An endometrial biopsy is a procedure that your doctor will perform to get a sample of the tissue that lines your uterus, called the endometrium. This technique removes a tiny piece of tissue from the lining of the womb and it is then analyzed in a lab for the tests that the doctor has ordered. A pathologist will usually test for diseases of anything else that the doctor has requested. An Endrometrial Biopsy can be a painful procedure, with pain experienced while the procedure is being conducted, and afterward after it has ended. Doctors may use lidocain during the procedure and prescribe pain pills afterward.
There are a few different reasons that a doctor might order an endrometrial biopsy to be performed. Often, it is to help determine why the uterus is bleeding, but it can also be done to help determine the cause of infertility, or to test the uterus for infections. Also, some medications that are given have to be tested using an endometrial biopsy to determine whether or not they are effective. The previous procedure that found out these answers was called a dilation and curettage, more commonly known as a D&C and it was more complex and required extensive preparation. Unlike that procedure, an endometrial biopsy can be performed right in your doctor’s office.
The endrometrial biopsy is performed with the women lying on a table in a position like the one used to get a pap smear. The doctor will have the patient disrobe from the waist down, and then use a speculum to open up the vaginal canal, so that he or she can see the cervix, which is the uterus opening. The doctor will clamp the cervix and may spray the inside with lidocain in order to alleviate some of the pain and discomfort that the patient will feel. Then, the doctor will insert a thin round tube through the cervix, made of metal or plastic so that he or she can obtain a piece of the inner lining.
Endometrial biopsy pain is quite common. The reason that doctors spray the lidocain is to help to deal with some of the pain from the procedure, but the lidocain spray burns when it is sprayed into the area. The clamp that is put onto the cervix will be another major cause of pain and the procedure itself, where the doctor has to procure a piece of the lining with the tube is extremely painful. Most of the time, this will only be required once, but sometimes the procedure can entain two or three instances of procuring a piece of the endometrium.
After the procedure, there will be usually be cramping and pain from this area that can be very uncomfortable and make it difficult to function. Doctors will generally prescribe pain medication like hydrocodone or some other narcotic to deal with the pain, and the patient should take it along with any other over the counter medication that is prescribed or recommended.