fragment of tissue from the endometrium is removed and examined under the microscope.

The cervix (mouth of the uterus) is cleansed with a disinfectant and a small instrument is inserted through the cervix into the endometrial cavity and the sample of endometrial tissue obtained. Some cramping may occur at the time of the procedure and occasionally for up to 15 minutes later. It’s normal to have some vaginal bleeding after the procedure is performed. Proper timing of this test is critical to obtain meaningful information — usually ten to 13 days after ovulation. A pregnancy test is performed in the office prior to the biopsy. Please call the office if you have a full flow period on or before the day you are scheduled for the biopsy, but keep your appointment if you’re spotting. The results are discussed with you once the report is back in the office — usually within three or four days.

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