- Learn
- Exam & procedures
- Endometrial biopsy
Endometrial biopsy
4 steps
An office sample of the endometrium with a flexible suction cannula, for abnormal bleeding when hyperplasia or cancer is the question.
Consent and trauma-informed practice
- Explain what the examination involves, why it is proposed, and what the alternatives are, in plain language, before anyone undresses.
- Ask for permission, and make clear the patient can stop at any point, by saying so or by raising a hand. Stopping is honoured immediately, without persuasion.
- Offer a chaperone and record the offer and the response; a student never examines without the supervising clinician present and the patient's specific agreement to the student's involvement.
- Privacy: a door that locks or a sign, a sheet, undressing only what is needed, time to undress and dress alone.
- Trauma-informed: assume a history you have not been told. Explain each step before it happens, keep talking, avoid sudden touch, ask about pace, and notice dissociation or distress and pause.
- Never examine a patient under anaesthesia for teaching without their specific prior consent to that examination.
The sequence
4 steps- 01
Speculum and cleanse
As for IUD insertion.
- 02
Pass the cannula
Through the os to the fundus; note the depth.
- 03
Sample
Withdraw the piston to create suction and move the cannula in and out with rotation, sampling the whole cavity.
- 04
Expel and label
Into formalin; the requisition carries the clinical question.
Indications
- Postmenopausal bleeding with an endometrium over 4 to 5 mm, or persistent bleeding
- Abnormal uterine bleeding at 40 or over, or younger with risk factors or failed treatment
- Surveillance of hyperplasia on progestin
Preparation
- Consent; pregnancy excluded; NSAID an hour before
- Speculum, antiseptic, tenaculum if needed, the pipelle, a specimen pot in formalin
Complications
- Cramping (common), vasovagal reaction
- Inadequate sample (common with atrophy; hysteroscopy follows if bleeding persists)
- Perforation, infection (rare)
Watch for
- Cervical stenosis preventing passage: dilatation under local or hysteroscopy
- A benign result with persistent bleeding: the sample is blind; proceed to hysteroscopy