Your provider may perform an endometrial biopsy on you if you have any of the following symptoms:

• Bleeding too often
• Heavy periods
• Irregular periods
• Fertility problems (problems getting pregnant and/or staying pregnant)
• Post-menopausal bleeding

An endometrial biopsy is when your provider takes a sample of your endometrium (the lining of your uterus) for analyisis. This is an in office procedure that only takes a few minutes. Your provider will insert a speculum into your vagina and then insert a small tube through your cervix into your uterus. It is normal to feel cramping when the tube is inserted into your uterus. Your provider uses the tube to take a small sample of your endometrium and then removes the tube and speculum. Your provider will send the sample to a lab for analysis. The lining of the endometrium can help your provider determine why you are having abnormal bleeding and/or fertility problems.

Some bleeding and mild cramping is normal after an endometrial biopsy. Be sure to wear a sanitary napkin instead of using tampons. Your provider may also suggest that you refrain from sexual intercourse for a couple of days to allow your cervix to recover from being entered by the sampling tube.

Call your provider immediately if you have any of the following symptoms after your biopsy:

• Severe cramping or pain that does not go away with over the counter pain medication
• Heavy bleeding (more than 1 pad per hour)
• A fever over 100.4°F