On what do a biopsy paypel. Preparation and conduct of a pipel biopsy of the endometrium

Women throughout their lives have to undergo various examinations more than once. One of the modern types of diagnostics is a pipel biopsy. What it is? This question arises in almost every representative of the weaker sex, who is assigned a study. It is about him that will be discussed in the article. You will get acquainted with a new type of examination called a pipel biopsy. What it is? The answer will be presented to your attention below. You will also learn about what procedure has consequences and results.

Paypel biopsy: what is it?

This manipulation is sometimes also called. Unlike other types of studies, such as hysteroscopy, diagnosis does not require hospitalization and anesthesia. The sampling procedure is carried out on an outpatient basis and takes no more than one minute. Preparation for the study takes much longer.

Paypel biopsy - what is it? Every modern gynecologist can answer this question for you. The doctor will tell you that an aspiration biopsy is performed using a special device - a pipel. This is where the name diagnostics comes from.

During manipulation...

Diagnosis such as a pipel biopsy is prescribed for women with suspected various diseases. It is also produced among nulliparous representatives of the weaker sex, who cannot bear a child for a long time. Diagnoses such as uterine fibroids, endometritis, metritis, hyperplasia can be made with this procedure.

During the study, the woman is given local anesthesia. Drugs that suppress the contractility of muscle organs can also be used. Before the introduction of the pipel, the doctor carefully treats the vagina and antiseptics. Next, a tube is inserted into the woman's body towards the uterus. Having reached the desired depth, the doctor begins to slowly pull the piston out of the tool. This action creates a negative pressure. Particles of the endometrium are separated from the walls of the organ and enter the pipel. After that, the doctor slowly removes the device and releases the patient.

Pipel biopsy: the result of the study

When the manipulation is carried out, the resulting material is lowered into a liquid medium. In this state, particles of the endometrium and the uterine mucosa are delivered to the laboratory. This is where the main diagnostics are carried out. To do this, laboratory assistants use a microscope.

A woman can get the result already one week after the manipulation. However, in some laboratories other terms are indicated. It should be noted that in private clinics the result comes somewhat faster than in public institutions. However, you will have to pay for such research.

After a pipel biopsy, you should go to the doctor with the result. Only a doctor will be able to correctly decipher the data and, if necessary, prescribe treatment for you. As a result, a wide variety of information can be indicated. Usually doctors write about what was discovered during the study period. These are particles of the endometrium, bacteria, fungi, various sticks and so on. If a woman has a benign or malignant tumor, polyps, then this is also indicated. Do not try to interpret the result yourself. Seek help from experts.

The consequences of the diagnosis

A pipel biopsy usually has minor consequences. The doctor always warns the patient about the possibility of mild pain in the lower abdomen. Also, some patients report that there is a slight discharge from the genital tract. They appear due to damage to the mucous layer of the uterus. The duration of bleeding should not exceed two days. Otherwise, we are already talking about a complication that requires immediate medical attention.

The most dangerous consequence of the diagnosis is, however, if all the rules are followed, it is practically impossible. If there was a puncture of the reproductive organ, then the woman begins to feel unbearable pain in the abdomen, the patient's pressure drops, and weakness appears. This pathology requires urgent surgery.

Opinions about the procedure: reviews of patients and doctors

Paypel biopsy reviews are only positive. Patients say that the procedure is fast. A few minutes after the diagnosis, a woman can stand up on her own and go about her business. Some representatives of the weaker sex say that they had to take painkillers for several days. Other women report that they did not experience any discomfort after the examination.

Doctors say that the pipel biopsy is by far the safest and most accurate method of examination. It is prescribed for bleeding of unclear etiology, after miscarriages, before artificial insemination. There are many indications for research. Experts say that the undoubted advantage of the procedure is that the material is taken not from one part of the uterus, but from each wall. This is achieved by creating a negative pressure, while a conventional biopsy involves the collection of one piece of the mucous wall.

