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Endometrial Biopsy

Endometrial Biopsy
by Carolyn

Why Would You be Doing an Endometrial Biopsy?

An endometrial biopsy is typically done when (not surprisingly) your doctor suspects you have a problem with your endometrium. Such problems can include endometrial hyperplasia, low estrogen or progesterone, and endometrial cancer. Blood tests are a more common (and less painful) way of detecting progesterone and estrogen problems. Endometrial hyperplasia and cancer are very rare in women under 40. Nonetheless, if you have problems with LP spotting and your progesterone levels are normal, an endometrial biopsy might be a good idea.

What You Can Expect

The biopsy is an outpatient procedure that only takes 10-15 minutes to complete. Before the biopsy you should take something for the pain, since the procedure isn’t performed under sedation. My doctor gave me the option to take 2 Percosets an hour beforehand. Two or three tablets of Motrin is an option if you don’t want to (or can’t) take something stronger.
The first stage of the biopsy is very similar to a normal PAP smear. After you get comfortable in the stirrups, your doctor will insert a speculum. If your cervix isn’t at the right angle, your doctor will need to use a tenaculum to move it into position. This does hurt, because the tenaculum has pincers that grip your cervix and usually cause some bleeding. After that, your doctor will dilate your cervix and insert a Pipelle aspirator, which uses suction to collect the sample. You’ll feel cramping and then a pulling as the aspirator gathers its sample. If you’ve had an HSG, this part of the biopsy will feel very familiar.

After the doctor has collected a large enough sample, he/she will remove the instruments, and you’re done! If the doctor needed to use a tenaculum, they will probably use some silver nitrate to stop the bleeding on your cervix.

Post-biopsy, you may have some cramping and tenderness, and your doctor will probably recommend that you take more pain medication that night. For what it’s worth, I felt absolutely no pain after getting home and didn’t need to take more painkillers. You’ll probably experience some spotting, possibly as heavy as a period. If you start bleeding more than that, or the bleeding lasts longer than a day or two, call your doctor.

Lab results should be available within a week. Before you leave, ask your doctor when you can schedule a follow-up appointment to discuss them.

Problems That Might Arise

The main problems you can encounter when doing an endometrial biopsy are pain and bleeding after the procedure. For the pain, my doctor recommended Motrin, but also gave me two extra Percosets just in case I needed them.

If you experience heavy bleeding (heavier than your period) or the bleeding continues for more than a day or two, call your doctor. It’s unusual, but it does happen. Also, try to refrain from any strenuous physical activity for a few days after the procedure. See below for my personal story about why this is a good idea.

Personal Tips

Anything you can do to relax while you’re on the table will help make the procedure less uncomfortable. I did deep breathing exercises until after the sample had been collected. DEFINITELY take some kind of pain medication beforehand.

One of the things I really appreciated before the biopsy started was having my doctor explain to me which instruments she would be using and why. She also told me what she was going to do before she used each instrument. If your doctor doesn’t take a minute to walk you through the procedure before starting it, I recommend that you ask them to do so. Relaxing was much easier when I knew what she was doing and why.

Take it easy for a few days after the procedure. You don’t have to go on bedrest or anything, but try to refrain from any strenuous physical activity. I made the mistake of hauling some heavy things up and down stairs the day after my biopsy and spent the following day regretting it from the couch because it felt like someone had kicked me in the gut every time I moved. Be ye not so stupid.

As a final note, if you take Percoset or other narcotic painkiller beforehand, be sure to have someone at the clinic with you to drive you home. Not only can these painkillers impair your ability to operate a car, but they can also make you extremely nauseated. Let’s face it, no one wants to drive when all they really want to do is throw up.

571 comments

1 Anonymous { 11.13.06 at 1:49 am }

My doctor was doing a different test and then decided to do the biospy so I had no pain meds – not so much fun. But it was quick. The worst was the cramping afterwards – as I had had nothing for that. The cramping was worse than labour. Luckily my mom had insisted on coming with me as I passed out in the waiting room on the way out.

