Hysteroscopy and Endometrial Biopsy

Hysteroscopy & Endometrial Biopsy: The Clear Path to a Definitive Diagnosis

When you are experiencing symptoms like irregular bleeding, heavy periods, or unexplained fertility issues, the primary goal is to find a clear and accurate diagnosis. While ultrasound scans provide a useful initial picture, a Hysteroscopy and Endometrial Biopsy is the gold standard procedure for directly visualizing and assessing the health of your uterine lining.

At Happiher, we use this vital diagnostic tool to move beyond uncertainty. Dr. Manou Kaur performs this procedure with the utmost care, providing a swift and precise investigation that forms the foundation of an effective, targeted treatment plan. It is the most important first step to understanding your health and finding peace of mind.

What is a Hysteroscopy and Endometrial Biopsy?

This is a single, two-part procedure designed to give a complete picture of the inside of your uterus (womb).

1. Hysteroscopy (The “Look Inside” Phase): A hysteroscope—a very thin, lighted telescope connected to a camera—is gently passed through the vagina and cervix into the uterine cavity. This allows Dr. Kaur to see a magnified, real-time view of your uterine lining (the endometrium) on a high-definition monitor. She can inspect for any abnormalities such as polyps, fibroids, adhesions (scar tissue), or unusual thickening.
2. Endometrial Biopsy (The “Tissue Sample” Phase): While performing the hysteroscopy, a very small sample of the endometrial tissue is carefully collected. This tissue is then sent to a specialist laboratory for histopathology—a detailed microscopic examination by a pathologist. This analysis provides the definitive diagnosis, confirming the nature of the cells in your uterine lining.

Why is This Procedure Recommended?

A Hysteroscopy and Endometrial Biopsy is the most reliable way to investigate a range of gynaecological concerns, including:

• Abnormal Uterine Bleeding: Including heavy periods (menorrhagia), bleeding between periods, and postmenopausal bleeding.
• Fertility Issues: To investigate the health of the uterine cavity as part of recurrent miscarriage or IVF investigations.
• Investigating Ultrasound Findings: To get a closer look at suspected polyps, submucosal fibroids, or thickening of the uterine lining seen on a scan.
• Post-Coital Bleeding: To rule out any issues with the cervix or uterine cavity.

The “See and Treat” Advantage

A key benefit of this procedure is the potential for immediate treatment. If a small, simple issue like a uterine polyp or minor adhesions are identified during the diagnostic phase, Dr. Kaur can often remove them at the same time using specialized instruments. This “see and treat” approach can resolve the problem in a single procedure, saving you the time and stress of a separate surgery.

Your Patient Journey: What to Expect

We understand that any procedure can cause anxiety, and we are committed to ensuring you feel prepared and comfortable.

1. The Consultation: Your journey starts with a private consultation where Dr. Kaur will discuss your symptoms, review your history, and explain why this procedure is the right next step for you.
2. The Procedure: This is typically performed as a day-case procedure under general anaesthesia, meaning you will be asleep and feel no pain. The procedure itself is usually very quick, often taking only 20-30 minutes.
3. Immediate Recovery: You will rest in our recovery area for a few hours after the procedure. It is normal to experience some mild, period-like cramping and a light, watery discharge for a few days, which will resolve on its own.
4. The Follow-Up and Your Results: A follow-up appointment is scheduled to discuss the results from the laboratory. This is a crucial part of the process where Dr. Kaur will explain the findings to you in detail and outline the next steps for your treatment and care.

Frequently Asked Questions (FAQ)

1. Is the procedure painful?
   No. You will be comfortably asleep under general anaesthesia during the entire procedure. Afterwards, any cramping is typically mild and can be easily managed with over-the-counter pain relief.
2. When can I go back to work?
   Most women feel well enough to return to work and light activities within 1 to 2 days. We recommend avoiding heavy lifting for about a week.
3. When will I get my biopsy results?
   The pathology results are typically available within 7 to 14 days. Your follow-up consultation will be scheduled for when your results are ready so we can discuss them together without delay.
4. What are the risks of the procedure?
   Hysteroscopy is an extremely common and safe procedure. As with any medical procedure, there is a very small risk of complications such as infection, bleeding, or perforation of the uterus, all of which are rare. Dr. Kaur will discuss all potential risks with you beforehand.

Find Clarity and Move Forward

Getting definitive answers is the first step toward effective treatment and peace of mind. We are here to provide those answers with expert and compassionate care.