Pipel-endometrial biopsy - what is it? Diagnostic procedure in gynecology

Women often have to go to gynecologists. These doctors monitor the health of the reproductive organs and lead a pregnancy. Often a patient needs to be diagnosed to establish an accurate diagnosis. One of the methods of investigation is a needle-biopsy of the endometrium. What it is, you can learn from the article.

Diagnostic procedures in gynecology

Pipel-biopsy of the endometrium (which it is - to be described later) is one of the methods of diagnosing female health. Also gynecologists often prescribe an ultrasound. It is carried out more quickly and does not require special preparation. However, ultrasound can not always provide accurate information.

Diagnostic procedures that can be prescribed by a gynecologist also include scraping of the uterus, laparoscopy, hysteroscopy, metrosalpingography and so on. Carrying out these manipulations has its own testimony in each individual case. In recent years, a big popularity among gynecologists and midwives acquires a pinch-biopsy of the endometrium. What it is? The article will tell about this further.

Pipel-endometrial biopsy - what is it?

This study is very important in the formulation of the correct diagnosis. It is conducted in the hospital. A qualified technician should perform the diagnostics.

Aspiration needle-biopsy of the endometrium was named after the man who opened the instrument for the collection of material. This device is a short tube with a diameter of 2 to 4 millimeters. The end of the device has a chamfered end. It is then placed in the cavity of the genital organ. On the other hand, the equipment has a so-called piston. When it is removed, the collection of material from the uterus begins.

Indications for manipulation

A gynecologist or reproductologist may prescribe this study for many indications. Often these are various hormonal pathologies. These include, for example, endometriosis. Also, the study is conducted with a chronic inflammatory process in the cavity of the genital organ.

Manipulation is indicated to women after 40 years and during menopause. If the representative of the weaker sex suffers from uterine bleeding or profuse periods, the study will help to clarify the situation.

Diagnosis is always appointed before in vitro fertilization. This helps to avoid complications during embryo transplantation. Pipel-endometrial biopsy is indicated for women suffering from infertility.

Contraindications

In what cases is the endometrial biopsy punctured? The opinions of doctors indicate that in the following cases it is worthwhile to postpone the manipulation for an indefinite period:

• Pregnancy of any term or suspicion of it;
• Inflammatory or infectious processes that occur in the vagina;
• Impaired blood clotting;
• The presence of infections that were acquired during sexual intercourse, and so on.

It should be said that diagnostics can lead to complications in case of neglect of the above contraindications. That's why before the procedure a woman should visit the ultrasound room, take a blood test and a swab from the vagina to determine the sterility.

How is the material taken?

A biopsy of the endometrium, whose price is in the range of 2 to 7 thousand rubles, should be carried out exclusively within the walls of the hospital. This woman does not need any specific training. Manipulate is during the period from 7 to 12 days of the menstrual cycle. It is at this point that the data obtained will be most informative.

Before the study, the patient can be given an anesthetic injection in the cervical tissue. However, this is only done when a gynecologist uses a 4 mm diameter pipe. Also, some clinics before the manipulation offer the patient to take a sedative and a drug that suppresses the contractile function of the muscles.

The fence is made on the gynecological chair. The procedure lasts an average of 30 seconds. More time is wasted preparation. Before the beginning of manipulation it is necessary to determine the depth of the uterus. This is done with a special device under the control of an ultrasonic sensor. After this, the appropriate size of the pipe is selected, and the instrument is inserted into the cervix. Further, the doctor pulls the device by the piston, and at this time a negative pressure is created in the cavity of the reproductive organ. Particles of the endometrium and other tissues fall into a sterile tube, which is immediately extracted from the body of a woman. Histological examination lasts approximately 7-10 days. After this, the patient can receive a conclusion. For decoding and further appointments it is worth turning to your gynecologist.

After an endometrial biopsy

What happens after the study? The doctor must necessarily give the patient appropriate recommendations. After taking the material, the woman can detect spotting. They must pass for several days. Also about two weeks is to limit physical activity. It is forbidden to have sex and hot baths.

Complications of manipulation are very rare. Often the cause of their occurrence is non-observance of conditions and improper manipulation. A woman should be aware of possible problems before the procedure. To such it is possible to carry:

• Damage to one of the walls of the uterus (requires emergency surgery);
• Bleeding (often caused by pathologically altered tissues);
• Inflammation (infection is recorded from an infected vagina) and so on.

If you feel bad after a biopsy, you should immediately go to a medical facility. Symptoms of developing pathology include fever, lower abdominal pain, unusual discharge, prolonged brown daub, and so on.

Summarizing

You now became aware of what a pipette-biopsy of the endometrium. It should be noted that this manipulation has a lot of advantages over diagnostic curettage. When conducting a biopsy, the cervical canal does not expand. Because of this, a woman may well endure manipulation without using anesthetics. If you are assigned this study, then it is worth to follow all the doctor's recommendations. Health to you and good results!