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Understanding Uterine Wall Biopsy Results: What Does Fibromuscular Tissue Mean?


Question
Dear Beth:

I have primary infertility and have been trying to conceive for three years.  I have normal cycles, temperatures, etc., etc.  The only abnormality was painful periods (although they have improved over the years).  My OB/GYN did a laparoscopy and found "everything looked good" and there was just the tiniest bit of endometriosis - but nothing bad.  I was encouraged.  However, my uterine wall biopsy came back and states:

"Fibromuscular tissue with hemorrhage and numerous hemosiderin laden macrophages.  No glandular tissue identified."

Can you interpret this doctor talk for me.  I am in a panic over the fancy words, and my doctor is too busy to answer my questions.

Hope you can help.  Thank you!
Anita


Answer
Anita,

I didn't deal with biopsies in my rotations. I understand what was stated. I think that is a normal finding with endometriosis, but I am not sure. If your doctor hasn't called you in for more tests, then I would assume that it was a normal finding and I wouldn't worry. If you have any doubts, then you should call your doctor and have someone at the office explain it to you. You are paying your doctor for a service, and explaining test results to you is part of that service.

Sorry I couldn't be of more help,

Beth