Endometrial Biopsy Specialist

Capital Women's Care

Obstetrics & Gynecology located in Montgomery, Bethesda, MD

If you experience unusual menstrual bleeding, whether too much or none at all, your doctor may request an endometrial biopsy. At Capital Women’s Care - Bethesda, the compassionate professionals discuss your condition and why they’re opting for the procedure, ensuring you understand what they’re doing. With a patient-centric approach, Dr. Lewis Townsend, Dr. John Gschwend, and Dr. Deena Kleinerman can find the cause of your discomfort and work toward a solution. If you live in or near Bethesda, Maryland, call today to schedule your appointment.

Endometrial Biopsy Q & A

What is an endometrial biopsy?

During an endometrial biopsy, your gynecologist removes a small amount of tissue from the lining of your uterus, called the endometrium. This tissue is examined under a microscope to determine if there are cell changes and if abnormal cell growth or hormone levels caused them.

The team at Capital Women’s Care - Bethesda may recommend an endometrial biopsy to identify specific conditions, such as endometritis or other uterine infections.


Who needs an endometrial biopsy?

Your gynecologist may suggest having an endometrial biopsy if you experience unusual bleeding, including:

  • Heavy menstrual bleeding
  • Post-menopausal bleeding
  • Absence of bleeding

The procedure can pinpoint a hormonal imbalance, fibroids, or polyps, as well as abnormal cell growth or cancer. If you’ve been engaged in hormone replacement therapy, an endometrial biopsy can show if the treatment is working.

While an endometrial biopsy can help rule out and diagnose certain conditions, it’s not the right procedure for everyone. You shouldn’t have this kind of biopsy if you’re pregnant or if you have:

  • A blood clotting disorder
  • Pelvic inflammatory disease (PID)
  • A cervical or vaginal infection
  • Cervical cancer


How do you prepare for an endometrial biopsy?

If the test needs to be done during a specific part of your menstrual cycle, your doctor may request that you keep track of your monthly cycles to book the appointment.

During your initial consultation, the doctor reviews the medications you take, as certain drugs, such as blood thinners, can complicate the procedure. Depending on your health history, you may have to stop taking some medications for a few days before the biopsy.

You may need to take an over-the-counter pain reliever before you arrive for your biopsy to help eliminate any discomfort.

When you arrive for your endometrial biopsy, your gynecologist may ask you to take a pregnancy test to ensure you’re not pregnant. The procedure could cause a miscarriage. Your doctor may give you a slight sedative so bring a friend or family member to drive you home.

If you have symptoms which are disconcerting, contact Capital Women’s Care - Bethesda for a consultation. Call the office today to schedule your appointment or book online.