Learn how an endometrial biopsy at Texas Fertility Center can reveal information about infertility

To make pregnancy possible, you need a healthy egg and sperm. However, those aren’t the only requirements for a successful pregnancy. You also need a receptive uterus where a growing embryo can implant and develop into a healthy baby. As a result, our New Braunfels fertility specialist, Susan Hudson MD, may order an endometrial biopsy to learn more about your uterine lining, also known as your endometrium.

A deeper look at the purpose of an endometrial biopsy

When Dr. Hudson performs this test, her goal is to remove a uterine lining sample and look for problems with the endometrium. Our New Braunfels fertility specialist may find endometrial polyps or fibroids, a uterine infection or inflammation, or a lack of the necessary proteins for implantation.

Typically, Dr. Hudson will recommend an endometrial biopsy if you have certain symptoms, including abnormal bleeding or recurrent implantation failure. She may also suggest taking a uterine lining sample if an ultrasound reveals you have a thickened endometrium. However, because this test involves the use of suction, you should not have this procedure if you are or may be pregnant.

How does Dr. Hudson take a uterine lining sample?

On the day of the biopsy, you will come to Dr. Hudson’s office. Before getting started, she will insert a speculum into your vagina. This will allow her to see the cervix and clean it before the procedure. Then, she will insert a thin, flexible tube, known as a catheter, through the cervix and into the uterus. Using mild suction, our New Braunfels fertility specialist will take a uterine lining sample.

Dr. Hudson will send the sample to a specialized laboratory. There, the team will use a microscope to determine whether the sample contains abnormal cells or changes. Armed with the results, Dr. Hudson will develop your customized treatment plan. Your plan may include antibiotics, hormonal medications or minimally invasive surgery, depending on your diagnosis.

What can you expect after the procedure?

You can return home the same day that you have an endometrial biopsy, as the procedure only takes five minutes.

Many women have mild cramping and some vaginal bleeding in the days following the biopsy. As a result, our New Braunfels fertility specialist recommends wearing a pad and taking ibuprofen for the cramping.

For the first two to three days, you shouldn’t use tampons, have sex or engage in strenuous activity or heavy lifting. After this recovery period, you can return to your normal activities.

If you have questions about fertility testing and treatment, contact us to schedule an appointment. Dr. Hudson is here to guide you on your journey to bring home a healthy baby.