Objectives: Endometrial sampling became the first choice in screening endometrial pathology. The technique is accurate and simple. The aim is to evaluate the use of endometrial sample in outpatients’ clinic as a routine by LEVEL of gynecological resident in training. Methods: A retrospective study of 463 patients seen by the residents at KAUH. A detailed history was obtained from medical records file. Reasons for endometrial sampling were divided into 6 categories, including screening, PMB, Menorrhagia or AUB, bulky uterus and cervical lesion. Endometrial sample was obtained using Pipelle. Results: Out of 463 patients, 128 had en-dometrial sampling as screening (27.6%), 84 had PMB (18.1%), 91 Menorrhagia (19.7%), 108 AUB (23.3%), 20 bulky uterus (4.3%) and 32 cervical lesion (6.9%). In 30% of cases the sample insufficient, diagnosis in 54.2% benign, endometrial hyperplasia (6.0%) 19 diagnosed (endometrial cancer) (4.1%) in (5.6%) had endometritis. 70% of patients saved had a D&C. Conclusion: Endometrial biopsy is found to be accurate, easy, and safe and can be done by LEVEL of gynecological residents, accuracy of 70% of cases, additional endometrial assessment undertaken if diagnosis is not made.
Cite this paper
Bajouh, O. , Al-Shamrany, O. , Abduljabbar, A. and Abduljabbar, H. (2014) Endometrial Sampling Performed by Gynecological Residents in Training. Open Journal of Obstetrics and Gynecology
, 182-185. doi: 10.4236/ojog.2014.44030
 Ashley Hill, D. (2009) Abnormal Uterine Bleeding: Avoid the Rush to Hysterectomy. Journal of Family Medicine, 58, 136-142.
 Pitkin, J. (2007) Dysfunctional Uterine Bleeding. BMJ, 334, 1110-1111.
 Hernández, J.A., Franco, M.E., Mendizábal, D.P., Broca, Y.B. and Escoto, A.F. (2009) Evaluation of Postmenopausal Uterine Bleeding by Endometrial Biopsy In-Office Hysteroscopy vs Endometrial Biopsy with Manual Vacuum Aspiration in the Office. Preliminary report. Ginecología y Obstetricia de México, 77, 504-507.
 Steven, R.G. (2006) Abnormal Uterine Bleeding: The Role of Ultra Sound. Radiologic Clinics of North America, 44, 901-910.
 Shams, G. (2012) Comparison of Pipelle De Cornier with Conventional Dilatation and Curettage in Terms of Patients’ Acceptability. Journal of Postgraduate Medical Institute, 26, 418-421.
 Fazio, S.B. and Ship, A.N. (2007) Abnormal Uterine Bleeding. Southern Medical Journal, 4, 376-382.
 Cooper, J.M. and Erickson, M.L. (2000) Endometrial Sampling Techniques in the Diagnosis of Abnormal Uterine Bleeding. Obstetrics and Gynecology Clinics of North America, 27, 235-244.
 Dijkhuizen, F.P., Mol, B.W., Brálmann, H.A. and Heintz, A.P. (2000) The Accuracy of Endometrial Sampling in the Diagnosis of Patients with Endometrial Carcinoma and Hyperplasia: A Meta-Analysis. Cancer, 89, 1765.
 Samson, S. and Gilmour, D. (2002) Who Needs an Endometrial Biopsy? Canadian Family Physician, 48, 885-887.
 Clark, T.J., Mann, C.H., Shah, N., Khan, K.S., Song, F. and Gupta, J.K. (2001) Accuracy of Outpatient Endometrial Biopsy in the Diagnosis of Endometrial Hyperplasia. Acta Obstetricia et Gynecologica Scandinavica, 80, 784-793. http://dx.doi.org/10.1034/j.1600-0412.2001.080009784.x
 Kazandi, M., Okmen, F., Ergenoglu, A.M., Yeniel, A.O., Zeybek, B., Zekioglu, O. and Ozdemir, N. (2012) Comparison of the Success of Histopathological Diagnosis with Dilatation-Curettage and Pipelle Endometrial Sampling. Journal of Obstetrics & Gynaecology, 32, 790-794. http://dx.doi.org/10.3109/ 01443615.2012.719944