A procedure to obtain a sample of the endometrial lining of the uterus. This procedure is done by a physician.

How is it done?

• A speculum is placed in the vagina, exposing the cervix.
• The cervix is dabbed with an antiseptic, such as betadine.
• A thin, plastic catheter is inserted through the cervix into the uterine cavity for approximately 10-20 seconds and is gradually withdrawn. Often a second pass with the catheter is needed.
• The specimen is placed into solution and is ultimately fixed to a microscope slide, and then is stained and viewed under the microscope

Why is it done?

• To evaluate abnormal uterine bleeding
• To investigate infertility
• To confirm a chronic uterine infection

What are the possible complications?

• Perforation of the uterus in 1-2 out of 1000 cases
• Infection: rare
• Postoperative bleeding: rare
• Occasionally a specimen cannot be obtained due to inability to pass the catheter
• Vasovagal reflex (lightheadedness) from instrument insertion into the uterus
• Pain/cramping is usually moderate and responds to most over-the-counter pain medications
  It usually does interfere with your ability to drive a vehicle

Instructions

• If you are already bleeding on the day of the procedure, you will need to reschedule
• Take medication given to you or recommended by the doctor to you prior to your visit to the office. If you take aspirin, please do not take it the day of your visit.
• If you have a heart condition that requires you to take antibiotics before dental work, please notify your doctor prior to the day of your procedure

Post-procedure care

• You may experience cramping and/or a light menstrual flow for several days
• Report any fever, chills, significant bleeding, or pain to your doctor
• Avoid intercourse or douching until bleeding stops