Hysteroscopy biopsy, also known as an endometrial biopsy, is a procedure performed during a hysteroscopy to obtain a tissue sample from the lining of the uterus for further examination. Hysteroscopy biopsy is commonly performed as part of the diagnostic process for abnormal uterine bleeding, infertility evaluations, or to screen for uterine conditions. Hysteroscopy is a minimally invasive procedure in which a thin, lighted instrument is called a hysteroscope. Both hysteroscopy and D&C involve accessing the uterine cavity through the vagina.
Hysteroscopy with D&C is usually done under general or local anesthesia and is typically an outpatient procedure. Recovery time varies depending on the extent of the procedure, but most women can resume normal activities within a few days. A hysteroscopy biopsy is good for finding out the cause of abnormal bleeding from your uterus, especially during heavy periods and bleeding after menopause. It will help to find out if you have fibroids, polyps, endometrial cancer or an abnormally shaped uterus.
Procedure for Hysteroscopy biopsy
- Anesthesia: Depending on the healthcare provider’s practices and your preferences, the procedure may be performed with local anesthesia or general anesthesia.
- Positioning: You will lie on an examination table, similar to a pelvic exam, with your feet in stirrups to provide access to the cervix.
- Speculum insertion: A speculum is inserted into the vagina to visualize the cervix.
- Cleaning the cervix: The cervix and vaginal area will be cleaned with an antiseptic solution to reduce the risk of infection.
- Dilating the cervix: In some cases, the cervix may need to be dilated slightly to allow the hysteroscope to pass through.
- Hysteroscopy: The hysteroscope is inserted through the cervix and into the uterus. It allows the healthcare provider to visualize the uterine cavity and identify any abnormalities.
- Biopsy: A small instrument, such as a suction curette or a thin forceps, is passed through the hysteroscope to obtain a small tissue sample from the lining of the uterus.
Benefits of Hysteroscopy biopsy
- Hysteroscopy biopsy allows for a direct visualization of the uterine cavity and collection of tissue samples from the endometrium.
- This provides a more accurate diagnosis compared to other diagnostic methods, such as imaging tests or Pap smears.
Detection of abnormalities:
- The biopsy helps identify abnormalities in the uterine lining, such as endometrial hyperplasia, uterine polyps, or endometrial cancer.
- Detecting these abnormalities is crucial for appropriate treatment planning.
Evaluation of infertility causes:
- Hysteroscopy biopsy can help evaluate the uterine cavity for factors contributing to infertility, such as uterine adhesions or structural abnormalities.
- Addressing these issues can improve the chances of successful conception and pregnancy.
Symptoms after Hysteroscopy biopsy
- Feeling or being sick
- Allergic reaction to the equipment
- venous thromboembolism
- A small hole in your uterus or cervix made by one of the instruments, with possible damage to a nearby structure
- failed procedure.
Following methods after Hysteroscopy
- You can eat and drink as usual food as normal straight away.
- You may experience cramping that’s similar to period pain and you may have to bleed for a few days there are normal symptoms, so nothing to worry about unless it’s heavy
- You should avoid having sex for a week after hysteroscopy.
- Until any bleeding has stopped, to reduce the risk of infection.
Hysteroscopy with D&C
D&C (Dilation and Curettage) is a surgical procedure that involves dilating or widening the cervix to access and scrape the uterine lining. This scraping process is called curettage. D&C is typically performed to remove abnormal or excessive uterine tissue. In cases of heavy or irregular menstrual bleeding, retained products of conception after a miscarriage or to diagnose and treat abnormal uterine cells.