Methods of Endometrial Evaluation

  • Michael T. Mazur
  • Robert J. Kurman


There are several methods of sampling the endometrium. The “gold standard” is dilatation and curettage (D&C), which requires dilatation of the cervix to allow insertion of a curette into the endometrial cavity.1–5 This technique allows for the most thorough sampling of the endometrium but requires anesthesia for cervical dilatation. The curette is drawn across the anterior and posterior endometrial surfaces, scraping the tissue free. D&C also readily allows for a fractional curettage, with sampling of both the endometrial and the endocervical mucosa. Fractional sampling is especially useful for evaluating possible endocervical pathology, such as extension of endometrial adenocarcinoma to the endocervix.6


Obstet Gynecol Endometrial Carcinoma Ectopic Pregnancy Endometrial Biopsy Abnormal Uterine Bleeding 
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Copyright information

© Springer Science+Business Media New York 1995

Authors and Affiliations

  • Michael T. Mazur
    • 1
  • Robert J. Kurman
    • 2
    • 3
  1. 1.Crouse Irving Memorial Hospital, Health Science CenterState University of New YorkSyracuseUSA
  2. 2.Departments of Gynecology and Obstetrics and PathologyThe Johns Hopkins HospitalBaltimoreUSA
  3. 3.The Johns Hopkins University School of MedicineBaltimoreUSA

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