2 Anonymous { 01.03.07 at 7:26 am }

Thanks for posting this. I’m scheduled for this procedure this afternoon, and only last night realized that the doctor did not specify why she ordered the test, nor did anyone explain the procedure or give me any information about it. (Thank god for the Internet!) After reading some horror stories of the pain, I had a minor anxiety attack and am considering rescheduling. Reading your account of the procedure and that it wasn’t so bad (for you, at least) is reassuring. Thanks!

3 Anonymous { 04.11.07 at 10:27 pm }

I had this procedure done today. I was not expecting it. I’ve been experiencing heavy bleeding for over 14 days and doctor wanting to rule out cancerous cells. I had no pain meds prior. Procedure was definitely uncomfortable, but was over soon. Nurses asst led me through relaxation breathing during procedure. I experienced cramping immediately afterward, but no more severe than bad period cramps. Nothing like labor pains for me. Doctor gave me two Motrin after test and I had blood work done and then drove myself home with no further problems.

4 Anonymous { 05.09.07 at 7:21 pm }

I had this procedure done today. I was not expecting it which is kind of good because I would have been very nervous. It was very uncomfortable nearing painful but it was pretty quick. I had no pain killers before (sure wish I had) but took some Motrin tonight and I feel just a little crampy. Good luck to anyone having this.

5 michelle { 05.14.07 at 8:18 pm }

I do not know what some of you ladies are made of but it was the most excruciating pain I have ever had other than giving birth. I am still traumatized by it. I get very upset every time I think of it. It has been 4 days and I am still taking vicodin and bleeding. I had not idea the doc was going to do this procedure when I went in. I have been having a period for 5 weeks now. He, of course it was a HE, said it was needed and that I would only feel a SLIGHT PINCH-and it would be over. He gave me no pain medicine and did not tell me I would need any after. I almost fell off the table the pain was so excruciating – he clamped my cervix with this pronged clamp and pulled it down so he could insert the straw thing in my uterus to get the biopsy which also hurt. I called the doctors office later to get some strong pain medicine but, of course, they took all day to get it called in. I have been on it around the clock. When it wears out, I know it. The cramps are very bad and my cervix HURTS! I do not understand how my doctor or some of these people can say that the pain was MILD. I feel like suing my doctor. Of course, I won’t, but I am sooooo upset. DO NOT get this procedure without some major pain killers!

6 Anonymous { 05.21.07 at 4:39 pm }

I read this site and several others before my endometrial biopsy this afternoon and got really worried. But, it was no big deal. In fact, I felt silly that I had my husband leave work to be with me. I’m 39 with zero pregnancies, so I thought it would be bad. But, there was only brief pain (enough to make me say “Holy Crap!” but nothing more than PG-rated) and no bleeding. My doctor had me take misoprotol (sp?) beforehand to soften/ open the cervix, and I had a couple of Advil in advance. No lidocaine or other pain killer applied to the cervix. The pain was brief, and the cramping was minimal afterward. (Frankly, my lupron shot was more painful than the endometrial biopsy!) Just wanted to add a “positive” to so many scary experiences– but my heart goes out to those of you who have bad experiences.

7 Anonymous { 05.30.07 at 12:29 pm }

I had this recently with absolutely no pain medication before or after. My RE said it did not hurt, upon some proding from me, he said I might feel a discomfort like menstrual cramps. The pinching of my cervix was uncomfortable, but not unbearable. As he took the sample I did feel something like a strong menstrual cramp. Then it was over. I cramped slightly for like an hour afterward and I had no bleeding. I did not have to take anything afterward, though I would have taken it for comfort only. I have endometriosis and I am used to tolerating pain and pelvic discomfort. I would say it was uncomfortable but nothing to loose sleep over. I was just slightly more uncofortable than a PAP.

