Endometrial biopsy in infertility" is done at
C. i.e. (21 - 23rd day of menstrual cycle) (222 - Dutta 4th) (142 - Shaw's 14th)ENDOMETRIAL BIOPSY - most reliable method to study the endometrium is by obtaining the material by curettage after dilatation of the cervix usually under general anaesthesiaIndication of Dilatation and CurettageDiagnosticInfertility, DUB, Pathological amenorrhoea, Endometrial tuberculosis, Endometrial carcinoma Postmenopausal bleeding, chorionepitheliomaTherapeuticDUB, Endometrial polyp. Removal of IUD, Incomplete abortion.CombinedDUB. Endometrial polyp* Dilatation and curettage should be carried out in the late premenstrual phase (142 - Shaw's 14th). This is so done because the tubercles are present in superficial layers and are shed during menstruation.* In Infertility biopsy is to be done on 21-23rd day of the cycle, Barrier contraceptive should be prescribed during the cycle to prevent accidental conception. However if the cycle is irregular. It is done within the 24 hours of the period**SubnucIear vacuolation is the earliest evidence appearing 36 -48 hours following ovulation* The curettage material is preserved in 10% formolsaline (Normal saline is suspected tubercular endometritritis) - Short history of the case and first day of last menstrual period specially in infertility cases and DUB should be positively mentioned. (534 - Dutta 4th)Endometrial biopsy - preferably 1 or 2 days before the onset of menstruation (Pre menstrual phase)* *** Post coital test is done usually at 12 - 13 days after LMP**
3-6 days of menstrual cycle
5-7 days of menstrual cycle
21 - 23rd day of the menstrual cycle
24 - 26th days of the menstrual cycle
Miscellaneous (Gynae)