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← All services · Women's health and pregnancy

Endometrial biopsy

endometrial biopsy · pipelle biopsy · uterine biopsy · womb lining sample

The doctor passes a thin, flexible tube through the cervix into the womb and takes a little tissue from its lining. No cuts, and usually no anesthesia.

For irregular periods, bleeding after menopause, infertility, or when an ultrasound shows a changed womb lining.

⏱ Duration: the procedure usually takes 5 to 15 minutes; results usually come in 1 to 2 weeks

Be sure to tell your doctor

How to prepare

  • Cycle day. The cycle day depends on the purpose. Your doctor will say when to come.
  • Test. Sometimes you are asked to take a pregnancy test before the procedure.
  • Painkiller. Ask your doctor if you can take a painkiller an hour before.

What to bring

  • Your referral
  • Ultrasound results
  • A pad
  • Your ID

How it goes

  1. You sit in the gynecological chair
  2. The doctor inserts a speculum and cleans the cervix
  3. A thin, flexible tube is passed through the cervix into the womb
  4. Gentle suction draws up some tissue. It takes a few seconds
  5. The tube is removed, and the tissue is sent to the lab

What you'll feel

  • A strong cramp, like a painful period, usually brief
  • Sometimes dizziness or nausea. Tell the doctor
  • Afterward, cramping for a few hours

Afterwards

  • Light bleeding, usually for 1 to 2 days
  • No sex, tampons, baths, or pools, usually for a few days. Your doctor will say exactly
  • Your doctor will explain the result at your visit

Contact a doctor straight away if

  • Bleeding like a heavy period
  • A fever over 38°C (100.4°F), severe pain low in the belly, or bad-smelling discharge

Common questions

Does it hurt?

You feel a sharp cramp, like a painful period. It is brief, usually under a minute.

How is this different from a D&C?

It is simpler: no anesthesia, no widening of the cervix, just a thin tube.