8 Anonymous { 06.14.07 at 10:50 am }

OK. So I had my biopsy done two weeks ago. They found nothing abnormal. Good news, but still no answers. I bled for almost a week after the procedure, much like a menstrual period but heavier. I was mid cycle when I had it done, and now it’s time for my period and nothing (there can’t be anything left!). I called the DR about bleeding, was told it was normal (???). I have concerns about my cycles going back to normal, and what are the chances of pregnancy right after a biopsy?
I found the procedure to be very painful (comparable to contractions) and wish I had brought someone along to drive me home. I felt twinges and mild cramps for a few days afterward. Has anyone else had similar experiences?
Thanks, Jen

9 Anonymous { 06.23.07 at 9:27 am }

I just had this test done. I was not given any instructions as to how to prepare, what it was for, or how it would feel. I did not take any pain meds before hand. They gave me a shot it the cervix to numb it (this DID NOT hurt, but I don’t think it helped either) Then when they did the proceedure I felt several sharp pains and cramps-enough to make me cry and ask him to stop, but it was over fast. It thought, this wasn’t so bad. But I was having REALLY BAD menstrual like cramps and the nurse gave me a glass of water and meds and they had me lie down and she left for a minute. While she was gone I became disoriented, couldn’t remember where I was, and passed out on the table! She found me soaked with water and my cup clear accross the room! I then became hot, sweaty and sick to my stomach. They asked if anyone could pick me up and drive me home. (Shouldn’t they have told me all this ahead of time?)I spent 2 hours lying down in the office before I was okay to drive and even then I was in pain and “out of it”. The next few days I was very sore “down there” and wished i didn’t have to work. Bleeding wasn’t bad and I’m fine now. Just take meds, ask questions, and BRING SOMEONE WITH YOU! I wish I had. OH< I’m no wuss about pain, I’ve given birth without meds, this is comparable!!!

10 Anonymous { 06.27.07 at 2:25 pm }

I had a bad experience a few days ago…I am 55 and dr wants to rule out problems (I still get some periods and have one fibroid)…I had this procedure 3 times before…all 3 past experiences (many yrs ago ..for infertility) were no picnic, but with female drs “walking me through it”, it was tolerable (tho’ once i was quite light-headed after one time)…the cramping was intense, but quick. THIS time, however, the severity of the pain was totally unexpected!!! It was quick, thankfully, but I still feel traumetized. The cervix was too tight fot the PA to do the procedure…so the dr (male), who I’d never met, did it…the cervix had to be dilated ..the dr never tiold me what he was doing…thankfully a nurse was a bit more involved…brief tho the sharp pain was acroos my whole abdomin, I found it more painful in intensity (NOT duration, thankfully) of childbirth with no meds. I’ve been crampy for a few days, just slight bleeding the first day…but next time, a sedative i think! 3 tylenol prior was a JOKE! I prayed for those in much worse pain as I was on the table and did the deep breathing, and afterwards the nurse had me rest 15 min before getting up. Don’t mean to scare anyone, as it IS quick…minutes I’d say of the intense pain for me, but to reassure those who’ve had it they are not crazy if they experienced PAIN.

11 Anonymous { 06.29.07 at 1:14 pm }

I had this yesterday and it really hurt. The doctor had told me take Advil and had warned me of pain. Stupid me I only took one Advil but I have to say I don’t think more would have helped because the pain is too acute. I think of Advil as more for aches/cramps and this was definite sharp pain. Didn’t last long but it was painful enough I had to start breathing almost like labor (I’ve never had kids, just from what I’ve seen) to get through it. Again, it didn’t last long though, but I think if I had it again I’d ask for real pain meds even though it’d mean I’d need someone to drive me home. I started spotting right after and today I feel like I just started my period (which I’m thinking I might have since it was scheduled for 3 days from today anyway). Honestly I feel slightly feverish so I’ll have to watch that I guess.

12 Anonymous { 07.01.07 at 5:52 pm }

Thank you all who shared your experiences – clearly people react very differently to this procedure and it helped me a lot to hear what might happen.

