A Comparative Study of Endometrial Aspiration Biopsy, Curettage and Endometrial Thickness Measurement by USG in Cases of Peri and Post-Menopausal Women with Abnormal Uterine Bleeding

摘要

The patient is asked to evacuate her bladder and lie comfortably in the dorsal position. A bimanual pelvic examination is done prior to the procedure. It is done to determine the uterine size, and position and whether marked utero-cervical angulation exists. Taking aseptic precautions a posterior vaginal speculum is introduced, the cervix is steadied with the help of a vulsellum. Gentle traction is given on the vulsellum to straighten the utero-cervical angle. The endometrial biopsy catheter tip is inserted upto the uterine fundus or until resistance is felt. Once the catheter is inside the uterine cavity, the internal piston on the catheter is withdrawn, creating suction at the catheter tip. The catheter tip is moved with in and out motion, but the tip does not exit the endometrial cavity through the cervix, which maintains the vacuum effect. Once the catheter fills with tissue, it is withdrawn and sample placed in a separate container containing formalin and/or normal saline and sent for histopathology.