For individuals having abnormal bleeding, you may be required to undergo and endometrial biopsy.  The procedure is performed in the office.  The patient will be placed in the same position as when having a pap smear.  A speculum is placed and the cervix is cleaned with betadine (a bacteriostatic soap).  An endometrial biopsy pipelle is advanced into the uterine cavity and tissue is removed and sent to pathology for evaluation.  We typically ask that you take 600 mg of motrin 30 minutes prior to your scheduled procedure.  No anesthesia is required and you will go home the same day.  Most patients experience mild to moderate cramping during the procedure.  The entire procedure usually takes less than 2-5 minutes.