I had the biopsy done Wednesday and my OB/Gyn did tell me to take pain meds beforehand. Two Advil probably helped a bit but I wish I had had some stronger stuff. The setup was ok but the actual biopsy was surprisingly uncomfortable. I did not move but I did moan and gargle for a bit until they, shortly, were done. After that I have had some discomfort (cramps and tenderness) and some bleeding. At four days after the procedure I am surprised to still be in a bit of pain and hope it will be gone soon. I can work without problems, but I am constantly aware of my body.

13 Anonymous { 07.04.07 at 8:42 am }

After 15 months without my period, I just got it . (I’m 52) So my Dr. with perform the endometrial biopsy next week. 2 yrs ago I also had one to check on fibroids. They were benign. But the test was not. No one said to take painkillers beforehand. I nearly fainted. My blood pressure fell way down. I ended up laying myself on the floor, much to the chagrin of the office manager. She told me to go back to the examining room. I didn’t have the strength to speak and tell her to go jump off a bridge. Thank goodness my partner was with me to tell her.
I am greatfull for the info. Ibuprofin upsets my stomach. I will call ahead and ask for a drug that works for me. I do not want a repeat of the last time. The Med web sites are not written by anyone who has had this procedure. It can be painful enough to make you faint.

14 Anonymous { 07.05.07 at 10:57 pm }

For me, the pain was searing and basically excruciating. The only “good” thing about this procedure is that it is kind of brief (though those few minutes do seem to last forever!). I was squeezing the nurse’s hand, grimacing in pain, and afterwards I was super woozy. Definitely felt like passing out just after it was over. Just had this procedure done this morning, and I’m still feeling a bit light-headed and sick to my stomach. My cramps are tolerable, and my bleeding is about like it would be on the first or second day of my period.

I had no idea how bad this would be so painful. Just before the procedure, a nurse suggested I down some Advil, but I wish they’d have supplied something much stronger. Why is this procedure done without decent painkillers? I’ve never had children, and I wonder if this is something like labour. This is probably the worst pain I’ve ever experienced, even worse than my most brutal migraines.

Just as a point of interest, I went in for this biopsy one month after a D&C revealed that I have cancer in my uterus. Since my diagnosis, I’ve been on a comprehensive, alternative health program in hopes of reversing my cancerous cells. The program has included: laetrile, hoxsey tonic, vitamin D, intravenous vitamin C, and much more. I hope the pain I went through today will soon bring me some positive news.

Good luck to anyone who is reading this before having an endometrial biopsy. I hope you will be among those who don’t experience too much pain.

15 Anonymous { 07.14.07 at 10:52 pm }

I will have an endometrial biopsy this week and I’m so scared—and have thought about cancelling. Do you think taking a 5 mg. vicodin table beforehand will help to reduce the pain?

16 Anonymous { 07.19.07 at 5:38 pm }

I am having this procedure on Monday. I am glad I found this site. My doc (a male of course) didn’t tell me to take pain meds before hand or anything. He said it will be just like having a pap smear. I am worried now. But I will definitely be taking my mom along to drive me home in case I pass out or something.

17 kay { 07.29.07 at 11:44 am }

Hi guys

I had biopsy which weren’t too bad weren’t the easiest thing ive went through but not the worst.

After a smear i recieved a letter saying’I had a high grade pre-cancer problem’ thats when they gave me the biopsy never heard anything from that either,
In the meantime i recieved another letter saying i had to go to the coloscopy to get the cells moved from my cervix which was it all!And they had to go abit deeper too,

Well i went for my appointment after having my mam and my sister go through the same procedure but not quite all of their cervix needed as much treatment as myself,
So i thought well they are saying this is nothing and not to worry about it and i didn’t until i was there on the bed and the work started.
The male consultant had given me 3 needles in my cervix and they bloody hurt!After the needles he continued to lasor the Affected cervix God hey never felt pain like it in my life!
Sorry if i’m scaring you ladies about this procedure i dont mean to!But i would rather you’s be prepared for this than not like i was told aload of rubbish ie it was nothing what aload of rubbish!
They have told me this is nothing to protect me i soppose or i would not have gone and had this done and i kind of understand where they were coming from in telling me it was nothing,
If i didnt go how long would it have been for them to tell me everyones dreaded news i have cancer for this i am very pleased i went and got the Abnormalties corrected,