Instead of a conclusion

You have learned about a fairly new, but already very popular method of research called a pipel biopsy. What it is is described in the article. You could get acquainted with the consequences and feedback on the manipulation. If you are assigned such a diagnosis, then know that this is the most accurate, quick and painless way to determine the state of health of a woman. Before the diagnosis, be sure to take tests for infections and inflammations. Good health and good results!

In the field of gynecology, one of the most popular methods for detecting histological problems is endometrial biopsy. The technique is aimed at examining a piece of uterine tissue under a microscope.

Due to this, it is possible to accurately determine the presence of morphological changes in the mucosa. To date, certain types of endometrial biopsy have been developed, which have different capabilities, goals and contraindications.

Pipeline biopsy - what is it?

So, the diagnostic procedure is the taking of a sample (during the life of the patient) of the tissues of the mucosa, so that later chemical and histological studies were carried out.

The event is an important component of a minor surgical intervention, carried out as an independent intervention. But in severe cases, an endometrial biopsy is performed intraoperatively, urgently.

This is a procedure performed solely for the diagnosis and determination of histologies. Although, it rarely happens that an endometrial biopsy is a therapeutic manipulation.

Before the event, there should be appropriate preparation, it directly depends on whether the patient will feel pain and discomfort in the process.

Types of diagnostic studies in gynecology

• Do not drink alcoholic beverages;
• Avoid physical overexertion;
• Do not take hot baths and warm procedures.

Before the biopsy, the patient is offered to inject an anesthetic (this is optional, if desired).

It is imperative to refrain from using medications that can affect the endometrium. If one of the rules is violated, you should not be shy - you need to tell the doctor everything.

Contraindications for the operation

Despite the simplicity and ease of conducting a biopsy, nevertheless, it is an surgical intervention, therefore, it has a number of contraindications for the event:

• The development of inflammation;
• The presence of pathologies of the uterine cavity;
• blood incoagulability;
• Infectious venereal diseases.

Also, the doctor may prohibit the procedure due to personal, individual diseases, which will be established in advance.

The event is quite simple, so no consequences and side effects are observed. However, in specific, individual situations, there may be small short-term bleeding that appears on the day the biopsy is taken. It is worth knowing that in this case, a stationary examination or observation is not required, so the woman can immediately go home.

The advantage of the procedure is a high level of accuracy and informativeness, in comparison with the fact that the interference from the biopsy is minimal. In practice, this event does not yet have negative reviews or manifestations of any side effects or deterioration in well-being.

How is this procedure carried out?

The diagnostic measure Pipel biopsy is a modernized method for examining the endometrium and uterine cavity. The technique is based on the standard method of endometrial aspiration.

The procedure is carried out in this way:

Previously, when a standard curettage was performed, when a small amount of a diagnostic sample was taken, almost the entire endometrium disappeared, and an extensive wound appeared on the membrane.

It is important that the modern diagnostic method is quite possible for use in cases of suspected malignant or benign tumors in the uterine cavity or in metrorrhagia after a miscarriage.

The process of separation of the endometrium for diagnosis and analysis is carried out by a vacuum separation created in the uterine cavity.

If a more detailed examination and subsequent analyzes, laboratory tests are required, sometimes the uterine cavity is irrigated with a special solution before a biopsy, in order to subsequently make washings.

Professional experts recommend that before carrying out, as a preparation, ensure sexual rest and refrain from intimacy, do not douche, do not use vaginal tampons for 2-3 days before the biopsy. To rule out STDs and all kinds of acute urogenital diseases, a qualified doctor must prescribe a preliminary examination.

After endometrial biopsy

Despite the fact that the procedure is minimally invasive and simple, nevertheless, it is associated with a violation of the integrity of the mucous tissues of the uterine cavity. Therefore, it is not uncommon when during the first day after the event there is a slight bleeding that does not bring pain.

After Pipel's diagnostic curettage, there may be some time copious, similar to menstrual flow, accompanied by short-term pain in the lower abdomen.

