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Human Reproduction, Vol. 11, No. suppl_2, pp. 31-34, 1996
© 1996 European Society of Human Reproduction and Embryology

Endometrial biopsy collection from women receiving Norplant®

W. Hadisaputra, B. Affandi1, J. Witjaksono2 and P. A. W. Rogers3,4

Klinik Raden Saleh, J.L.Raden Saleh Raya 49, Jakarta 10430 1 Bagian Obstetri dan Ginckologi, Fakultas Kedokleran, Universitas Indonesia Jalan Raden Saleh 49, Jakarta 2 Bagian Obstetri dan Ginekologi,Fakultas Kedokteran, Universitas Indonesia Jalan Diponegoro 71, Jakarta 10430, Indonesia 3 Department of Obstetrics and Gynaecology, Monash University, Monash Medical Centre 246 Clayton Road, Clayton, 3168 Victoria, Australia

Correspondence: 4To whom correspondence should be addressed

A series of 191 endometrial biopsy procedures were performed on Indonesian women who had received between 3 and 12 months exposure to Norplant®. In all, 87 biopsy procedures were attempted with a microhysteroscope using biopsy forceps, and 104 procedures were attempted with either Pipelle or Karman suction curettes. Regardless of the biopsy method, diagnosable endometrium was obtained in only ~50% of procedures. Myometrium was often found in microhysteroscope but not in suction biopsies. An analysis of a number of clinical characteristics showed that women from whom diagnosable endometrial tissue was obtained had higher mean peripheral oestrogen concentrations hi the 2 weeks prior to biopsy (439 ± 35 versus 289 ± 33 pmol/1; P = 0.0018) and significantly more days when endometrial bleeding occurred in the 90 days prior to biopsy (26.5 ± 2.1 versus 16.2 ± 1.8; P = 0.0003). These results suggest that after 3–12 months exposure to Norplant ~50% of women have an endometrium too thin to sample, and that this group is characterized by lower peripheral oestrogen concentrations and reduced menstrual bleeding.

Key words: endometrial biopsy/Karman cannula/microhysteroscope/Norplant®/Pipelle suction curette


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