Indications for Endometrial Biopsy
The following are indications for endometrial biopsy. Click on each indication for a more complete discussion.
- Abnormal vaginal bleeding
- Infertility
- Suspected endometritis
- Abnormal Pap smear:
- Atypical or malignant endometrial cells are noted on cervical cytology
- Normal endometrial cells are detected on cervical cytology in a
postmenopausal woman
- Abnormal ultrasound:
- A woman taking tamoxifen with abnormal
bleeding or an abnormal ultrasound
The use of endometrial biopsy for routine screening for endometrial cancer is probably not indicated in asymptomatic women.
Routine endometrial biopsy immediately before hysterectomy is also probably not indicated.
Serial endometrial biopsies may be necessary to follow a patient with
known endometrial hyperplasia.
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