Summary

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The EMB procedure breaks down into three sections including preparatory steps, completing the biopsy, and finishing the procedure. You can click on any of the steps below for a more complete description.

• Preparatory Steps

  • Prepare and Consent

  • Bimanual Exam

  • Insert Speculum

  • Antiseptic

  • Anesthetic

• Performing the Biopsy

  • Biopsy Without Instrumentation

  • Tenaculum Placement

  • Attempt with Tenaculum

  • Uterine Sounding

  • Attempt After Sounding

• Completing the Procedure

  • Preserving the Specimen

  • Tenaculum Removal

  • Post-Procedure Patient Care

Key things to remember:

• EMB should be performed in most peri- and post-menopausal women who experience AUB.

• Important contraindications to office EMB include anticoagulation, active uterine infection, and known or suspected pregnancy.

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