Pipelle biopsy involves your consultant gynaecologist taking a tiny sample of the lining of the womb for further investigation. This helps to determine if there are any cancerous or abnormal cells in the lining of the womb. Once your results have been received, your consultant will discuss with you a personalised treatment plan for the condition you have been diagnosed with.
When do you need a pipelle biopsy?
Your consultant will advise a pipelle biopsy if you present with any of the following:
- abnormal vaginal bleeding
- heavy or prolonged periods
- bleeding between periods
- post menopausal bleeding
- thickness in the lining of the womb
- endometrial cancer
How does the procedure take place?
Your consultant will explain the entire procedure during your consultation. During this time, we urge you to raise any queries or concerns you might have. During the entirety of your procedure, a nurse will be present as a chaperone.
Your consultant will initially use a speculum (similar to the one used during a smear test) to examine the walls of your vagina and cervix. Under local anaesthetic in indicated cases, they will then go on to conduct the pipelle biopsy. A tiny plastic tube – the size of a ballpoint pen refill – is used to take a sample of the lining of your womb. At this time of suctioning the biopsy, you may experience a discomfort similar to your period cramps.
After the biopsy is taken out by your consultant, the speculum will be removed.