A Comprehensive Guide About Endometrial Biopsy

A Comprehensive Guide About Endometrial Biopsy


Infertility can be caused due to various gynaecological disorders affecting your uterus, cervix, and endometrial issues. These conditions can lead to several abnormal symptoms such as increased menstrual cramping, heavy bleeding, abnormal menstrual cycle, and pelvic pain. To detect the main cause behind the distressing symptoms, you can consult the best gynaecologist in Siliguri who may refer you to undergo an endometrial biopsy. 

An endometrial biopsy is a highly effective diagnostic procedure where the doctor removes some tissues from your uterine lining or endometrium to check for any abnormalities. This is a relatively safe medical process that is completed within 15 minutes and then examined under a microscope to identify the presence of any abnormal cells. 

Given below is detailed information about the key purposes, preparation, procedure, risks, and results of an endometrial biopsy. 


An endometrial biopsy is conducted to diagnose several abnormalities affecting your uterus. The doctor may recommend this test if you’re experiencing bleeding after menopause, irregular or heavy menstrual periods, and thick uterine lining. If the doctor suspects endometrial cancer then also this test can be conducted to evaluate it. 

In certain situations, this test can also be performed for fertility evaluation and to check your uterine response towards hormone therapy. You must also know the fact that this test is not conducted if you’re pregnant. It is also not recommended to undergo a biopsy if you suffer from cervical cancer, vaginal infection, and pelvic inflammatory disease.


While consulting a gynae doctor in Siliguri for an endometrial biopsy, you must always inform them whether you’re pregnant or not. This is because undergoing a biopsy during pregnancy can lead to miscarriage. To prepare for this test, the doctor may also ask you to keep a record of your menstrual cycle. 

In some cases, this test can be uncomfortable and to reduce the pain, you can take some pain reliever before an hour. Additionally, mild sedatives can also be given before the biopsy which may have certain side effects. 


Before this medical procedure, you will be asked to sit at a reclined table just like you do in a pelvic exam or Pap smear. After you lie down, the doctor will insert a speculum through the vagina so that the cervical areas can be seen. A special solution will then be used to clean the cervix and then a pipelle will be inserted inside the uterus. 

This tube will be used to collect the tissue sample from the endometrium. After collecting the sample, it is then collected in the fluid to examine it in the laboratory. You may expect to get the results of the biopsy within 7-10 days. 

Associated Risks 

It is normal to experience cramping, soreness, and vaginal bleeding within 48 hours of the biopsy. Just like any other invasive test, this test may also have a certain risk of infection and rupturing of the uterine wall. 

The other risks when you must contact the best gynaecologist in Siliguri immediately are abnormal vaginal discharge, high fever, bleeding for more than 2 days, heavy bleeding, and continuous pain in the lower abdominal areas. Another rare risk associated with it is tearing or a hole in the cervix and uterus. 


If the cells collected during the biopsy don’t have any abnormalities then you may expect a normal result of the endometrial biopsy. Abnormal results from the biopsy are indicated if any cancerous cells, noncancerous growths, and thick endometrium are noticed. 

This test can also detect any hormonal balance or infections in the endometrium. A dilation and curettage can also be recommended by the doctor in case of abnormal biopsy results. 

You must always remember to contact the best gynecologist in Siliguri immediately if heavy bleeding and pain after the endometrial biopsy continues even after 72 hours. It is also essential to follow the additional instructions provided by the doctor for a speedy recovery after the biopsy. 

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