Nurse Practitioner preparing for a procedure at Care&

Endometrial Biopsy Services in Toronto

$250 Procedure Fee

Performed by experienced Nurse Practitioners at our Toronto clinics. Lab analysis is covered by OHIP with a valid health card.

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What is an Endometrial Biopsy?

A quick, minimally invasive diagnostic procedure

An endometrial biopsy collects a small tissue sample from the lining of your uterus (the endometrium) and sends it to a lab for analysis. It helps your provider diagnose conditions affecting the uterus.

Common Reasons for Endometrial Biopsy

  • Abnormal uterine bleeding (heavy periods, bleeding between periods, postmenopausal bleeding)
  • Thickened endometrial lining found on ultrasound
  • Endometrial cancer screening in high-risk patients
  • Investigation of infertility causes

What to Expect

Here's what your visit looks like

1

Before the Procedure

  • Take your prescribed pain medication if applicable one hour before your appointment
  • Eat a light meal beforehand
  • Wear comfortable clothing
2

During the Procedure

  • Takes about 5-10 minutes
  • Penthrox inhaled analgesia available for comfort
  • You'll lie on an exam table, similar to a pelvic exam
  • A thin catheter goes through the cervix to collect the tissue sample
  • You may feel cramping similar to period cramps
3

After the Procedure

  • Rest for 15-30 minutes before leaving
  • Mild cramping and spotting are normal for 1-2 days
  • Avoid intercourse for 48 hours
  • Resume normal activities the same day
  • Results available in 2-4 weeks

Pricing & Coverage

Cost Breakdown

Procedure Fee: $250

This covers the procedure itself, pain management options, and your NP's time.

Laboratory Analysis: Covered by OHIP

The pathology lab bills OHIP directly using your health card. You won't get a separate bill for the lab work.

Extended Health Insurance

Many extended health plans cover procedures performed by Nurse Practitioners. Check with your insurer to see if you're eligible for reimbursement. We provide detailed receipts for claims.

Pain Management Options

We want you to feel as comfortable as possible

Pain Management Options

Cervical numbing, Penthrox inhaled pain relief, and prescription pain medication is available. We'll go over pain management options with you before the procedure.

Good to know: Most patients say it feels like moderate period cramps. The procedure is quick, and pain management options are there to keep you comfortable.

Important Information

What This Test Can Evaluate

  • Endometrial hyperplasia (precancerous changes)
  • Endometrial cancer
  • Endometrial polyps (sometimes)
  • Hormonal imbalances affecting the uterine lining
  • Chronic endometritis (inflammation)

What This Test Cannot Evaluate

  • Structural abnormalities like fibroids or polyps (these need hysteroscopy or imaging)
  • Myometrial conditions like adenomyosis (these need ultrasound or MRI)
  • Small focal lesions can sometimes be missed (60-80% sensitivity)
  • In 5-10% of cases, the biopsy may not collect enough tissue for a diagnosis

Contraindications

Absolute:

  • Pregnancy
  • Active pelvic infection

Relative:

  • Severe cervical stenosis
  • Severe coagulopathy (bleeding disorder)

Results & Follow-Up

Timeline

Results typically take 2-4 weeks. Your Nurse Practitioner will contact you to discuss the findings and next steps.

If any concerning findings are identified, we'll arrange appropriate follow-up care or specialist referrals.

Why Choose Care& for Your Endometrial Biopsy

Experienced NPs

Our Nurse Practitioners have specialized training in gynecologic procedures and women's health.

Comfortable Environment

Private, modern exam rooms where you can feel at ease.

Pain Management

We offer cervical numbing, Penthrox inhaled pain relief, and prescription pain medication to help you stay comfortable.

Convenient Locations

Two Toronto locations (Yorkville and Lawrence Park) with easy transit access and parking.

Clear Communication

We explain everything before, during, and after. You can also access your results online through our patient portal.

Transparent Pricing

$250 procedure fee with OHIP-covered lab analysis. No surprise bills.

Frequently Asked Questions

Common questions about endometrial biopsy

Your provider may recommend one to investigate abnormal bleeding, post-menopausal bleeding, a thickened uterine lining on ultrasound, or irregular periods. It's a diagnostic test to rule out concerning conditions.
Most people experience some degree of cramping or pain during the procedure. The level of discomfort varies from person to person. We provide pain management strategies including in-clinic pain relief, local anesthetic, and prescribed pain medication. Our gentle technique minimizes discomfort.
The procedure fee is $250. Lab analysis is covered by OHIP with a valid health card. Many extended health plans also reimburse NP procedures. We provide detailed receipts for claims.
Results typically take 2-4 weeks. Your Nurse Practitioner will contact you to discuss the findings and next steps. If any concerning findings are identified, we'll arrange appropriate follow-up care or specialist referrals.
Most patients can get back to normal activities right away, though some prefer to take it easy for the rest of the day. Avoid heavy lifting or hard exercise for 24 hours.
Your NP will walk you through the findings and may refer you to a gynecologist for further evaluation or treatment. Common findings include polyps, hyperplasia, or hormonal effects. Most are treatable.

Ready to Book Your Procedure?

Book a consultation to talk about your symptoms and figure out next steps.

Book ConsultationCall (647) 951-4770