Diferencia entre biopsia e histeroscopia

A raíz de mi último post sobre la biopsia de endometrio, ha surgido la duda entre algunas de vosotras sobre la diferencia entre biopsia e histeroscopia que intentaré explicaros hoy aquí. E incluso también preguntáis sobre las diferencias entre citologia y biopsia endometrial.



La biopsia endometrial

Comos os dije, la biopsia de endometrio consiste en extraer un pequeño trocito del tejido del revestimiento uterino. Esto se hace en casos de fallos de implantación o abortos o bioquímicos (como ha sido mi caso) de repetición.

Así se puede analizar, para ver si hay células anormales y ver si hay algún problema en el endometrio que los cause. Se pueden diagnosticar miomas, pólipos, cáncer, infecciones…

Y también sirve para inducir un daño al endometrio que aumente su receptividad hacia el embrión en el ciclo siguiente, e intentar mejorar la implantación embrionaria.

La histeroscopia

El nombre de histeroscopia (HSC) (mucho menos complicado que el de HIS-TE-RO-SAL-PIN-GO-GRA-FÍ-A), proviene del griego hister- que significa útero, y de skopein- observar. Es decir, observar la cavidad uterina. Se introduce un histeroscopio, una óptica muy fina, conectado a una cámara que pasa a través de la vagina y por el cuello uterino. Suele solicitarse como estudio en esterilidad o infertilidad.

Puede ser una histeroscopia diagnóstica (en este caso es cuando se aprovecha para realizar el scratching endometrial) o una histeroscopia quirúrgica, cuando se tiene ya el diagnóstico de alguna alteración endometrial o uterina y la finalidad es corregirla.

La histeroscopia es una técnica que suele complementarse con la histerosalpingografia (HSG) o la biopsia endometrial sobre todo en Tratamientos de Reproducción Asistida. Pero si os habéis realizado una HSG y ha salido normal, lo más probable es que (en principio, a no ser que haya fallos de implantación o abortos de repetición) no os realicen la HSC, puesto que con la primera ya se realiza una valoración de la cavidad uterina.

La diferencia entre biopsia e histeroscopia

Diferencia entre biopsia e histeroscopia

En la biopsia endometrial, que puede ser con o sin histeroscopia, se coge un trocito del tejido del endometrio, es un procedimiento tan sencillo como una citología.

Si hay histeroscopia, entonces, se introduce la cámara para ver bien el interior del útero en la pantalla.

La diferencia es muy sencilla: depende de si hay o no cámara. Y pueden complementarse o existir la una sin la otra.

Diferencias entre citología y biopsia endometrial

Vamos pues con la última cuestión que os hacéis respecto a este tema, las diferencias entre citología y biopsia endometrial.

Como os decía antes, ambos procedimientos son igual de sencillos, pero la biopsia endometrial duele más que la citología, por lo menos a mí. Normalmente la citología se hace de manera rutinaria en cada revisión ginecológica anual para descartar, entre otros, el virus del papiloma humano.

En la citología se inserta una especie de cepillito para recoger las células superficiales de nuestra vagina. No es necesario rascar ni extraer ninguna muestra del tejido que recubre el útero.

143 comentarios en «Diferencia entre biopsia e histeroscopia»

  1. Hola Meritxell!
    Gracias por el post, me ha aclarado los términos. Lo pregunté en su momento porque yo voy a hacerme una histeroscopia en septiembre, y quería saber si quizá era más asecuada una biopsia. Llevo ya un bioquímico y un aborto retenido a la 7 semana, y quiero saber si me pasa algo en la “casita” o si es por calidad embrionaria, o mala suerte. Un beso!!

