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Hysteroscopy Guided Biopsy


Hysteroscopy is a very common procedure that is undertaken when you are experiencing certain abnormalities. It is a procedure applicable to the female and a gynaecologist determines whether you need it or not. If you are suffering from an abnormal or an unusual amount of menstrual bleeding, or if you are still; bleeding even after you have hit your menopause, then these factors acts as a red flag for the procedure to be taken under. A hysteroscopy will help your doctor determine the cause behind these abnormalities.

Why Hysteroscopy Guided Biopsy?

To understand the cause of the abnormalities, an endometrial biopsy is required. To gather the tissue or maybe a polyp that has developed on the endometrium, it is required for the surgeon and the doctor to extract a part of the tissue or the polyp from the endometrium. A medical analysis of this collected tissue or polyp will reveal the main reason behind the abnormality. It is this biopsy of the extracted tissue, gathered by the procedure of hysteroscopy from inside the endometrium is actually known as hysteroscopy guided biopsy. It is a very quick procedure, especially the collection of the tissue and takes around 5 to 10 minutes, but not more than 20 minutes.

The Procedure

The procedure is quite simple and not at all invasive. There are no cuts and stitches. An instrument is inserted through the vagina into the uterus. This instrument is known as an operative hysteroscope. It is a very easy procedure and can be done under general anesthesia. A camera is attached to the instrument in order to get a projected view of the endometrium on a screen. The surgeon will guide the instrument based on the image that he/she receives on the screen. Using an electrode the tissue is extracted for further analysis . Similarly in case of a polyp or the development of unwanted cells like tumor, it is also extracted using the electrode, dissecting the tumor directly from its root. The procedure may sound complicated but it actually is over within 5 to 10 minutes. The extracted tissue or the polyp or both in some cases is sent for biopsy, which ultimately reveals the cause and the condition related to the abnormality.

This procedure helps to detect what is wrong with the endometrium. However, as a patient, you must realize that this is just a diagnostic procedure, meaning, this procedure denotes what is wrong with the endometrium, and it does not solve your condition. Your symptoms will remain even after this procedure is conducted and you must seek treatment based on the biopsy report . The biopsy will reveal the cause, but it is not the treatment. Your doctor will recommend this as it helps to find the reason behind the abnormality and will further allow him / her to suggest treatment options based on the biopsy result. By conducting a hysteroscopy, your doctor will be able to get a clear view of any polyps, fibroids or suspected cancerous tissues tumours that may be growing on your endometrium. If there is any abnormality , then he will extract them and send them for biopsy. Once the result comes, he will suggest appropriate treatment options.

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