It is worth immediately clarifying that the pains are not long-term, and the discharge rate after the procedure is much less than during the menstrual cycle and should not include blood clots, pus impurities and no unpleasant putrefactive odor. If any of the above symptoms appears, it is a signal to contact a specialized medical institution for advice.

Immediately after research

When the diagnostic event is over, the doctor recommends using a sanitary napkin, discharge is possible. But, in no case do not use tampons, they can irritate the mucous membrane, causing discomfort. The norm is a slight pain in the abdomen or lower back, this fact is due to spasms in the uterus.

Important symptoms to be concerned about are the following characteristics:

• Profuse bleeding;
• Prolonged severe pain;
• Unpleasant smell of discharge;
• Increase in body temperature.

If the symptoms do not go away even after taking painkillers, you should immediately consult a doctor.

In order to prevent serious consequences and various complications, the following rules must be observed after a biopsy:

In addition, to prevent the development of infections and pathogens in the uterine cavity, it is recommended to drink a course of antibiotics. If necessary, the leading doctor may prescribe hormonal drugs.

The recovery period lasts no more 3-4 days, depending on the individual characteristics of the woman's body.

Period after biopsy

When using the sparing Paypel biopsy method to diagnose possible uterine pathologies, menstruation may begin with a slight delay by 8-10 days. The meager volume and period of menstruation is also somewhat different from the standard indicators. This is not a reason to worry, there is nothing to worry about.

If the delay continues for more than 10 days, you should take a pregnancy test and then consult a specialist.

Planning for the conception of a child is recommended only in the next menstrual cycle after the Pipel biopsy.

This is done so that the uterus rests, the mucous membrane goes through a full course of restoration of functionality. It is worth knowing that the diagnostic procedure does not affect the functioning of the ovaries.

Given that the Pipel biopsy is a gentle method for diagnosing diseases of the female organs, the remaining layer of the endometrium is quite enough to undergo the IVF fertilization procedure in the next ovulation cycle.

Often, leading experts advise women not to resort to intimacy with their spouse during the period when bleeding occurs. In the subsequent menstrual cycle, it is recommended to use the barrier method of contraception.

Possible Complications

Before the day of the procedure is scheduled, the specialists, together with the patient, will choose the most appropriate diagnostic method, based on the woman’s personal testimony, body characteristics, etc. Depending on this, the requirements for preparation and various risks after the event are regulated.

Despite the fact that after a biopsy of the pipel, bleeding and minor pain are possible, you should not immediately say “No” to this event, because no other methodology will give such an accurate histological analysis.

Possible complications:

How long to wait for biopsy results?

As a standard, the process of diagnosis and subsequent interpretation of the results takes at least 14 days. This should be performed exclusively by a pathologist or histologist. If the leading specialist made an appropriate note in the direction for analysis, an additional immunohistochemical analysis is possible.

How many results will be made depends on the capabilities of the laboratory and the experience of the specialist, as well as on the volume of studies and additional analyzes.

Cost of the procedure

Another important aspect today is the cost of the manipulation. Most clinics have already included this procedure in their list of services.

The price will vary depending on the region, the level of the clinic and other circumstances. In Moscow, the average price for this procedure is 3,000 rubles. In the regions, the price of endometrial endometrial biopsy is lower.

When a Peipel biopsy of the endometrium is performed, its price includes payment for a histological or cytological examination. On average it fluctuates from 4,000 to 5,000 rubles. So the final cost of the entire survey will be in the area 7,000-8,000 rubles.

It is done by a gynecologist using a special device that allows you to take the material without additional manipulations. The procedure is considered the safest and most gentle compared to other types of biopsies due to the fact that the cervix does not dilate.

An endometrial biopsy is a study of the inner layer of the uterus, in which the cervical canal is not opened. The gynecologist takes the material for analysis for further laboratory diagnostics at the end of the study. For a biopsy, the gynecologist will use a tube-pipel. At the end, it has a hole through which the material necessary for diagnostics gets inside. No additional manipulations for the collection of the endometrium are required due to the device of the tube.