For all you ladies you do bleed after this procedure for 6 weeks which i was never told by the consultant but my mam and sister who went through this,

I dont think they tell us enough on this after the prep has been done which i find would help if they give a little more thought to,
I think they keep alot under their hat whereas they could give us a leaflet on what to expect after procedure is done only to tell us not to excercise or have sex for 4 weeks and thats all we get told rediculous,

But You ladies just prepare yourselves and do get it done,It needs doing for a reason xxx

18 kay { 07.29.07 at 11:52 am }

Me either was not told to take pain killers as such so i didn’t!

So if you ladies want to take strong pain killers do before hand!

After the procedure you will experience a bad smell but this is normal,Dont worry lasts for upto a week x

19 Anonymous { 08.26.07 at 6:45 pm }

I had this procedure 3 days ago. I was on my 5-6th day of my period, so it wasn’t too bad (my doctor didn’t have to open my cervix). I cramped up a bit when they took the biopsy but after that it just felt like mild cramps. I was okay to drive myself back to work. I did take 4 Ibruprofen before a few hours before I went to the doctor. I’m still spotting a bit but no cramps now. I just have to wait for the news. I go back into the office in two weeks to get the results.

20 Anonymous { 08.27.07 at 6:31 pm }

OMG.. You ladies are scaring the daylights out of me. I am having this procedure in 2 days. And have to return to work right after it. I work at a ship port as traffic manager. I do alot of walking. Holy #&%$!!!
I do have access to darvocets and lortabs… But no one to go with me or drive me home. My hubby works overseas and wont be home for 10 more days.
Wish me luck ladies.. This site has given me more info than any other. Thanks.
Texas

21 Anonymous { 08.28.07 at 11:14 pm }

I too had this test today, unexpectedly. I have been having super heavy bleeding for 8 days and went to a GYN I had not been to before. She was great, but as I had no pain killers “onboard” before hand, it hurt like @&#*@!!! I have had bone surgeries and sinus surgeries that hurt less than this test. And she did TWO biopsies, meaning 2 entries into my cervix. When she said “again” I nearly fainted just from hearing her say that. The biggest blessing is it is quite quick. She did use some type of numbing medicine to be able to hold my cervix, have no clue if it helped. The sharpest pain is the entry of the skinny tube into the cervix. Then severe cramping afterward. As I was already bleeding heavily, I can’t compare to the bleeding afterward. Although the cramping was quite painful it didn’t last longer than a few hours. Yes, it is a painful test and I would absolutely recommend asking for some pain medication to take prior. Just remember it is necessary and there could be worse! Don’t cancel your test, just get some drugs to take before you have it!

22 Anonymous { 09.07.07 at 5:50 pm }

Hello ladies. Just had the procedure done today, and I can tell you that it didn’t hurt much at all. After reading some of the posts here yesterday, I was very apprehensive and afraid. Sometimes it’s better not to read about people’s experiences, because everybody reacts differently. I just took 3 motrins 1 hour before the procedure. No big deal! When I had my IUD inserted years ago, it hurt 10 times more. Just take a pain killer before, and keep calm. I doubt it this will be the worse pain anybody has ever experienced!

23 Anonymous { 09.19.07 at 4:56 pm }

Just got told that I needed the biopsy, After reading all these blogs I feel much better knowing that there are other wusses out there like me. Several years ago I attempted to go through this procedure and after several minutes of digging around up there, the nurse’s assistant declared she could not find my cervix. I told her we’re done and she need not try any further. It was the most painful thing I have experienced and with no results. Based on that experience, I told my new doctor that she really needs to knock me out else I will be doing the backstroke while she’s trying to get a sample. She recommended valium – I still think I need to be knocked out. These procedures seem to be done by someone who’s never had one.

