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Aurora Medical · Warsaw · Diagnostics

Endometrial Biopsy in Warsaw

diagnosing abnormal bleeding and infertility

An endometrial biopsy is a minimally invasive diagnostic test in which a sample of the uterine lining is taken for histological analysis. It helps identify the causes of abnormal bleeding and fertility problems. At Aurora Medical, the procedure is performed only after a gynecologist consultation and a gynecological ultrasound, which rules out pregnancy and ectopic pregnancy.

A few minutesUsually no anesthesia — only mild discomfort is possible
OutpatientNo hospitalization or long recovery
Ultrasound beforehandA mandatory gynecological ultrasound — assessing the uterus and ruling out pregnancy
Endometrial biopsy in Warsaw — diagnostics at Aurora Medical clinic

What the biopsy detects

  • Confirms or rules out endometrial cancer and other malignancies
  • Hyperplasia and abnormal endometrial growth
  • Endometrial inflammation and infections — common causes of infertility
  • Endometriosis and submucosal fibroids
Consultation required 4.9 on Google PL · UA · RU · EN

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Key facts

What is an endometrial biopsy

The endometrium is the layer lining the uterine cavity. It plays a key role in the menstrual cycle and embryo implantation. During the biopsy, a thin tube is passed through the cervical canal and a tissue sample is collected by suction, then sent for histological analysis.

The procedure takes a few minutes, usually requires no anesthesia and is done on an outpatient basis in the gynecologist’s office — with no long recovery. The best time is days 7–10 of the menstrual cycle.

A thin tube is passed through the cervical canal; the endometrial sample goes to histology endometrium thin tube through the cervical canal Histology tissue sample analysis A few minutes · usually no anesthesia
How aspiration endometrial biopsy works
Minimally invasive
A thin tube, no incisions or hospitalization
A few minutes
A short procedure in the gynecologist’s office
Usually no anesthesia
Only mild discomfort is possible
Outpatient
No long recovery
Days 7–10 of the cycle
The optimal timing
Indications

When an endometrial biopsy is recommended

  • Abnormal bleeding — a symptom of various gynecological conditions
  • Infertility diagnostics — assessing the endometrium and causes of failed implantation
  • Endometrial hyperplasia and abnormal lining growth
  • Suspected endometrial cancer and other malignancies
  • Endometriosis
  • Submucosal fibroids

The biopsy is ordered by a gynecologist at a consultation — after an exam and a gynecological ultrasound.

Methods

Types of endometrial biopsy

The doctor chooses the method based on the indications and the patient’s situation:

01
Aspiration (Pipelle)
The most common method: a thin tube is passed through the cervical canal and the sample is collected by suction. A few minutes, usually no anesthesia.
02
Hysteroscopic
Tissue sampling under direct hysteroscopic vision — allows a targeted sample from the changed area.
03
Curettage
Scraping of the uterine cavity — used when a larger tissue volume is needed for analysis.
The procedure

How an endometrial biopsy works

The procedure takes a few minutes and is performed on an outpatient basis, only after a gynecologist consultation and a gynecological ultrasound:

01
Gynecologist consultation
The mandatory first step: the doctor assesses the indications and symptoms and schedules the procedure for the optimal cycle day (7–10).
02
Gynecological ultrasound
Mandatory before the biopsy: assessing the uterus and ruling out pregnancy and ectopic pregnancy.
03
Inserting the tube
A thin tube is passed through the cervical canal — no incisions, usually no anesthesia.
04
Collecting the sample
Endometrial tissue is collected by suction. Mild, brief discomfort is possible.
05
Histology and results
The sample goes for histological analysis; the doctor discusses the results with the patient and selects treatment.

After the procedure: recommendations

  • A few hours of observation; then you can return to your usual activities
  • Light bleeding or spotting for a few days and lower abdominal cramps are normal
  • Avoid sexual intercourse until the end of the menstrual cycle
  • For 10–14 days — no tampons or vaginal douching
  • If prescribed, take antibiotics to lower the infection risk
  • Severe pain or heavy bleeding — see a doctor immediately; most complications appear within the first 12 hours
Fertility

Endometrial biopsy and infertility

“The biopsy helps detect endometrial pathologies that interfere with embryo implantation.”

Endometrial inflammation and infections are among the common hidden causes of infertility and failed implantation attempts. The biopsy detects them so they can be treated in time, and also assesses abnormal cycle patterns and lining growth.

For this reason the test is often ordered during infertility diagnostics and as part of IVF preparation: treating the detected endometrial pathologies can increase the chance of successful embryo implantation.

Bottom line: an endometrial biopsy is a quick, minimally invasive and informative way to understand the cause of abnormal bleeding or conception problems and choose the right treatment.

Safety

Possible complications

The procedure is generally safe; most complications appear within the first 12 hours:

  • Common and harmless: light bleeding or spotting for a few days
  • Common and harmless: lower abdominal cramps
  • Rare: infection — may require a course of antibiotics
  • Very rare: uterine perforation — requires urgent medical care

In case of severe pain, heavy bleeding, fever or chills after the procedure, contact the clinic immediately — tel. 884 807 400.

Price

How much an endometrial biopsy costs

Endometrial biopsy at Aurora Medical
Confirmed at booking
the price depends on the method and the scope of histological analysis

Book online or call 884 807 400 — our administrator will confirm the price and find a convenient time. The full price list is on the clinic’s pricing page.

Book online

Before the procedure

A gynecologist consultation and a gynecological ultrasound are mandatory steps before an endometrial biopsy.

Both can be done in a single visit at the clinic.

FAQ

Frequently asked questions

Does an endometrial biopsy hurt?+
Usually not. Most patients feel only mild, brief discomfort while the sample is taken. Anesthesia is generally not needed.
Is a consultation required before the biopsy?+
Yes. A gynecologist consultation and a gynecological ultrasound are mandatory before the procedure — the doctor assesses the uterus, rules out pregnancy and ectopic pregnancy, and schedules the biopsy for the optimal cycle day.
When is the best time for an endometrial biopsy?+
The optimal time is days 7–10 of the menstrual cycle. The exact date is set by the doctor at the consultation, depending on the indications.
What are the most common complications?+
Light bleeding or spotting for a few days and lower abdominal cramps. Less common are infection (may require antibiotics) and, very rarely, uterine perforation requiring urgent care. Most complications appear within the first 12 hours.
What should I avoid after the procedure?+
Avoid sexual intercourse until the end of the menstrual cycle, and tampons and vaginal douching for 10–14 days. If prescribed, take antibiotics to reduce the infection risk.
How is an endometrial biopsy related to infertility treatment?+
The biopsy detects endometrial pathologies — inflammation, infections, abnormal lining growth — that interfere with embryo implantation. Treating them in time can increase the chance of successful implantation, including in IVF preparation.

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