A pipel biopsy allows you to carry out therapeutic measures during the procedure, when necessary.

What shows

Peipel endometrial biopsy shows:

• the presence of atypical (cancerous) cells;
• the presence of bacteria or viruses, as well as other infectious agents;
• hyperplasia (overgrowth of the endometrium).

The alleged diagnosis is confirmed or refuted after the examination of the material in the laboratory.

Advantages and disadvantages

The advantages of performing a Pipel biopsy are that:

• the procedure is carried out in the gynecologist's office, there is no need to register in a hospital;
• does not last long;
• it is allowed to do in the presence of various diseases, when other types of biopsy are prohibited;
• disposable instruments are used;
• traumatization is minimal;
• no need for anesthesia;
• high information content of the method;
• the cost varies within 3000 rubles.

But among patients who have undergone a pipel biopsy of the endometrium, there are also negative reviews. In most cases, they are associated with an incorrect procedure by a doctor when the fundus of the uterus is traumatized. There is also a lack of information in the material, the reason for which is the patient's failure to comply with the date of the procedure or other requirements. Many complaints about the severe pain of the procedure.

Indications

A Paypel biopsy is prescribed by a doctor to confirm or clarify the diagnosis.

The indications for the procedure are as follows:

• infertility;
• preparation for IVF;
• bleeding not associated with menstruation, or after taking hormonal drugs;
• long-lasting spotting after childbirth;
• myoma;
• the presence of polyps;
• endometriosis;
• hyperplasia;
• menstrual irregularities;
• suspicion of the presence of malignant cells.

Contraindications and restrictions

Pipel biopsy of the endometrium has a number of contraindications to the procedure:

• pregnancy;
• blood clotting disorder.

Among the time constraints, the active stage of inflammation of the genitourinary system should be distinguished.

On what day of the cycle and how often can a biopsy be done

Pipel biopsy of the endometrium is performed on the 25th or 26th day of the cycle before menopause. In case of heavy bleeding during menstruation, the doctor may prescribe an operation from 5 to 10 or from 17 to 20 days of the cycle. After the onset of menopause or if cancer is suspected, a biopsy can be performed any day.

A pipel biopsy of the endometrium is done on the day of the menstrual cycle, which is prescribed by the doctor. You cannot choose the day yourself. Days will vary for different diagnoses.

This type of examination can be done frequently if so prescribed by the attending physician. Sometimes, to clarify the diagnosis, the procedure is carried out twice in one menstrual cycle.

Study preparation

Preparation for a pipel biopsy of the endometrium must be observed in order to avoid complications.

Primary includes a number of examinations:

• smear at the gynecologist;
• coagulogram.

A smear is necessary to exclude infectious or other diseases. Ultrasound reveals the presence of pathologies and confirmation of the absence of pregnancy. It is necessary to make a coagulogram in order to exclude problems with blood clotting. This biopsy does not involve the use of a coagulant to cauterize vessels in case of bleeding.

How to prepare for an endometrial pipel biopsy when examinations allow the procedure:

• 3 days before the procedure, exclude sexual intercourse, douching and do not use vaginal suppositories;
• in agreement with the doctor, stop taking hormonal drugs and drugs that thin the blood.

Execution technique

The technique for performing the procedure resembles an examination by a gynecologist and looks like this:

1. The woman undresses and sits comfortably on a chair.
2. The doctor inserts a dilator with a mirror into the vagina.
3. Next, he measures the size of the uterus by introducing a special measuring device into it through the cervical canal. This is necessary for the correct selection of the tube.
4. A tube is inserted into the uterus and the material is taken in 3 different places.
5. The equipment is taken out, the woman can get up from the gynecological chair.

The video below shows the procedure in 3D animation. Taken from the Promatka channel. ru.

How material is collected

The procedure is as follows: the doctor creates a negative pressure using a piston at the bottom of the tube. Endometrial tissue enters the device through a hole at the end of the pipel. Equipment with material is removed and sent to the laboratory.

