Endometrial Biopsy and Laparoscopy

Endometrial Biopsy

This is a sample of the lining of the uterus (endometrium) that is taken for testing. This test is usually done after ovulation to check for hormone production and lining thickness. The test is simple – a small catheter tube is inserted into the uterus via the cervix and a small sample of the lining is taken. The lining is then sent to a pathologist who will examine the cells more closely.[1]

The usefulness of biopsy has been debated with some studies saying it is needed or useful[2][3], and others saying it is not worthwhile.[4] For this reason, your doctor may not perform it.

Laparoscopy

A laparoscopy is a minimally invasive surgery where a doctor examines the abdomen, uterus and ovaries with a camera via small incision near the belly button. During this procedure, the doctor can open blocked tubes during micro surgery. As this is a surgery, it is important to choose a doctor with experience and training in this area.

[1] “Fertility Testing: Endometrial Biopsy.” 2014. Reproductive Medicine Associates of NJ. 2014. https://www.rmanj.com/fertility-testing-endometrial-biopsy/.

[2] Sahmay, S, E Oral, E Saridogan, L Senturk, and T Atasu. n.d. “Endometrial Biopsy Findings in Infertility: Analysis of 12,949 Cases.” International Journal of Fertility and Menopausal Studies 40 (6): 316–21. Accessed April 30, 2018. http://www.ncbi.nlm.nih.gov/pubmed/8748922.

[3] Nisa, Zebun. 1983. “The Value of Endometrial Biopsy in Infertility.” Journal of Pakistan Medical Association. 1983. http://www.jpma.org.pk/full_article_text.php?article_id=6456.

[4] Balasch, J, F Fábregues, M Creus, and J A Vanrell. 1992. “The Usefulness of Endometrial Biopsy for Luteal Phase Evaluation in Infertility.” Human Reproduction (Oxford, England) 7 (7): 973–77. http://www.ncbi.nlm.nih.gov/pubmed/1430139.