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Dr Steven R. Goldstein is a top gynecologist in NYC who has helped thousands of women with gynecological issues and women's health in over 35 years of private practice. Dr Goldstein comments on the latest revision of the ACOG with regard to endometrial sampling, and points out the problems with endometrial biopsy. The new revision of the American College of Obstetricians and Gynecologists calls for endometrial sampling, no matter what the transvaginal ultrasound lining shows, in a huge number...
When a woman experiences abnormal uterine bleeding, one of the most common diagnostic procedures recommended is an endometrial biopsy. While this test has been used for decades and can provide valuable information, many patients are unaware of its limitations, potential discomfort, and the newer technologies that may offer a more complete evaluation of the uterine cavity as a first means of diagnosis. What Is an Endometrial Biopsy? An endometrial biopsy is a procedure in which a physic...
I want to talk to you more about these endometrial or so-called uterine biopsies which are not really biopsies at all. It’s a little complicated but try to stay with me. I’ll make it simple. Medical students are even taught that any bleeding in menopause is uterine cancer until proven otherwise. Most studies would indicate that 5 to 10% of such patients have endometrial cancer. For arguments sake, let’s be generous and say at the highest 12% of these women with postmenopausal bleeding actu...