In simple words

An endometrial biopsy takes a small sample of the lining of the uterus (the endometrium) for examination. Rather than only treating abnormal bleeding, this test explains what is causing it.

Who is it for?

Women with heavy or irregular periods, bleeding after menopause, bleeding while on hormone treatment, a thickened lining reported on an earlier investigation, or as part of an infertility work-up.

What happens during your visit?

A thin instrument is passed through the cervix into the uterus and a small sample of the lining is drawn. It takes a few minutes and is done here at the clinic. No admission is needed and you go home the same day.

How might it feel?

Cramping during the sampling is expected. It usually lasts a minute or two and then eases. Dr. Shazia may advise a pain-relief tablet before you come. If the pain is more than you can manage, say so immediately — the procedure can be paused.

Before you come

Come with a companion if you can. Empty your bladder before. A pregnancy test may be done first. List every medicine you take, including blood thinners, and bring previous reports.

After your visit

Light bleeding and cramps for a day or two are normal. Avoid tampons and intercourse until you are told it is safe. Come back when advised — the report is explained to you in person, and it decides whether medicine is enough, whether a further procedure is needed, or whether observation alone is right. Contact the clinic if you have heavy bleeding, fever or severe pain.

What to bring with you

  • Empty bladder before procedure, inform doctor of any blood thinner medications, and bring recent pelvic ultrasounds

Questions you may have

How is this different from a D&C?
An endometrial biopsy takes only a small sample of the lining, usually without anaesthesia and here at the clinic. Which procedure is right for you is decided by Dr. Shazia after examining you.
Will it affect my chances of having a child?
This is a small sampling test, and it is itself often part of an infertility work-up. Tell Dr. Shazia your concerns and your plans openly, so they are taken into account in the decision.
Can I take a painkiller beforehand?
Dr. Shazia may advise a tablet before you come. Do not take anything on your own — ask first, especially if you take blood thinners.
Is bleeding after menopause serious?
Any bleeding after menopause should be examined. The cause is often not serious, but that should not be assumed without checking. Book a visit rather than waiting.
Can I come alone?
You can, but it is better to bring someone with you, because there may be some cramping afterwards.