The endometrial pipelle sampling procedure

Endometrial pipelle sampling, also known as endometrial biopsy, scratching, or injury, is a common procedure often performed in women with abnormal uterine bleeding.
The endometrial pipelle procedure is similar to having a smear test done.
First, the speculum is inserted into the vagina. Then the pipelle is inserted gently through the cervix and into the uterus. The pipelle procedure takes approximately one minute and involves gently moving the pipelle back and forth to obtain a sample. Some temporary discomfort or cramping may be experienced.
In approximately 5% of women is it necessary to dilate the cervix, and some of these women may prefer to have local anaesthetic. Rarely, sampling is not possible.