Endometrial Biopsy

The biopsy of the inner lining of the uterus (endometrium) is called an endometrial biopsy. A small tissue sample is collected and tested for abnormal cell changes or hormonal levels. It is used for diagnosing endometrial cancer, infection of the uterus, and endometrial hyperplasia or in cases of bleeding after menopause.

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My partner bled heavily after 3 years of menopause. What to do?

Query: Hi doctor, This is on behalf of my partner. She is 51 and has been through the menopause. She has not had a period in 3 years. Last week, she bled quite heavy for a few days. A duty doctor told her to get a blood test done. She had the blood test done today. My partner did not tell the family hist...  Read Full »


Dr. Geeta Priyadarsini Kamminana

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. Postmenopausal bleeding is the vaginal bleeding, which occurs 1 year after attaining menopause. It should be evaluated, particularly in whom with a family history of carcinoma. PMP bleeding patients are at high risk of endometrial cancer. The causes of PMP bleedin...  Read Full »

Can I drink water while fasting for a thyroid profile test?

Query: Hello doctor, Since the last 10 months, my periods are very irregular. I get periods only once every three to four months. I am on treatment for abdominal TB since the last one and a half years. I take Sompraz D20 on an empty stomach in the morning. I take Duonase nasal spray (two puffs in each nos...  Read Full »


Dr. Keerti Patel

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Your irregular periods can be due to your obesity. You need to lose some weight. You have a history of TB (tuberculosis). So, there may be chances that your uterus might have got affected due to that. I suggest the following tests: USG (ultrasonography) of th...  Read Full »

How to manage heavy menstrual flow?

Query: Hi doctor, I have been suffering from heavy menstrual flow for the past 1.5 years. Around six months, I had heavy flow with clots. Now, I have been menstruating for the past 20 days continuously with heavy flow and clots. My current medication includes capsule Gynae CVP, tablet Augmentin and caps...  Read Full »


Dr. Kamalpreet Kaur Nagpal

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. You are losing blood heavily. Kindly upload your reports as well. Since you are bleeding for the last 20 days continuously, first we should try to stop this. I suggest tablet Meftaris (combination of Tranexamic acid and Mefenamic acid) one tablet thrice a day for three...  Read Full »

Is adenomyosis a cancerous tumor?

Query: Hi doctor, I have irregular periods with very heavy bleeding, clots, cramps, stabbing pains in my pelvic area with no pattern connecting to bleeding. Some days, I am so fatigue and cannot function. This started five years ago. I had constant bleeding following coil insertion. Then it was removed and...  Read Full »


Dr. Garima Sawhney

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. The problem which you are facing is most likely due to the adenomyosis and polycystic ovaries. As you have not mentioned your age and the number of kids, it is really difficult to tell you the exact management. Because, management is totally age related and number of k...  Read Full »

I have postmenopausal vaginal discharge. Should I opt for a hysterectomy?

Query: Hi doctor, I am a 52 year old female, who weighs 75 kg and I am 152 cm tall. I want to know whether we should opt for hysterectomy or not. I do not want to do a hysterectomy, as it may interfere with hormonal balance later. I have postmenopausal vaginal discharge, with a fair amount of red spots. W...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I have reviewed the reports (attachment removed to protect patient identity). According to the reports, there is an increased thickening of the endometrium, which is the inner lining of the uterus. A thickness of more than 5 mm is considered abnormal and often consider...  Read Full »

How to improve my endometrial thickness to get pregnant?

Query: Hello doctor, My age is 32 and my husband is 37. We are married for 9 years and I have been trying for conception since 8 years. I did conceive last year, but the heartbeat was not seen. So, I underwent D and C. Till last year my period was regular. But, it became very scanty after D and C. Also, my...  Read Full »


Dr. Archana Sundarka

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I can understand your anxiety. I have read your problems and your husband's report (attachment removed to protect patient identity). It seems that your problem could be due to vigorous curettage (dilation and curettage) or due to endometrial infection, such as tuberculos...  Read Full »

Can a biopsy ascertain the cause of chronic endometritis?

Query: Hello doctor, My friend tested positive for chronic endometritis following a biopsy. Her question is, what needs to be present in the tissue sample to conclude that the endometritis is the result of a miscarriage? What could be the other causative agents?  Read Full »


Dr. Ashish Vilas Jawarkar

Pathologist

Answer: Hello, Welcome to icliniq.com. Conclusive proof for endometritis, following a miscarriage, would be the presence of villi and decidua in the biopsy. However, that may not be seen in most cases. Blood beta hCG levels in pregnancy range, just before the biopsy would suffice. For further queries cons...  Read Full »

Will Koch's disease cause irregular and painful periods?

Query: Hello doctor, My wife is suffering from irregular and painful periods from more than a year. We went to the doctor, and he told us to perform several tests like serum vitamin, serum prolactin, thyroid function, hemogram, calcium level, and Mantoux test. The reports, which I have attached, showed th...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. This is a case of irregular, painful periods, which is not uncommon among the woman who has not become a mother yet. I have gone through the report (attachment removed to protect patient identity), but I could not find anything suggestive of tuberculosis (Koch's diseas...  Read Full »

Which is the best treatment option for postmenopausal vaginal discharge?

Query: Hello doctor, I am a 52 years old female, who weighs 75 kg, and I am 152 cm tall. I have postmenopausal vaginal discharge with a fair amount of red spots. What could be the cause? I had my menopause 1.5 years back, and I have type 2 diabetes, hypothyroidism, and asymptomatic cholelithiasis from l...  Read Full »


Dr. Sunil Jagdish Yadav

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I have seen all the reports (attachment removed to protect patient identity). First, D and C (dilation and curettage) with cervical biopsy with acetic acid or Lugol's iodine should be done as you have postmenopausal spotting with thickened endometrium of 9 mm, with ass...  Read Full »

Unless I take progesterone, I am bleeding continuously. Why?

Query: Hi doctor, I am 5'10" and 250 lbs. I am 28 years old. I have a history of PCOS, had an endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am menstruating for three mon...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. This is a typical progesterone deficiency where you should ideally be started on cyclical progesterone therapy from day 11 to day 25 of your cycle or on continuous progesterone therapy for three months. You should take treatment for at least three months to control men...  Read Full »

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