An endometrial biopsy involves the introduction of a small instrument through the cervix and into the uterine cavity. The purpose of the biopsy is to be certain that you don’t harbor a cancerous (endometrial carcinoma) or pre-cancerous growth (endometrial hyperplasia) inside the uterine cavity. The vast majority of biopsies are done on women with menstrual disorders who are over 35 years of age. Very few are done on younger women.
Does the biopsy hurt?
Most women who’ve had one in other offices will agree that it can be painful. This is especially true for women as they get older and their cervix is more difficult to dilate.
Usually an endometrial biopsy is combined with a diagnostic hysteroscopy allowing us to get additional information about the inside of the uterine cavity. Our procedures are generally done with some type of intravenous sedative although some women prefer it to be done under local anesthesia.