Whilst simple to perform, there are significant limitations to this procedure including:
- It is a “blind” procedure.
- The sampling is random and so it may miss areas of abnormality.
- It will not be able to remove polyps or fibroids and so symptoms may still persist if these conditions are present
In my practice, I use this occasionally only, preferring the formal D and C and hysteroscopy. The advantage of the hysteroscopy is that it allows visualisation of the cavity of the womb. It increases the accuracy of diagnosis of abnormality which may be missed by a “blind” sample. However, endometrial sampling can be beneficial in women where the risk of an anaesthetic is high. It should only be performed after adequate counselling with the limitations appreciated by the woman .