D & C in a doctors office?

Hello Dr.

I am 40 yrs old. I have 1 child and I have PCOS. Last year I did a D&C at a hospital and the results came back that I have no-typia hyperplasia.  2 weeks ago I had my annual pap and it came back normal. I also had an trans-vagnial ultrasound that showed my lining of the uterus is thick..(1cm I think). Anyways, My doctor then advised me to have an endometrial biopsy to check that there are no changes in the hyperplasia, when he tried, he was unsuccessful, he said that my cervix is to tight and long. He  then now wants to do a D &C in his office on 12-13. He said that I will be under anesthesia and I will be monitored by an anesthesiologist. I never hear of this procedure being performed in a gyno office. Is this safe? Is this a common practice? I am really nervous. I am concernered about waking up after profopol. I do have a heart murmur and my EKG's are always abnormal. Should I be worried? I just wanted your advice on this procedure being performed in an office rather than a hospital. Thanks for listening.

[Elaine Brown, MD]

Hi!
Many procedures are now being safely done in doctors' offices. However,
I am of the old school that prefers to do my procedures in the hospital or surgery center.  I also prefer to add hysteroscopy to my D&C procedures so that I am certain that I have biopsied all of the most abnormal appearing areas.
Another option for office-based procedures is to do an ultrasound-guided D&C. I usually do these procedures without anesthesia/sedation.
If you have a heart murmur and abnormal EKG, you will certainly want clearance from your internist or cardiologist before you undergo anesthesia.  I am assuming that you would meet your anesthesiologist prior to any procedure and review all of these concerns.
If I am not completely comfortable with a procedure after it has been thoroughly explained to me, I usually think twice before doing it.
Hope this helps!
Dr B

[mommy4040]

UPDATE:

ALL thanks to GOD for a successful D&C.

[lyvillalobos]

I normally have heavy 7 day periods and this month I got it for 5 day but light then 7 days later I started to spot

[lyvillalobos]

I've been trying to get pregnant for almost a year but do to a lot of stress and other things I haven't my period normally come heat fir 7 days then this month I got it for 5 day but lighter then usually. Seven days later I had intercourse and started spotting hen whipping,  I'm afraid to take a pregnant est and find out I'm not can anyone help