A. It might be necessary to do a hysteroscopy, done by placing a small telescope into the uterus. This is often done in the operating room but is sometimes done in the office. It doesn’t take more than a half an hour and the person goes home the same day. Sometimes hysteroscopy can let the doctor see a problem that is missed by a biopsy which takes only a small bit of tissue and something that might be missed by ultrasound too. However, if the ultrasound and biopsy are both “fine” as you say, the chances are that nothing bad is going on. Often the problem can be controlled with hormones taken for a short while and the three months you are on them might be enough time to straighten things out. If you are concerned about a hysterectomy, or don’t want one at this time, consider getting a second opinion just to be sure there isn’t another option.
Machelle M. Seibel, MD