Endometrial Biopsy - Procedure Note

Patient counseled on R/B/A of endometrial biopsy to include, but not limited to: bleeding, infection, injury to surrounding anatomy (i.e. Uterine perforation, vascular injury), inadequate specimen collection requiring further diagnostic procedures, incomplete sampling/missed pathology. Alternatives include nothing and ultrasound evaluation for other anatomic causes and thickness of endometrium. Benefits include pathologic diagnosis for possible infection, inflammation, precancerous or cancerous lesions, fibroids, or polyps. Patient understands procedure and chooses to proceed. Written consent obtained.\n\nNegative pregnancy test confirmed. Time out performed. Speculum inserted into vagina and cervix visualized. Cervix was cleansed with betadine or chlorhexadine. Anterior lip of the cervix was grasped with a long allis or tenaculum. The uterus was sounded to . An endometrial pipelle was introduced through the cervix to the uterine fundus and negative pressure applied. With rotation, the pipelle was withdrawn to the level of the cervix and the negative pressure was released. Adequate specimen obtained after pass(es). Instruments removed from the vagina. Patient tolerated the procedure .