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An endometrial biopsy involves removing small samples of tissue from the lining (endometrium) of your uterus (womb).

An endometrial biopsy is usually performed for the following reasons:

  • Heavy periods or bleeding between periods
  • Vaginal bleeding after the menopause
  • Unexpected bleeding while taking hormone replacement therapy
  • A pelvic ultrasound scan showing an abnormally thickened endometrium
  • To assess your response to treatment if you have endometrial hyperplasia

An endometrial biopsy is usually performed without anaesthetic. However, if the procedure is difficult or you are uncomfortable, your healthcare professional may offer you a local anaesthetic or sedation. The procedure usually takes 8 to 10 minutes.

What’s Involved:

  1. Your healthcare professional will use a speculum to view your cervix. They will then pass a narrow plastic tube (called an endometrial sampler) through your cervix into your womb.
  2. Once the endometrial sampler is in your womb, your healthcare professional will take samples by pulling out the middle part of the sampler, which creates suction. They will gently rotate or move the sampler inside your womb to collect tissue.
  3. Your healthcare professional will remove the endometrial sampler and speculum.

Mirena is a type of intrauterine device (IUD) used for long-term birth control. It is a small, T-shaped plastic device that is inserted into the uterus by a healthcare provider. Mirena releases a hormone called levonorgestrel, which is a form of progestin.

  • Effectiveness: Mirena is over 99% effective at preventing pregnancy and can last for up to five years.
    Procedure: The insertion is typically done in Dr Mane’s rooms and can be done quickly. The process may cause some discomfort or cramping, but it usually subsides shortly after the procedure.
  • How It Works: Mirena works by thickening the cervical mucus to prevent sperm from reaching the egg, thinning the lining of the uterus to prevent implantation, and, in some cases, suppressing ovulation.
  • Side Effects: Common side effects may include changes in menstrual bleeding patterns, such as lighter periods, spotting, or even the absence of periods. Other potential side effects include headaches, breast tenderness, mood changes, and acne.
  • Advantages: It provides long-term contraception without the need for daily pills. Many users experience lighter periods or no periods at all, which can be a benefit for those with heavy menstrual bleeding. Mirena can also be used to treat heavy menstrual bleeding in women who choose intrauterine contraception.
  • Considerations: Not suitable for everyone, especially those with certain health conditions like a history of pelvic infections, uterine abnormalities, or certain cancers. It’s important to have a thorough discussion with a healthcare provider to determine if Mirena is the right choice.

The new cervical screening test procedure is similar to a Pap smear test. For both tests, a sample of cells from the cervix is taken. However, the Pap smear test used to look for abnormal cells in the cervix, while the cervical screening test looks for HPV infection.

The new test for HPV can identify women who could be at risk of cervical cancer earlier than the Pap test could.

The test is indicated for sexually active women from 25-74 years of age to pick-up subtle changes which can lead to cancer if not treated in time. The test is now recommended every 5 years.

Dr Shree Mane is a Sydney Obstetrician and Gynaecologist, and Fertility Medicine sub-specialist with 30+ years of experience. She has achieved specialist registration in India, the United Kingdom and Australia.

She consults and operates across Western Sydney and offers Saturday appointments, as well as telehealth bookings.

If you have a question about a condition or treatment, or would like to book an appointment, please contact us and one of our friendly staff members will happily assist you.

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