How is endometrial hyperplasia diagnosed?

Many conditions can cause abnormal bleeding. To identify what’s causing symptoms, your healthcare provider may order one or more of these tests:

  • Ultrasound: A transvaginal ultrasound uses sound waves to produce images of the uterus. The images can show if the lining is thick.
  • Biopsy: An endometrial biopsy removes tissue samples from the uterus lining. Pathologists study the cells to confirm or rule out cancer.
  • Hysteroscopy: Your provider uses a thin, lighted tool called a hysteroscope to examine the cervix and look inside the uterus. Your provider may perform this procedure along with a dilation and curettage (D&C) or biopsy. It’s most advantageous to couple this with a visually directed dilation and curettage of the endometrium. With hysteroscopy, your provider can see abnormalities within the endometrial cavity and take a targeted (directed) biopsy of any suspicious areas.

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