When is an endometrial biopsy indicated?

An endometrial biopsy is indicated in several situations, such as:

• Abnormal vaginal bleeding, such as spotting or bleeding between menstrual periods, or after menopause.
• Infertility not explained.
• Chronic pelvic pain.
• History of gynecological or endometrial cancer.
• Abnormal changes in the endometrium seen on ultrasound or pelvic examination.