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Please help with timing of Biopsy/Hysteroscopy
Not to keep questioning these docs but I had a hysteroscopy on CD7, got my results a couple weeks later saying I wasn't O'ing even though my BBT is biphasic & OPKs are positive. Doc said biopsy indicated that my uterine lining shows that it is not responding to Progesterone so I'm not O'ing and I had too much Estrogen.
Well, Peekawho put a link to a good article on here for me about abnormal ovulation(Thanks Peekawho) and it led me to research some more info. In my research I found out that the biopsy should be done BEFORE AF in the luteal phase and not in the beginning of the cycle like I had. It sounds like doc made a mistake and biopsied me before and didnt pay any mind to what day of my cycle it was, only what day was available for the procedure. In other words, how can you test if the uterine lining is responding to Progesterone when the hormone is not even produced until ovulation? Also, Estrogen is dominant in the beginning of the cycle, so how is that a problem? I honestly think they made a mistake!! What type of uterine biopsy could provide evidence of anovulation BEFOREHAND???? Maybe the lab made a mistake on the cycle date? What do you guys think?
Well, Peekawho put a link to a good article on here for me about abnormal ovulation(Thanks Peekawho) and it led me to research some more info. In my research I found out that the biopsy should be done BEFORE AF in the luteal phase and not in the beginning of the cycle like I had. It sounds like doc made a mistake and biopsied me before and didnt pay any mind to what day of my cycle it was, only what day was available for the procedure. In other words, how can you test if the uterine lining is responding to Progesterone when the hormone is not even produced until ovulation? Also, Estrogen is dominant in the beginning of the cycle, so how is that a problem? I honestly think they made a mistake!! What type of uterine biopsy could provide evidence of anovulation BEFOREHAND???? Maybe the lab made a mistake on the cycle date? What do you guys think?
My doctor told me I neeed a hysteroscopy due to intermittant bleeding between cycles. Is this similar or the same as a biopsy?
Well I'm starting with my RE my next visit so I'm just going to hope that he can make it all clear. I'm pretty sure it's a mistake and it makes me even more mad how we went back and forth about her denying that I'm O'ing. It sure makes me question my current GYN's skills though.
Thanks!
Thanks!
Did you discuss this with your doctor? Can you get a second opinion. Show your doctor your findings and discuss with them. Yes, the make mistakes all the time!
Here is an example of what I found. No wonder docs have so many lawsuits!
Another procedure, the endometrial biopsy, also helps to evaluate ovulation. This procedure is performed in the physician's office and takes approximately 5 minutes. Just before menstruation begins, a small sample of tissue is removed from the endometrium, which is the inner lining of the uterus (Figure 3). This test may produce some discomfort and your physician may prescribe medication for pain relief prior to the procedure. Frequently, a pregnancy test is performed prior to the biopsy to make sure that the woman is not pregnant. The removed tissue is specially prepared by a pathologist and examined under a microscope to determine if it has responded adequately to circulating progesterone. The endometrial biopsy is usually obtained 1 to 3 days before menstruation is expected, typically day 26 of a 28-day cycle, which is when progesterone-induced changes in the endometrium are at their maximum. The endometrial biopsy can also be scheduled 12 to 13 days after the LH surge. Your physician must know the ovulation date or the starting date of the woman's next period to interpret the biopsy. The tissue's appearance under the microscope may reflect an inadequate progesterone effect on the uterine lining, called luteal phase defect. The treatment may consist of administering progesterone or ovulation drugs.
Another procedure, the endometrial biopsy, also helps to evaluate ovulation. This procedure is performed in the physician's office and takes approximately 5 minutes. Just before menstruation begins, a small sample of tissue is removed from the endometrium, which is the inner lining of the uterus (Figure 3). This test may produce some discomfort and your physician may prescribe medication for pain relief prior to the procedure. Frequently, a pregnancy test is performed prior to the biopsy to make sure that the woman is not pregnant. The removed tissue is specially prepared by a pathologist and examined under a microscope to determine if it has responded adequately to circulating progesterone. The endometrial biopsy is usually obtained 1 to 3 days before menstruation is expected, typically day 26 of a 28-day cycle, which is when progesterone-induced changes in the endometrium are at their maximum. The endometrial biopsy can also be scheduled 12 to 13 days after the LH surge. Your physician must know the ovulation date or the starting date of the woman's next period to interpret the biopsy. The tissue's appearance under the microscope may reflect an inadequate progesterone effect on the uterine lining, called luteal phase defect. The treatment may consist of administering progesterone or ovulation drugs.
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