Uterine biopsy: What you need to know

This is an automatically translated article.

The article is professionally consulted by Specialist Doctor I Le Thi Phuong - Department of Obstetrics and Gynecology - Vinmec Ha Long International Hospital.
Uterine biopsy curettage is often combined with hysteroscopy to see exactly where the biopsy should be performed. Uterine biopsy has a very important diagnostic value, but this procedure is often not performed continuously or performed too many times.

1. What is a uterine biopsy?

Uterine biopsy is a type of minor surgery that is painful, if not done well, it will lead to infection of the pelvic cavity, so it must be performed by a skilled doctor.
The doctor will use a plastic or metal instrument to remove a small sample of the lining of your uterus (also called the endometrium) for testing and diagnosis. sick. After the doctor removes a few pieces of the endometrium, technicians will expertly process it and look at it under a microscope.

2. Uterine biopsy to do what?

Based on the observed characteristics of the endometrial sample after curettage, the doctor will diagnose pathological lesions in the endometrium such as:
Endometrial hyperplasia. Endometrial polyps Endometrial cancer: one of the 3 most common cancers in women. Uterine biopsy also helps doctors find the cause of menstrual disorders with irregular periods, irregular periods, sometimes menorrhagia leading to anemia.

3. In which cases is indicated curettage of the uterus?

Women over 45 years old with menorrhagia, prolonged bleeding. Women under 45 years of age with a history of heavy bleeding, a background of hyperestrogenism (usually due to obesity or a diagnosis of polycystic ovary disease) or when the treatment of gynecological diseases in the uterus with drugs has failed .

4. Absolutely do not cure uterine biopsy in any case?

The patient is suffering from an acute infection of the vagina or cervix. The patient is suffering from endometritis. The patient is suffering from appendicitis.

5. What should be noted when performing a curettage of the uterus?

Be careful in case of uterine malformation. Be careful with fibroids with layer size. Note the old incision on the uterus. Be careful with current serious medical diseases.

6. How long does a uterine biopsy take?

Dredging biopsy is often combined with hysteroscopy so that the doctor can observe and determine the location to cure as well as observe the endometrial layer most accurately. Surgical curettage is usually performed by a highly skilled and experienced physician. The patient will be guided through the preparation steps before going to the table for the doctor to perform the procedure.
Usually, curettage of the uterus will be relieved by local anesthetic or by general anesthetic. The biopsy procedure will be performed by the doctor in about 5-15 minutes.

7. What to do after curettage of the uterus?

Patients need to stay in the hospital after a biopsy to monitor their pulse, blood pressure, vaginal bleeding... Usually, the pain after the anesthetic/anesthesia wears off will not be too heavy and drag. The patient just needs to rest for a while. If everything is stable, the patient will be discharged home. The average follow-up time after the procedure was about 2 hours. Most patients are not affected by normal activities, rarely experience accompanying superinfection, so should not be too worried, afraid. Follow-up visit 1 week later to check for vaginal bleeding and receive biopsy results. The doctor will explain based on the results of the pathology, make the final diagnosis and the next treatment direction. After curettage of the uterus, the patient may have some vaginal bleeding, which will go away on its own in 1-2 days. Need to re-examine soon (before appointment) if the patient has a lot of vaginal bleeding, severe abdominal pain, fever. Do not have sex for at least a week to avoid infection.

8. Where is the curettage combined with laparoscopic hysteroscopy?

Vinmec Ha Long International General Hospital is a reliable address for women when facing problems related to gynecological diseases, needing to perform hysteroscopy for biopsy. This is a modern testing technique that is covered by Health Insurance at Vinmec system.
At Vinmec Ha Long, patients will be examined by highly qualified doctors, modern facilities and medical standards, Vinmec wishes to bring customers a comfortable and accurate examination experience. most accurate. The medical team at Vinmec Ha Long includes:
Doctor CCII. Bach Cam An - Head of Obstetrics and Gynecology Department - Vinmec Ha Long International Hospital, has over 40 years of experience in the field of obstetrics and gynecology. Doctor An was recognized as Senior Doctor by the Ministry of Home Affairs in 2008. Rich in expertise and experience, Dr. An has successfully treated many difficult cases, has strengths in obstetrics examination and treatment, and helped Many women have healthy pregnancies and safe delivery. Doctor CKI. Bui Minh Phuc - has over 18 years working in the field of obstetrics and gynecology. Formerly Deputy Director, Head of Obstetrics and Gynecology Department of Lac Viet Friendship Hospital. Regularly update new knowledge about obstetrics and gynecology. Doctor Bui Minh Phuc proficiently performed basic and specialized techniques in the field of obstetrics and gynecology. Doctor CKI. Le Thi Phuong has more than 29 years of experience in the field of obstetrics and gynecology, former head of the obstetrics and gynecology department of Cam Pha Hospital and Bai Chay Hospital, Quang Ninh. Professional doctor, successfully treated many difficult cases; Skilled in Obstetrics and Gynecology Surgery. Ths. Nguyen Thanh Vinh has many years of experience at major hospitals such as Hue Central Hospital, Hue University of Medicine and Pharmacy Hospital and is the main doctor who practices medicine at Hanoi Obstetrics and Gynecology Hospital. During the training process, MSc Nguyen Thanh Vinh has obtained many certificates at home and abroad.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.