Pipelle endometrial suction biopsy

St. Sophia’s Specialist Clinic provides histopathological diagnostics of the endometrial tissue using pipelle suction biopsy.

What is Pipelle endometrial sampling?
The procedure involves the insertion of a thin, flexible tube with a rounded end (pipelle) into the uterine cavity and vacuum aspiration (suction) of a small sample of endometrial tissue. The procedure takes only several minutes and does not require cervical dilation, hospital stay or anesthesia. The degree of discomfort accompanying the procedure is relatively mild and in most cases limited to dull abdominal pain. The endometrial tissue sampled in this way enables highly sensitive and specific histopathological diagnosis of endometrial pathologies. It is an excellent alternative to the uterine cavity curettage – a much more invasive procedure performed in hospital under general anesthesia.

Indications for the procedure:
Endometrial hyperplasia, abnormal genital bleeding, infertility diagnostics, bleeding / spotting in the course of endometriosis.

It has to be emphasized that the pipelle biopsy should not be applied in the presence of endometrial polyps and submucous myomas or acute vaginal infection.

The procedure requires a prior transvaginal gynecological ultrasound examination.
The pipelle suction biopsy is performed on cycle days 7 through 12 in young and premenopausal patients. It can also be done during another phase of the menstrual cycle provided pregnancy is excluded ( with urine pregnancy test strips or serum beta-hCG test).

The patients are kindly requested to bring along the recent results of::
• cytological test ( valid 12 months ) • gynecologic ultrasound examination
Menstruation pads may also be useful as some patients experience slight bleeding after the procedure.

The procedure requires doctor’s recommendation.

The examination is provided as a self-paid or NHF-funded service.