    Responder
  2. Jo, me acabo de dar cuenta que me he exo un montón de pruebas!! Os cuento mi experiencia con la histeroscopia, me dieron una pastilla que me la puse la noche antes para dilatar cuello del útero. Las recomendaciones fueron ir desayunada, no sumergirme ni en piscinas ni bañeras durante 15 días, evidentemente siiiii me podía duchar. Me molesto más que la biopsia de endometrio así que me tomé analgésico que no fuese aspirina. Manche más que con la biopsia pero nada del otro mundo.
    Creo que la única prueba que no me han realizado ha sido la histerosalpingografia, que me la iban hacer en julio. Me han dicho que para que hacerla si ya saben lo que pasa, mis ovarios están tan viejos que da igual como estén mis trompas, no sale apenas nada, o sale defectuosos los óvulos.

    Responder
      • Hola guapa, no ovodononacion, yo soy la que se lo van hacer por la seguridad social. En la histeroscopia no me pusieron sedación, sólo citotec para dilatar el cuello del útero la noche antes. Esa prueba fue en marzo y me la hicieron en un centro periférico perteneciente al hospital.
        La histerosalpingogafria me la iban hacer julio(del año pasado) pero mi regla hizo de las suyas la aplazaron, luego me dijeron que no me harían esa prueba. Daba igual como tenga las trompas si mi principal problema es que no tengo óvulos y los que me quedan son malos. Lo bueno que por lo visto tengo un útero “maravilloso”.En junio me tenía que tomar las anticonceptivas pero decidió mi regla irse de vacaciones anticipadas. Julio ya lo tenían citado, agosto inhabil, así que septiembre.
        Desesperación es poco, impotencia, pero ya lo tenemos decidido si no funciona la fiv por la seguridad social de cabeza nos vamos a la privada. Pediré el dinero donde, como, a quien haga falta, no podemos esperar otros 20 meses.
        Mi fsh ronda 18 y la antimuleriana alrededor de 1 (digo alrededor xq en 19 meses imaginaros la cantidad de analíticas)

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          • Por lo que me dijo en recepción la administrativa que entraba en lista de espera otra vez, así que 20 meses. Preguntaré en septiembre cuando tenga cita, que por cierto la estoy esperando.
            En la seguridad social es un poco informal todo esto, me han visto 4 médicos distintos y siempre contar la misma historia.
            Esto parece que a nadie le importa, nuestras listas de espera, el precio de la medicación que os gastais, el desgaste emocional…….
            Soy positiva pero lo siento hoy estoy ploffffff

          • Pues vaya… Vuelve a preguntar por si a caso, pero vamos, menudo despropósito…
            No te preocupes, es normal tener días así, y debes permitírtelo, ¡pero que sea la ilusión la que mande!

          • Chicas la SS es una?? no les importa nada,para ellos somos un numero mas,a mi me pusieron en lista de espera de 3 años? Me fui de paga logicamente,es una verguenza sinceramente

  3. Como siempre superbien explicado todo!!!!!?? a mi me hicieron una histeroscopia para quitarme el polipo para la FIV, y la verdad que un poquito de anestesia no viene mal xk habra personas que ese dolor no lo aguantaran? A mi solo me dieron un diazepan para relajar,pero el dolor fue fuerte y seco,la ginecologa me dijo que las contracciones del parto eran mas flojas que esto,asik mira ya se lo que son ??

    Responder
  4. Hola! A mi me hacen histeroscopia quirurgica la semana que viene. Buscando info en internet he llegado a tu blog. La verdad que estoy muy asustada ( soy una cobardica con estas cosas de medicos). No se si me da mas yuyu la operacion en si o la sedacion…..???

    Responder
      • Hola larisa! Pues me fue genial! Es facil decirlo cuando ya ha pasado pero es verdad. Me operaron a las 15:45 o asi y para las 21:30 me mandaron para casa. Me hicieron con sedacion y muy bien. Y despues unos dias manchando en casa pero ni un dolor. Vamos que no me tome ni un ibuprofeno! Cualquier cosa me consultas!

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  5. NO sé si aún me podrás ayudar… la semana que viene me hacen una histeroscopia diagnóstica, pero hoy he ido a la SS porque quería una segunda opinión y me han hecho una biopsia… entonces no sé si es peligroso en una semana hacerme la histeroscopia o si debiera esperar… (por sangrado, infección… esas cosas)

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