Endometrial Biopsy. Oguchi Andrew Nwosu, MD, FAAFP Assistant Professor Emory Family Medicine. Abnormal uterine bleeding: postmenopausal bleeding, malignancy/hyperplasia, ovulation/anovulation, HRT Evaluation of patient with one year of presumed menopausal amenorrhea
Oguchi Andrew Nwosu, MD, FAAFP
Emory Family Medicine
Evaluation of patient with one year of presumed menopausal amenorrhea
Assessment of enlarged utereus (combined with US and neg HCG)
Monitoring adjuvant hormonal tx (tamoxifen)
Evaluation of infertility
Abnormal Pap smear with atypical cells favoring endometrial origin (AGUS)
Follow-up of previously diagnosed endometrial hyperplasia
Cancer screening (e.g., hereditary nonpolyposis colorectal cancer)
Inappropriately thick endometrial stripe found on US
(A) The catheter tip is inserted into the uterus fundus or until resistance is felt.
(B) Once the catheter is in the uterus cavity, the internal piston is fully withdrawn.
(C) A 360-degree twisting motion is used as the catheter is moved between the uterus fundus and the internal os.
* Mirena ~ Paraguard