Is the procedure painful and how long does it take?

Whether it will hurt to do a pipel biopsy of the endometrium depends on your personal pain threshold. Doctors declare that the procedure is painless. Some gynecologists tend to prescribe pain medication before starting a biopsy. As a rule, complaints of soreness do not occur often and we are talking about short-term discomfort.

The duration of the biopsy is about 2 minutes.

What not to do after the procedure

After a pipel biopsy of the endometrium, it is impossible to:

• in the presence of spotting, use tampons;
• take a bath, overheat;
• supercool;
• have a sexual life;
• apply antibiotics;
• use hormonal contraceptives.

It is important to avoid strenuous exercise and stay in bed for 2 days. Restrictions are imposed for a period of 2-3 days, unless otherwise prescribed by the doctor. If during the procedure traumatization of the uterus occurs, they are extended for a period of up to 30 days.

Deadlines for obtaining results and their interpretation

Results are reported 7-10 days after endometrial tissue sampling. As a rule, the transcript contains one phrase, the meaning of which is clear to the gynecologist.

This may be, for example: the epithelium is normal in the proliferation phase. If the material was taken a few days before the onset of menstruation, such a diagnosis means hormonal disorders in the body.

Therefore, in order for the doctor to accurately diagnose, it is important to follow the recommendations and undergo a biopsy on the right day of the cycle. Otherwise, the diagnostic result will be incorrect.

Consequences and possible complications

After a biopsy, the following consequences are possible:

• 10-day delay, or scanty/heavy periods;
• perforation of the uterine fundus (if the procedure is performed in the presence of inflammation).

Complications are rare and look like this:

• bleeding associated with the patient's blood clotting or damage to the uterus;
• accession of a bacterial infection after a procedure that enters from the vagina;
• brown discharge;
• endometritis.

For a pipel biopsy, strong discharge is not typical, since traumatization is minimal. If a woman does not bleed, but bleeding is clearly noticeable - more than 3 pads within 2 hours - hospitalization is required. Any complications after surgery can be easily avoided by following the precautions.

Medical terminology often plunges patients into a state of stupor. Indeed, some names sound frightening and menacing, although in fact they denote a completely simple procedure. A paypel biopsy belongs precisely to this category: a modern procedure, whose essence is familiar to many women. But still, when voicing a pipel biopsy: everyone wants to know what it is.

What it is?

Almost everyone understands the concept of a biopsy - this is the collection of a small amount of tissue from the uterus for detailed analysis. A simple biopsy is painful due to the need to dilate the cervix. Therefore, the procedure always requires local anesthesia. But the endometrial biopsy analysis is distinguished by the introduction of an innovative tube diameter. For tissue sampling, a tube of 3 mm in total diameter is used, inside of which there is a small piston. Reviews of the endometrial biopsy paypel speak of painlessness due to such a tube.

The minimum diameter of the pipel (the so-called tool) allows you to penetrate the uterus unnoticed by the patient. No need to apply anesthesia, expand the neck, cause inconvenience. The tube enters the uterus and with the help of a piston separates the right amount of tissue or fluid. This is the answer to the constant question of girls before the process: how is an endometrial biopsy done. The procedure is comfortable and short.

The only feature is the multiplicity of the procedure. In most cases, two or three tissue samplings are required to see the response of the uterus to the treatment. Such an endometrium is usually required when it comes to the presence of tumors or other pathological processes. Ultrasound, x-rays may be powerless in front of some diseases. Women's diseases are special, often latent for the time being. The results of the endometrial biopsy allow for an accurate diagnosis and exclude/confirm assumptions.

Indications for endometrial biopsy

A biopsy should not be performed spontaneously, suddenly on the day of a doctor's visit. The female body depends on the phases of the menstrual cycle. A biopsy is taken on the day of the cycle that is most suitable for identifying a specific pathology. Only if a carcinoma is suspected, an analysis can be carried out at any time. In other cases, accuracy is needed for what the endometrial biopsy shows:

• in case of bleeding: analysis on the first day of the onset of bleeding;
• with global bleeding: analysis on the 5-10th day of the menses themselves;
• infertility: analysis at the beginning of menstruation or the day before;
• no pregnancy in the absence of menstruation: biopsy once a week;
• setting the exact day of the cycle itself: between 18 and 24 days.

