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Paypel biopsy of the endometrium

biopsiya shejki matki For anybody not a secret that every woman sooner or later turns into the office gynecology a variety of issues. In order to know the exact cause of most problems, doctors used a method – a biopsy of the cervix.

Cervical biopsy is a painful procedure, during which with the help of special tools is a small sample of suspicious tissue that will be sent for further tests. Because of the pain, which can test the patient, the professionals use anesthesia.

Tests on a biopsy of the cervix is needed in order to identify or exclude suspected diseases such as leukoplakia, and carcinoma endocervical.

Possible complications after surgery

As with any surgery, cervical biopsy carries a risk of complications.

Possible complications:

  • fever;
  • prolonged abdominal pain or cramps;
  • heavy, bright red bleeding from the vagina;
  • fainting or dizziness.

If you have any of these symptoms, contact your specialist for help with it immediately.

Care after surgery

Since biopsy is performed with anesthesia, some time you have to spend in hospital. The nurse will check your blood pressure, pulse rate, respiration.

If you have any nausea or vomiting, the nurse will be given the right medication. Nausea usually occurs when you begin to move away from the anesthesia. You may experience mild pain in the abdomen or pelvis. In this case also issued an anesthetic.

Please pay attention! Some vaginal bleeding usually pass within the first 7 to 15 days after surgery. If bleeding does not end after 2-3 weeks, do not ignore and ask for help.

What are the restrictions after this procedure?

Avoid any actions in the course of two days, as some medications can make you sleepy or dizzy. You may, on the advice of his doctor to return to work within 5-7 days after surgery.

Take a shower instead of a bath, at least in the first two days after discharge. Refrain from sexual intercourse for 3-4 weeks after surgery. First, you can feel the fear of intercourse, fear of pain or bleeding, but after a full rehabilitation, you will be able to return to his former life.

Paypel biopsy of the endometrium – the painless method

 endometrijModern medicine has stepped forward and at the moment can please all women in improved method of tissue sampling of the cervix, which is called – pipel biopsy of the endometrium. This method is based on the introduction into the vagina through the cervix into the uterine cavity of the flexible tube, the diameter of which does not exceed 3 mm for material.

This procedure is performed under such indications biopsy of the cervix:

  • Abnormal menstruation (prolonged and irregular bleeding);
  • Bleeding after menopause (women over 45);
  • Bleeding due to hormonal drug therapy;
  • Determining the cause of infertility;
  • Erosion;
  • The development of the tumor.

Pipel endometrial biopsy is not performed during pregnancy, and sometimes in the case of other causes, including cancer of the cervix or abnormal narrowing (stenosis) of the cervical opening.

How is the procedure?

biopsiya shejki matkiTreatment many women wonder how to make a biopsy of the cervix? It is actually very simple.

The patient is placed in lithotomy position, and thenbimanual examination to determine size of uterus and position. A catheter composed of a soft and easily bendable tube is inserted into the uterine cavity until you feel resistance. The tool has a piston, so apparently, a bit like a large syringe.

As soon as the catheter enters the uterine cavity, the internal piston on the catheter is fully extended, creating a suction in the tip of the tool. The absorption of cells of the endometrium is performed for 30-40 seconds, after which the material is studied by experts, and reported the result of the biopsy of the cervix after 15 days.

As the tool (scientific name: conus PayPal) has a small diameter, the expansion of the uterus is not performed, so the woman does not feel any pain.

How to prepare for the procedure?

Tell your doctor about all the medications that you take. These include drugs for blood thinners, such as warfarin, clopidogrel and aspirin. Doctors can offer to undergo an examination to confirm that you are not pregnant (procedure is contraindicated in pregnant). Two days before the procedure, do not use creams or other medicines in the vagina. Not to douche. Douching can cause infection of the vagina or the uterus.

Please remember! You should not eat or drink anything the day of surgery.


Contraindications to the procedure are pregnancy, acute inflammatory diseases of the pelvic organs and vaginal infections. The procedure is strictly prohibited for pregnant women because there is too much risk that the pregnancy will be aborted. Therefore, doctors before the procedure, inspect the woman the possibility of pregnancy.

In our days, pretty often there are cases when a woman cannot bear a child, as a result, the reproduction made pipel endometrial biopsy a necessary procedure when explaining the causes related to miscarriage of the fetus. Thanks to the precision of the procedure, many women have received the correctly prescribed treatment.