Uterine biopsy is a procedure which is used to check the uterus lining. The sample of the uterus ling is placed under a microscope to check abnormal cells. Uterus is diagnosed with this technique and it also help to check the balance of the hormone levels that affects the uterus.
This is a very useful technique which helps in the reduction of many problems like if a person has some chances of uterine cancer then biopsy help to know the state of the cancer cells in the endometrium. When any women suffers from the problem of vaginal bleeding or polycystic ovary syndrome then the process of uterine biopsy helps to assess the walls of the uterus for any type of abnormality like endometrial hyperplasia or cancer.
In a few cases, biopsy is done to know whether the uterus lining is undergoing normal menstrual changes in the body or not. If women find it difficult to conceive then this biopsy helps to tell whether the uterus lining supports pregnancy or not. Transvaginal ultrasonography is done before undergoing uterine biopsy. This test is done in all the women who have crossed 35 years of age. If you want to have detailed and all historical evaluation then you can take help from dilatation and curettage methods in which anesthesia is given to the patients.
Methods to Do Uterine Biopsy
The various methods to undertake uterine biopsy are given below:
The fastest and less painful method is to use a soft, strawlike device to get a small sample of the uterus lining. A small sample from the uterus lining is taken with the help of a sharp edged tool known as curette. This device helps to control heavy bleeding that may come after taking a sample from the uterus. A general or local anesthesia is given in this method.
Another method is to use a suction device known as Vabra aspiration. This may not be comfortable for all the females. Jet irrigation in which a liquid is sprayed to wash some of the tissue of the uterus lining. In some cases, a brush is used to remove some of the lining of the uterus.
Precautions for Uterine Biopsy
Uterine biopsy is not done in pregnant women. The females who are taking any type of medicines or have an allergic reaction to some particular thing then it should be told to the doctor. If any female has undergone any type of treatment for heart or lung or any vaginal or cervical infection then the biopsy is not done or done in special arrangements. So always tell your doctor if you had any of the above issues.
The use of tampons, vaginal medicines and douche has not been recommended for 24 hours before undergoing the biopsy. Some doctors recommend taking a pain reliever before half an hour of the biopsy to decrease the cramping pain. In case you have dilation or curettage then you need to have sleep anesthesia for the biopsy duration.
Always drink and eat before 8 hours of the biopsy test. The patient also needs to give a consent form which states that you understand the risks associated with uterine biopsy and in spite of knowing them is willing to undergo this test. But you can always put questions related to the risks associated with biopsy, procedure and post biopsy precautions to take before or after the uterine biopsy is done.
Procedure of Uterine Biopsy
The procedure of biopsy is done at a lab or at the doctor’s place. It is normally done by a gynecologist or a nurse practitioner who is trained enough to do the test. The sample will be checked by the pathologist. The cervix of the female is numbed with the application of a spray or anesthesia injection. In some cases sleep anesthesia is given to the patients.
You have to put the clothes down to the waist and can cover with a cloth that will be tied around the waist. Lie down on your back and raise your feet that are supported by the foot rests. Now the doctor will insert an instrument which has smooth and curvy blades into your vagina. The speculum will help to keep apart the walls of the vagina so that the gynecologist can look into the vagina and the cervix. Later, the cervix is washed with a solution and put in the right place using a clamp known as tenaculum.
An instrument is used to collect the sample from the uterus lining which is guided through all the cervix area of the uterus. The movement of the instrument leads the women to feel cramps during the procedure. The time taken for the entire biopsy process ranges between 5 to 15 minutes.
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