Paypel endometrial biopsy on video in more detail and accurately reflects the process itself. It is useful to watch the video before the analysis, which helps to calm down and not worry. Biopsy is often performed in women due to anatomical features. The female body is sensitive to many factors. For example, for a serious violation of the cycle, it is enough to experience nervous stress once. Therefore, gynecologists and obstetricians with blurred symptoms and an unclear picture always use such an analysis as a uterine biopsy.

Read about other women's surveys. When examining a woman's body, the doctor often prescribes general tests, for example, blood. Read more in this article.

The study is indicated more often in such cases as:

• the appearance of bleeding during menopause;
• the presence of bleeding during each menstruation;
• persistent infertility against the background of healthy tests;
• fibroids, tumors in order to determine malignancy;
• the presence of inflammation;
• bleeding after an abortion or childbirth;
• a clear assessment after hormonal treatment;
• bleeding or heavy discharge during such treatment.

Paypel endometrial biopsy in the photo clearly shows the phasing and even what is happening inside. This is a delicate work that has become familiar to specialists. Sometimes the fence is so invisible that the patient continues to wait for something when everything is already finished.

Microcurette - a quick way to incomplete biopsy

In words, the sampling of uterine tissues with a microcurette is painless, specialists themselves rarely use anesthetics. An endometrial streak biopsy involves a partial, insignificant sampling of uterine tissue for examination. In some cases, this type of analysis can replace a complete curettage.

This makes such an analysis as a train biopsy gentle for patients and less traumatic. The tape method is in demand, it is carried out quickly, sometimes within five minutes. But the price of a paypel biopsy of this kind will be much higher than usual.

In Moscow, the minimum cost starts from 4,000 rubles. Although here the cost depends more on the rank of the clinic and the specialists themselves.

There are clinics where the cost of a paypel endometrial biopsy is much cheaper simply because there are no eminent titles among doctors. For comparison, let's say how much an endometrial biopsy costs: from 1,700 rubles.

Preparation for the procedure and its consequences

Preparation for a pipel biopsy of the endometrium is minimal. The day before the procedure, no intimate relationships, candles, tampons. The uterine cavity should remain natural, so do not use any frills.

The consequences of a pipel biopsy of the endometrium are rare. In rare cases, we are talking about infections or minor spotting.

The discharge quickly stops, as this is a reaction to the intervention, especially if a scraping was taken. More often during the process and after it, spasms begin. The uterus contracts, causing mild discomfort. Cramping after a pipel biopsy of the endometrium will pass during the day, you can stop it with an antispasmodic.

Many women have to get acquainted with a biopsy. There is no real reason to be afraid of an endometrial aspiration pipel biopsy. And against the background of a frequent problem in women with pregnancy, such a procedure is simply necessary. Only the endometrium can show all the hidden features of the female uterus.

Women often have to turn to gynecologists. These doctors monitor the health of the reproductive organs and manage the pregnancy. Often, a patient needs to be diagnosed to establish an accurate diagnosis. One of the research methods is a pipel biopsy of the endometrium. What it is, you can find out from the presented article.

Diagnostic procedures in gynecology

(what it is - will be described later) is one of the methods for diagnosing women's health. Also, gynecologists often prescribe an ultrasound examination. It is carried out more quickly and does not require special preparation. However, ultrasound may not always provide accurate information.

The diagnostic procedures that a gynecologist can prescribe also include curettage of the uterus, laparoscopy, hysteroscopy, metrosalpingography, and so on. Carrying out these manipulations has its indications in each individual case. In recent years, endometrial biopsy has become very popular among gynecologists and obstetricians. What it is? The article will talk about this further.

