Nurse Practitioner preparing for a procedure at Care&

Endometrial Biopsy Services in Toronto

$250 Procedure Fee (procedure only)

Performed by experienced Nurse Practitioners at our Toronto clinics. Does not include pre-procedure consultation or pain medication prescribing. 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

Before Your Biopsy

Most patients need pain medication prescribed before the procedure. This requires a separate consult so your NP can assess you, review your history, and prescribe appropriately.

If you have prior workup, ultrasound results, or relevant labs, email them to helpdesk@careand.ca before your appointment so your NP can review in advance.

How to Access an Endometrial Biopsy at Care&

Option 1: Care& Family Practice Members (Best Value)

Family Practice membership ($450/year + HST) includes unlimited consults and your endometrial biopsy is included in your membership.

Become a Member

Option 2: Pay-Per-Use, Workup or Pain Management Needed

If you haven't been worked up, or you need pain medication prescribed before the procedure, start here.

  • Book a $100 pay-per-use consult for workup, pain management prescribing, and procedure planning
  • Book your biopsy ($250 procedure fee)
Book a Consult

Option 3: Pay-Per-Use, Already Worked Up

If your workup is complete elsewhere and you already have pain medication arranged, you can book the procedure directly.

  • Email your workup, imaging, and relevant labs to helpdesk@careand.ca before your appointment
  • Book your biopsy ($250 procedure fee)
Provider Referral FormBook Your Biopsy

For referring providers: submit through our referral portal.

Cost Summary

PathwayWhat You Pay
Care& Family Practice Member$0 (included in membership)
PPU, already worked up$250
PPU, needs workup or pain management$350

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 if prescribed beforehand
  • 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 and cervical numbing. It does not include pre-procedure consultation, workup, or pain medication prescribing. Those depend on your access pathway (see above).

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

This procedure is for patients who have been directed by their provider to book. If you have not yet discussed pain management options with your referring provider or primary NP, please book a New Health Concern appointment first.

Cervical numbing is available and included in your procedure fee. Prescription pain medication can be prescribed beforehand. You would fill it at your pharmacy before your appointment. We can go over all options with you before the procedure in a new health concern appointment.

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.

If you have not yet discussed pain management options with your referring provider or NP, please book a New Health Concern appointment first.

Book ConsultationCall (647) 951-4770