Outpatient Endometrial Sampling(Biopsy)

The Pipelle Endometrial Sampling or biopsy is a procedure to take a small sample of endometrium without the need for a general anaesthetic.  It is frequently used for women who are experiencing abnormal uterine bleeding, usually postmenopausal women who have not had any vaginal bleeding for a long time.

The Pipelle Endometrial Sampling is very similar to having a cervical smear taken. A speculum is inserted into the vagina, and the pipelle can then be gently inserted through the cervix and into the uterus where it then is moved back and forth to take a sample of the uterine lining for testing.

There may be some mild cramping or ache but this is temporary.

Very occasionally it is not possible to take a sample in this fashion and in these cases, Dr Penman will advise a short general anaesthetic so he can dilate the cervix and take the sample whilst you are asleep.

The sample is then sent for histological examination to rule out any suspicions of endometrial carcinoma.  If the result is returned as benign, Dr Penman can then treat the abnormal bleeding as necessary and should you have more bleeding within one year of the test, no further investigation would be required but if bleeding does occur more than a year after the pipelle test, further testing would be necessary.

If the sample is found to be cancerous, Dr Penman will make the necessary arrangements for further tests and treatment.

If you would like to see Dr Penman and discuss any questions you have after reading this article or are worried, as you have abnormal bleeding, please call Helen on 07880701732 to make an appointment or send an online booking form and Helen will ring you. 

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