تعريف
This is a procedure to remove a tissue sample from the lining of the uterus (womb).
أسباب هذا الإجراء
Some reasons for an endometrial biopsy include:
- Evaluate the cause of bleeding in postmenopausal women
- Evaluate heavy menstrual bleeding or bleeding between menstrual periods
- Obtain a tissue sample to test for cancer or precancerous conditions
- Monitor the uterine lining in women on estrogen replacement therapy
- Help evaluate the cause of infertility or repeated miscarriages
المضاعفات المحتملة
If you are planning to have an endometrial biopsy, your doctor will review a list of possible complications, which may include:
- العدوى
- نزيف
- Damage to the uterus (rare)
تشمل العوامل التي قد تزيد من خطر حدوث مضاعفات ما يلي:
- التدخين
- Cesarean section or previous surgery on the cervix
- Radiation therapy to the area
Be sure to discuss these risks with your doctor before the procedure. If you are pregnant, the test cannot be done.
ما يمكن توقعه
قبل الإجراء
You may need to schedule the biopsy for a certain time during your menstrual cycle.
قد يقوم طبيبك بما يلي:
- Physical and pelvic exam
- تحاليل الدم
- Urine test
Leading up to your procedure, you may be advised to:
- Take a pain reliever one hour before the procedure.
- Wear or bring a sanitary pad to the health clinic.
التخدير
Usually none is needed. Sometimes local anesthesia is used to numb the cervix.
وصف الإجراء
You will lie on a table with your feet in footrests. The doctor will use a speculum to look into the vagina. An instrument called a tenaculum will be used to grasp the cervix. A flexible, thin, suction tube will be passed through the vagina and into the uterus. The doctor will suction out a small sample of endometrial tissue.
مباشرة بعد الإجراء
After the biopsy, you may feel lightheaded. Lying down for 5-10 minutes will help. Once you feel better, you will be able to go home.
كم من الوقت سيستغرق ؟
حوالي 10-15 دقيقة
هل سيكون هناك ألم؟
You may feel some cramping and pressure during the biopsy. Your doctor may give you pain medicine after the procedure.
رعاية ما بعد العملية
عندما تعود إلى المنزل بعد الإجراء ، قم بما يلي للمساعدة في ضمان التعافي السلس:
- Expect some cramping and bleeding. Use sanitary napkins. Do not use tampons.
- Ask your doctor when you can resume:
- Using tampons
- Having sex
- تأكد من اتباع تعليمات طبيبك.
Your doctor will receive results in about a week. She will work with you to create a treatment plan.
استدعاء الطبيب
بعد وصوله الى المنزل ، اتصل بطبيبك إذا كان أي من الحالات التالية:
- Excessive bleeding (more than your normal menstrual period or saturating a pad within one hour)
- علامات الإصابة, بما في ذلك حمى وقشعريرة
- ألم حاد
- Foul-smelling vaginal discharge
- الغثيان و/أو القيء
في حالة الطوارئ ، اتصل على المساعدة الطبية على الفور.