Endometrial biopsy is a common ambulatory gynecology procedure performed by trained family physicians, general practitioners with enhanced skills, and gynecologists. Clinical pathways for abnormal uterine bleeding in Canada are informed by The Society of Obstetricians and Gynaecologists of Canada (SOGC) publications and college standards. We review pregnancy status, anticoagulation, cervical stenosis risk, pain control options, and post-procedure expectations (cramping, light bleeding).
Samples are sent to pathology; urgent referral is arranged if results reveal hyperplasia with atypia, malignancy, or if inadequate tissue prevents diagnosis.
What This Service Includes
Pre-procedure safety
Urine/serum pregnancy testing when appropriate; STI assessment if infection suspected.
Technique
Speculum exam, cervical/anteverted uterus positioning, sterile sampling device.
Post-procedure care
Pads for spotting, NSAIDs if safe, when to page for heavy bleeding or fever.
What to Expect
Counsel
Risks: pain, vasovagal, perforation (rare), inadequate sample.
Obtain sample
Single pass or limited attempts per protocol; specimen labeled for pathology.
Disposition
Review timeline for results; backup imaging (e.g., ultrasound) if persistent symptoms.