What is an Endometrial Biopsy?
It is commonly performed to evaluate:
- Abnormal uterine bleeding
- Postmenopausal bleeding
- Irregular menstrual cycles
- Thickened endometrial lining seen on ultrasound
- Infertility (to assess the endometrium's receptivity)
- Suspected endometrial hyperplasia or cancer
When is an Endometrial Biopsy Recommended?
Doctors may suggest an endometrial biopsy in the following situations:
- You experience heavy, prolonged, or unpredictable periods
- Bleeding occurs after menopause
- You have risk factors for endometrial cancer (e.g., obesity, PCOS, family history)
- Hormone therapy is being used and needs monitoring
- There’s concern about endometrial thickness on ultrasound
- To check for hormonal response during fertility treatment
Korean women’s clinics take a thorough approach, often performing ultrasound and blood tests before recommending biopsy.
How is the Procedure Performed?
At most Korean clinics, endometrial biopsy is done in the outpatient setting, often during a routine gynecology visit.
Step-by-step overview:
- You’ll lie on an exam table as you would for a Pap smear.
- A speculum is inserted to visualize the cervix.
- A thin, flexible tube is inserted through the cervix into the uterus.
- Gentle suction is used to collect a sample of the uterine lining.
- The sample is sent to a lab for analysis.
Duration: 5–10 minutes Anesthesia: Not usually needed, though a local anesthetic may be used if you're sensitive
What to Expect After an Endometrial Biopsy
Recovery is quick, and most women can resume normal activities immediately.
You may experience:
- Mild cramping during and after the procedure
- Light spotting for 1–2 days
- Temporary fatigue or pelvic discomfort
If you develop fever, heavy bleeding, or foul-smelling discharge, contact your doctor immediately—though these are rare complications.
Cost of Endometrial Biopsy in Korea
Here is a general cost estimate in KRW (₩):
- Consultation + ultrasound: ₩70,000–₩150,000
- Endometrial biopsy procedure: ₩100,000–₩250,000
- Lab/pathology analysis: ₩80,000–₩150,000
Korean residents may receive partial coverage through National Health Insurance. International patients can access English-speaking services and affordable, transparent pricing at most Gangnam-based clinics.
Top FAQs About Endometrial Biopsy
Is the procedure painful? Some women experience mild to moderate cramping, similar to period pain. The discomfort usually lasts only a few minutes.
When is the best time to schedule a biopsy? Ideally, just after ovulation or between days 18–24 of your menstrual cycle, depending on your doctor’s recommendation.
Can I get pregnant after an endometrial biopsy? Yes. The procedure does not affect fertility and is often used as part of fertility evaluation.
Is it necessary after menopause? Yes, especially if there is any bleeding after menopause, as postmenopausal bleeding can indicate endometrial changes that need evaluation.
How to Prepare for the Procedure
- Schedule your biopsy when you're not on your period
- Avoid sexual intercourse, douching, or tampon use 24 hours before
- Take an over-the-counter pain reliever (like ibuprofen) 30 minutes before your appointment, if advised
- Wear comfortable clothes and bring a sanitary pad for after the procedure
- Inform your doctor if you are or could be pregnant
