Postoperative infection is rare but may be further prevented through the use of prophylactic antibiotic therapy.
Nonsterile gloves Lubricating jelly Absorbent pad to place beneath the patient on the examination table Formalin container (for endometrial sample) with the patient's name and the date recorded on the label20 percent benzocaine (Hurricaine) spray with the extended application nozzle Place the following items on a sterile drape covering the Mayo stand with the following items placed on top: Sterile gloves Sterile vaginal speculum Uterine sound Sterile metal basin containing sterile cotton balls soaked in povidone-iodine solution Endometrial suction catheter Cervical tenaculum Ring forceps (for wiping the cervix with the cotton balls)Sterile 4 × 4 gauze (to wipe off gloves or equipment)Sterile scissors (if the physician chooses to cut off the catheter tip to deliver the endometrial sample into the formalin container)Keep sterile cervical dilators available, but do not open the sterile packaging unless the dilators are needed.
Once the physician is sterile-gloved and has placed the speculum, the nurse can spray the benzocaine spray onto the cervix for 5 seconds, avoiding contamination of the sterile speculum with the extended spray nozzle.
Endometrial biopsy is useful in the work-up of abnormal uterine bleeding, cancer screening, endometrial dating and infertility evaluation.
Contraindications to the procedure include pregnancy, acute pelvic inflammatory disease, and acute cervical or vaginal infections.
Failure in implantation is highly recurrent and impossible to diagnose.
Inflammation and infections in the female reproductive tract are common causes of infertility, embryo loss and preterm-labor.
Mettlin C, Jones G, Averette H, Gusberg SB, Murphy GP. Copyright © 2001 by the American Academy of Family Physicians. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference.
Defining and updating the American Cancer Society Guidelines for the cancer-related check-up: prostate and endometrial cancers. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.
Endometrial biopsy is a safe and accepted method for the evaluation of abnormal or postmenopausal bleeding.
The procedure is often performed to exclude the presence of endometrial cancer or its precursors .
The cramp-like contractions of the tunica media of the spiral arteries is responsible for an interruption of the blood supply (ischemia), which results in the dying out of the functional layer of the endometrium.