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- Stephanie Long.
- University of Washington, Department of Family Medicine, Seattle, WA, USA; Family Medicine Residency of Idaho, 777 North Raymond Street, Boise, ID 83704, USA. Electronic address: Stephanie.long@fmridaho.org.
- Prim. Care. 2021 Dec 1; 48 (4): 555-567.
AbstractAbnormal uterine bleeding is a frequent medical concern for premenopausal and postmenopausal patients. Endometrial biopsy is a safe, cost-effective option offered in the office setting. Although endometrial biopsy may result in insufficient tissue or false-negative results, data suggest that endometrial biopsy is 90% sensitive for endometrial cancer and 82% sensitive for atypical hyperplasia, with specificity of 100% for postmenopausal patients and similar results in premenopausal patients. Topical cervical analgesia and oral nonsteroidal anti-inflammatory drugs decrease a patient's discomfort during endometrial biopsy. Aftercare instructions and how patients want to receive results should be reviewed in advance of performing the endometrial biopsy.Copyright © 2021 Elsevier Inc. All rights reserved.
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