WHAT IS IT?

Removal of tissue from the endometrium, for diagnostic purposes

WHY IS IT DONE?

Investigation of Infertility of bleeding between menstrual periods. Laboratory examination of the removed tissue aids in diagnosis.

It is done during the last 2 weeks of the patient's menstrual cycle, as it is the best time to identify possible hormonal problems and to establish ovulation.

It is performed by Obstetrician-gynecologist as an office procedure without anaesthesia.

DIAGNOSTIC TESTS

• Before surgery: Pap smear.
• After surgery: Laboratory examination of removed tissue.

DESCRIPTION OF OPERATION

• A speculum is inserted into the vagina to hold it open and to view the cervix.
• A small, spoon-shaped instrument is inserted through the cervix into the uterus. It is gently scraped against the inner lining of the uterus to gather tissue.
• The instruments are removed. The surgery may cause slight pain, but it should be minor and temporary.

POSSIBLE COMPLICATIONS

• Excessive bleeding.
• Surgical-wound infection.
• Inadvertent injury to the uterus (rare).

TREATMENT

SELF CARE

• Bathe or shower as usual.
• Wear sanitary pads for the rest of this menstrual period. Your menstrual flow may be heavier than usual.

MEDICATION

Your doctor may prescribe hormones, if a hormonal imbalance exists.

BE ALERT FOR

• Increasing vaginal discharge or with an unpleasant odor.
• Pain that simple medication does not relieve quickly.
• Unusually heavy vaginal swelling or bleeding.