The following are instructions for Main Line Fertility patients only, regarding the endometrial biopsy. If you have any questions concerning the test, please contact the office.

As with all visits and procedures, be sure you have obtained the appropriate referral/authorization from your insurance company prior to coming to the office.

	Using a fertility monitoring kit that you purchase in a drugstore, detect your LH surge. Run the test on the second urine that you produce each day. When you have detected the LH surge, call the office to schedule your biopsy for between _____ and _____ days after the LH surge. If you have detected the surge on a holiday or weekend, please wait until regular office hours to call and schedule the biopsy.
	Please call the office after your period has started to schedule your biopsy for some time between cycle day _____ and _____. If your period begins at night or on the weekend, please wait until regular office hours to schedule your biopsy.
	If your cycle seems unusual or if your menses starts prior to the scheduled appointment, please call the office.
	The endometrial biopsy takes approximately 30 seconds to perform. It will cause you to have mild to moderate crampy lower abdominal pain which should subside within minutes of the biopsy. Occasionally, you may experience some mild cramping for the remainder of the day. You should be able to resume normal activities within a half hour of the biopsy.
	It is common to experience spotting or light bleeding after the biopsy. It is important that you try to distinguish the onset of your next period from the spotting or bleeding that the biopsy may have caused. You should call our office 7-10 days after your biopsy was performed to learn the results of the study.
	In order to reduce the chance that the biopsy is done while you are pregnant, you may be instructed to bring with you the first urine you produce on the morning of the biopsy so that a pregnancy test may be performed. Alternatively, you may be asked to abstain from sexual intercourse during the month that the biopsy is performed. Using a barrier method of contraception (condoms, diaphragm) during the month that the biopsy is performed is another strategy to reduce the chance of an inadvertent biopsy while pregnant.
	In order to minimize discomfort during the procedure, one hour before the biopsy is scheduled take oral pain medicine:     Ibuprofen 600 mg     Tylenol - two tablets