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Endometrium biopsy -Medium 1-3 c

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It's commonly performed to investigate abnormal uterine bleeding, infertility, or suspected endometrial pathology (like hyperplasia or cancer).

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🧪 What is an Endometrial Biopsy?

An Endometrial Biopsy is a procedure where a small sample of the endometrial tissue (lining of the uterus) is collected for microscopic examination. It's commonly performed to investigate abnormal uterine bleeding, infertility, or suspected endometrial pathology (like hyperplasia or cancer).

📦 What Does “Medium 1–3 C” Mean?

  • “Medium” refers to the volume or amount of tissue obtained during the biopsy — in this case, a moderate amount, enough for reliable histopathologic evaluation.
  • “1–3 C” likely refers to Cycle Days 1–3 of the menstrual cycle (early proliferative phase), although in some lab contexts it may be an internal reference to sample quality or categorization. Assuming a clinical context, Cycle Day 1–3 suggests post-menstrual or early proliferative phase of the endometrium.

🩸 Cycle Day 1 is the first day of menstrual bleeding.

❓ Why is an Endometrial Biopsy Done?

To investigate:

  • Abnormal uterine bleeding (especially in women >35 years or postmenopausal)
  • Infertility
  • Amenorrhea or oligomenorrhea
  • To confirm ovulation or luteal phase adequacy
  • Endometrial hyperplasia or carcinoma
  • Monitoring hormone therapy (e.g., tamoxifen)

🔬 Normal Histological Appearance (Days 1–3)

If the biopsy was taken on cycle days 1–3, it typically shows:

Phase

Histological Features

Menstrual or Early Proliferative

- Breakdown and shedding of functionalis layer
- Glandular fragments, stromal breakdown, neutrophils
- Regenerating basal glands starting from the base of the endometrium

This phase is normal if the patient is menstruating, and matches the expected timing.

📈 Interpretation of Results

Result

Meaning

Normal cycling endometrium

Consistent with expected menstrual phase (proliferative/secretory)

Endometrial hyperplasia

Thickened lining with gland crowding; may progress to cancer

Endometrial carcinoma

Presence of malignant glandular cells

Chronic endometritis

Plasma cells, inflammatory infiltrate

Insufficient sample

May need repeat biopsy

Atrophic endometrium

Common in postmenopausal women

🧠 Associated Organs & Conditions

Organ/Condition

Association

Uterus (endometrium)

Direct tissue examined

Ovaries

Hormonal control (estrogen/progesterone cycle)

PCOS

Can lead to unopposed estrogen → hyperplasia

Endometrial cancer

Especially in postmenopausal bleeding

Infertility

May show luteal phase defects or endometrial non-receptivity

🔄 Related / Follow-up Tests

  1. Transvaginal Ultrasound (TVUS) – To measure endometrial thickness
  2. Pap smear / Cervical biopsy
  3. Hormone testing (FSH, LH, Estradiol, Progesterone)
  4. Hysteroscopy – Direct visualization of uterine cavity
  5. CA-125 / Tumor markers – If malignancy suspected
  6. Pelvic MRI – For deeper lesion mapping (if cancer suspected)

📝 Summary

Parameter

Summary

What

Sampling of endometrial tissue for microscopic examination

Medium 1–3 C

Moderate tissue collected around Day 1–3 of cycle (early proliferative phase)

Why

To investigate abnormal bleeding, infertility, or endometrial disease

Normal Result (Day 1–3)

Menstrual debris or early proliferative glands/stroma

Abnormal Findings

Hyperplasia, malignancy, chronic inflammation, atrophy

Next Steps

Imaging, hormone evaluation, further biopsy or hysteroscopy if needed

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