Pipel biopsy of the endometrium - what is it?

This study is very important in making the correct diagnosis. It is carried out within the walls of the hospital. Diagnosis must be carried out by a qualified technician.

The endometrium got its name from the name of the person who discovered the instrument for collecting material. This device is a short tube with a diameter of 2 to 4 millimeters. There is a beveled end at the end of the device. It is subsequently placed in the cavity of the reproductive organ. On the other hand, the equipment has a so-called piston. When it is removed, the material is taken from the uterus.

Indications for manipulation

A gynecologist or reproductologist can prescribe this study for many indications. Often these are various hormonal pathologies. These include, for example, endometriosis. Also, the study is carried out with a chronic inflammatory process in the cavity of the genital organ.

Manipulation is indicated for women after 40 years and during menopause. If a representative of the weaker sex suffers from uterine bleeding or heavy periods, then the study will help clarify the situation.

Diagnostics is always prescribed before in vitro fertilization. This helps to avoid complications during the embryo transfer period. A pipel biopsy of the endometrium is indicated for women suffering from infertility.

Contraindications

In what cases is a pipel biopsy of the endometrium prohibited? Reviews of doctors suggest that in the following cases it is worth postponing the manipulation indefinitely:

• pregnancy of any term or suspicion of it;
• inflammatory or infectious processes occurring in the vagina;
• blood clotting disorder;
• the presence of infections that were acquired during sexual contact, and so on.

It is worth saying that the diagnosis can lead to complications if the listed contraindications are neglected. That is why, before the procedure, a woman should visit an ultrasound room, take a blood test and a smear from the vagina to determine sterility.

How is material collected?

An endometrial biopsy, the price of which is in the range of 2 to 7 thousand rubles, should be carried out exclusively within the walls of the hospital. In this case, a woman does not need any specific preparation. Manipulation is worth in the period from 7 to 12 days of the menstrual cycle. It is at this point that the data obtained will be most informative.

Before the study, the patient may be given an anesthetic injection into the tissue of the cervix. However, this is only done when the gynecologist uses a pipe with a diameter of 4 millimeters. Also, some clinics offer the patient to take a sedative and a drug that suppresses the contractile function of the muscles before manipulation.

The material is taken on the procedure lasts an average of 30 seconds. It takes more time to prepare. Before starting the manipulation, it is necessary to determine the depth of the uterus. This is done using a special device under the control of an ultrasonic sensor. After that, the appropriate size of the pipel is selected, and the instrument is inserted into the cervix. Next, the doctor pulls the device by the piston, and at this time negative pressure is created in the cavity of the reproductive organ. Particles of the endometrium and other tissues fall into a sterile tube, which is immediately removed from the woman's body. lasts approximately 7-10 days. After that, the patient can receive a conclusion. For decoding and further appointments, you should contact your gynecologist.

After endometrial biopsy

What happens after the study? The doctor must give the patient appropriate recommendations. After taking the material, a woman may find spotting. They should pass within a few days. Also, for about two weeks, it is worth limiting physical activity. Sexual intercourse and hot baths are prohibited.

Complications from manipulation are very rare. Often the cause of their occurrence is non-compliance with the conditions and improper manipulation. A woman before the procedure should familiarize herself with possible problems. These include:

• damage to one of the walls of the uterus (requires emergency surgery);
• bleeding (often caused by pathologically altered tissues);
• inflammation (infection is introduced from an infected vagina) and so on.

If after a pipel biopsy you feel unwell, then you should immediately contact a medical facility. Symptoms of a developing pathology include fever, pain in the lower abdomen, discharge of an unusual nature, prolonged brown daub, and so on.

Summarizing

You have now become aware of the endometrium. It is worth noting that this manipulation has a lot of advantages over. When performing a pipel biopsy, there is no expansion of the cervical canal. Because of this, a woman may well endure the manipulation without the use of anesthetics. If you are prescribed this study, then you should follow all the recommendations of the doctor. Health to you and good results!