Endometrial aspiration is a simple, minimally invasive clinic procedure where a doctor will take some tissues from the womb lining (endometrium) using a thin tube for diagnostic purpose. The endometrial tissues (the biopsy) will then be looked under a microscope by a pathologist to see if there are any abnormalities.
The indications include:
Abnormal uterine bleeding, e.g. heavy, prolonged or irregular bleeding
Bleeding after menopause
Thick endometrium seen on ultrasound scan.
The procedure can be done in the clinic without anaesthesia as long as the woman is not pregnant or having active pelvic infection. The procedure is generally well-tolerated. The patient may feel lower abdominal cramps during and shortly after the procedure. Some light vaginal bleeding is expected. There is a small risk of pelvic infection after the procedure. Uterine perforation is a possible but rare complication.
The endometrial biopsy result should be available within a week. The doctor will then be able to advise the patient on the most suitable treatment plan.