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Endometrial biopsy

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I'm going to have endometrial biopsy because of irregular spotting. The doc said it'll be uncomfortable because I've never given birth. Anyone in my situation and had endometrial biopsy? Was it unbearably painful like the WORST period cramp?  I'm advised to take 4x200mg motrin. Thanks
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Avatar universal
My question is this (in case you want to skip the rest): Has anyone every refused an endometrial biopsy?

I had an EMB about 2 years ago with no pain meds, not even OTC. It was VERY painful, I yelled "stop you're torturing me!!!" as they (doctor and trainee doctor) were getting the sample. Reason for EMB was suspicious cells on Pap smear, but the EMB showed everything normal. I probably had the pap smear too soon after my period.

Back in May I went off Nuva-Ring, and did not have a period in June. I went on Climara pro, but the patch gave me a rash, so switched to prempro, but I got bad breast pain. So I went of that, but just as I started to taper off, I had what I think was a light period (same duration, same characteristics as period, only very light). Well, when I told my Gyn that, she diagnosed me with postmenopausal bleeding (I'm 52 but my periods hadn't stopped til I went off Nuva Ring). Got a vaginal ultrasound that showed my endometrium was 2mm thicker than the cutoff that would've spared me another EMB.
So when my EMB was ordered, I asked for pain meds. I was offered option of 800mg ibuprofen or narcotics and stupidly opted for the former. The EMB was incredibly painful, and doc could not get the instrument into my uterus. So she gave me option of D&C or another EMB but after taking cytotec to help open the cervix. I chose the latter, just to get out of the office. HORRIBLE cramps for a couple of hours after, and I was barely able to function at work.

Thinking about my case, I have decided to refuse the EMB and the D&C. I am extremely angry at the doctor -- she told me I HAD to go on hormones after coming off nuva ring or else I'd have TERRIBLE hot flashes. Well, I have not had a single one, nor have I had any other adverse symptom of menopause. She doesn't even know whether I'm post-menopausal or not; she's just being cautious, but she's not the one on the table for the procedures. I AM.

Would like to hear from other people who might have made a similar decision.
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Avatar universal
Wow....I  must be pretty storng...i have had no chldren , 47 and in good shape.. i stopped my period 14 months ago and my period started back 3 weeks ago.. and it is a period and i kept trying to tell the Doc... she said it was NOT a period at all... how does she know??.. just cuz  of the 12 month rule... is the 12 month rule with no period mean post menopausal  for every human.. ? ......... i know my body....... any way i went in for a paps smear 7 days ago and no pain at all then she said let me do a quick endo biopsy i said ok go ahead. a few minutes later.... it did pinch and i had to sing through the process out loud ( I sing ) of course the nurse laughed at me.. but the pain sucked with bad cramps.... wow..... and then i cramped and then she said oh lets do an ultrasound next i said ok... but i felt like i was put through the ringer... having within one hour------ a paps, then the endo biopsy (which i did not like) and then the transvaginal ultrasound.... wow that was alot... at one time... the ultrasound looked good but do not know other results as of yet.... i think not all doctors know everything (like when i had my period) ... sometimes you have to tell them what you think... and in most of my cases i have been correct about my body... lol
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Avatar universal
My heart just goes out to everyone who was not given STRONG medication before this procedure!!  I am so sorry that you had to endure what really amounts to a form of torture!

Last week, I had a D&C, uterine biopsy, and a endometrial ablation after an ultrasound (and my symptoms) indicated a thickened lining and polyps.  My wonderful (female) doctor gave me two tablets to insert vaginally the night before (to dilate my cervix) and a prescription for Tylenol #3.  She told me that some women have pain and some don't (I think that she downplayed the possibility of pain so that I wouldn't get freaked out and cancel), so she was giving me the 'script just in case.  She also encouraged me to just try doubling my OTC Advil first and if that wasn't doing enough, then I could layer it with the prescription med.  (Apparently, the layering is possible since the painkiller works better when taken with an anti-inflammatory.)  She warned me that I might get some cramping and spotting while my cervix was dilating, as well as the cramping and spotting I would have afterwards.  When I asked about pain meds during the procedure (scheduled to be performed at an outpatient surgical center), she said not to worry because I'd be sound asleep; I was getting a general anesthetic!

I am 51 years old, have PCOS, am not yet in menopause, and have given birth to 3 children without pain meds (as well as enduring a very painful miscarriage), so I know a little bit about pain.  When I awoke in the recovery room, and they were getting ready to send me home, I was told that I couldn't take anything for pain until after 3:00 p.m. because of the strong drugs still in my system.  I was already feeling the dull throbbing of cramps, and it was only 9:30 a.m.!

What a long day that turned out to be.  Even under these comparatively "cushy" circumstances, every hour that crept by seemed to multiply my suffering!  I sent my husband to fill my "emergency" prescription by noon so that I would have it on hand at the stroke of 3:00.  You can bet that I began my layering asap: 2 Tylenol #3 tablets and 4 OTC Advil capsules.  And I still barely felt that they were taking the edge off of the pain.  I would definitely rate the level on par with most of my strong labor pains.  Exhausted on all levels, I was luckily able to sleep well that night and felt so much better, I was able to begin cutting back to just the Advil by morning.

I have a feeling that whether or not a woman experiences pain or merely "discomfort" has less to do with the competence of the doctor (although I know that there are some really bad ones out there, how hard can the procedure be to perform, really?) and more to do with what is going on with our individual bodies and with our expectations.  With proper preparation (definitely including PAIN MEDICATIONS), there isn't a whole lot that women can't handle (I believe there's a reason why God chose the women to have the babies instead of the wimpy men)!  Which is why it's so sadly ironic that so many male doctors seem to expect their patients to endure at their hands what there is no way they would be able to handle themselves!!
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Avatar universal
Just had an endometrial biopsy yesterday. VERY PAINFUL, no matter how short (longest '30 seconds' of my life).

I will never do it again without full sedation.  I had taken the suggested ibuprofen, augmented with a little Ativan ahead of time.

I have had 3 vaginal births, 2 babies over 9 lbs. Two culposcopies within the past 4 years. Breast biopsies of 2 kinds, and mastectomy. Nothing compared to the surprise of the level of pain - very traumatizing. Wish I had read this forum first, as typically I rate my pain tolerance pretty high.

Oh, and I'm not having any cramping, etc., afterwards so I have no reason to assume my doctor "did anything wrong" or perforated me, etc. But never again without being knocked out.
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Avatar universal
I had a biopsy. I did not experience any pain or cramps. I do feel a little sore down there, but thats about it. I think the reason i didn't have any bad symptoms is because they played meditation music in the room. The doctor wanted to know if I wanted to hear the sounds of birds or rainfalls. I didn't think doctors play music during biopsys, but I said okay. I think the doctor will play meditation music as a calming effect since some patients get discomfort or instant cramping. Since I meditate at home using meditation music. I decided to let the doctor play the music so I can go into a meditative state.I think it helped. the only thing i felt during the procedure is when they stuck the needle down there to numb the area, adn afterwards when they started the procedure it felt like they were just poking something down there, but it didn't hurt.
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Avatar universal
i just had mine done yesterday and it was also the most painful procedure i have ever had done..there is no way i would ever have it done again with being put under..i had a biopsy of the cervix 2 weeks prior to this and that wasnt that painful..so when i asked this nurse if this one hurt she stated it was less painful..boy was she wrong..i screamed in the office"are you done, please be done, please, please, please be done, are you done"
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