Abnormal Uterine Bleeding / Pipelle sampling

Estimated Duration: 
1 hour

This e-learning module has been created by Te Whatu Ora - Waitematā for primary healthcare providers practicing in the Te Toka Tumai Auckland and/or Waitematā Districts.

With an ageing population and a rising BMI status, the population at risk of developing endometrial cancer is increasing.  In order to identify these women in a timely and acceptable way, the option of endometrial sampling in the community needs to be widely available.  This means more GPs will be able to perform pipelle samples in their practices.

This module will provide the knowledge necessary to identify, assess and manage people with Abnormal Uterine Bleeding (AUB). Primary care practitioners will undertake this work as part of the AUB Pathway. 

Learning objectives:

  • Understand the causes of different types of AUB.
  • Understand the important elements of history and vaginal examination.
  • Determine when endometrial Pipelle sampling is indicated.
  • Counsel women for this procedure including the risks and side effects.
  • Describe potential complications and how to manage them.
  • Interpret and respond appropriately to histology results.


Once you have completed this short course and quiz, please click 'submit', where you can print your certificate for 1 Continuing Professional Development (CPD) hour.

This course has been endorsed by The Pharmaceutical Society of New Zealand (PSNZ) and by The Royal New Zealand College of General Practitioners (RNZCGP) for up to 1CME credit for their General Practice Educational Programme (GPEP) and Continuing Professional Development (CPD) purposes, and the College of Nurses Aotearoa (NZ) for PD hours.


This content has been developed in 2022 by:

  • Dr Helen Roberts, Consultant Te Toka Tumai Auckland Contraception/Menopause clinic, First Certifying Consultant at Epsom Day Unit, Honorary Associate Professor of Women’s Health at University of Auckland, Pipelle/Jadelle/IUD insertion trainer. 
  • Dr Sue Tutty, General Practitioner Liaison (GPL) Women’s  Health, Counties Manukau. 
  • Dr Wendy Burgess, Ngāti Kahungunu/Ngāti Hawea. Obstetrician Gynaecologist, Waitematā. 

Clinical training

  • For Credentialed GPs - Direct contact with secondary care consultants will be available through the On-Call Gynaecology Senior Medical Officer (SMO) at your hospital. Written advice is also available via the “Specialist Advice” option on e-referrals.
  • Training video - Endometrial biopsy YouTube 
  • To enquire about in-clinic training for endometrial pipelle sampling, please contact Pooja Prasad ([email protected]).
  • GP Liaison - Dr Sue Tutty, General Practitioner Liaison (GPL) Women’s Health, 021 875 002 or email [email protected].
  • To arrange pipelle training in outpatient clinic:
    • Manukau Health Park, please contact: Terri Norton, Charge Nurse Manager – email [email protected]
    • Greenlane Hospital, please contact: Emma Battersby, Gynaecology Ops Manager - email [email protected]


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