24 Anonymous { 09.27.07 at 1:38 pm }

Had this procedure done yesterday, my cervix kept rolling, so they had to hold it which was painful, Felt a little like labor pains, or a bad cramping memstrual cycle. Mine is being done to check the cause for heavy bleeding and to determine the need for surgery for cysts on my ovaries and fallopian tube. Also somehow Acute Pancreatitis is tied into this. I do recommend pain meds beforehand, I had none, and it was uncomfortable. Deep breathing and relaxing your legs helps alot. It was over quickly, a little nausea and cramping today is all.

25 Anonymous { 10.03.07 at 4:21 pm }

I had this procedure done almost one week ago. Still waiting for the results. It is painful with severe cramping during the procedure. I did not have any painkillers beforehand, I really wish I would have. Mary

26 Anonymous { 10.15.07 at 5:37 pm }

If you tend to cramp or bleed heavily, use up to 800 mg ibuprophen (Advil is a brand name). Uterine cramps are caused by our body’s prostaglandins. So ibuprophen is a good anti-prostaglandin, aspirin a weaker anti-prostaglandin. Tylenol (acetominiphen) is NOT an anti-prostaglandin. valium does nothing for uterine cramps. vicodin is a narcotic & may help & make you stupid – ibuprophen will help more. (I am 58 years old & have had 2 of these biopsies – the easy one was when I took 800 mg of ibuprophen 1 hour BEFORE my appointment & took 400 mg 4 hours after the 1st dose.
It tends to creep you out when you are young & it sounds like some of the women went into mild shock (I would go into shock when I was young with IUD insertions). Deep breathing, focusing & talking about other things tends to help. This site is great!

27 Anonymous { 10.17.07 at 1:23 pm }

I had this procedure done 3 days ago. The only positive thing about it was that it did not last very long. It was very painful – even after taking 800 mg of Motrin beforehand. Everyone will react differently, because everyones body is different ! In reading this site – it looks like a varied set of experiences. I do NOT believe that others should question or belittle anothers’ experience. As for me – I wish that I was knocked out (even for a short period of time). I am bleeding and cramping still. I wish they would have told me what to expect.

28 Anonymous { 10.17.07 at 1:48 pm }

I had this procedure done about 6 weeks ago, although I don’t see anyone on here having it done for the reason I did. They performed this on me while I was miscarrying- the reason they did it was because before I miscarried they believed I had an ectopic pregnancy and they wanted to know for sure or not if it was one (it wasn’t). Please ladies, if you are getting this test done and you can get your hands on a painkiller- do it! (I wish I had). Ibuprofen does not do A THING! I’ve never had a procedure done like this before and when I walked in and saw all the ‘tools’ I wanted to run away! During it, they had to use a tenaculum to hold my cervix open which hurt pretty badly but the straw they use to suction the lining of your entometrial lining hurt so bad that I cried. Before the doc started the procedure, she told me she was going to try it with no ‘shot in the cervix for numbing’ because everyone takes the pain differently. During it, I started sweating and got so hot I felt like I was in a sauna.. it was excruciating. Very unbearable.. I probably asked her to stop 10 times. (She didn’t). So ladies, as I said- if you can get painkillers… take one!!!

Afterward, I was already miscarrying so I can’t tell you if the procedure made me bleed but I did have mild cramping for the rest of the day.

29 KATHY { 10.17.07 at 8:09 pm }

I think I know why there is all this varying degree of pain here. The amount of pain you will experience is directly related to three things: First of all, there are four different procedures for getting an EMB, or an endometrial biopsy. Find out which one you’ll be receiving because some are more painful than others. The second reason that this procedure may affect women differently, is related to whether you’ve had children or not. Women who’ve NOT had children will have a more difficult time with the procedure because their cervix has not been stretched from childbirth. And lastly, smaller women will also have a more difficult time because their cervix is naturally smaller. I hope this helps a bit. You should still have this procedure done, but just go in informed and ask questions beforehand. Pain killers before procedure is definitely recommended. Have doctor prescribe something. Go to this website: http://women.webmd.com/women-medical-reference/endometrial-biopsy

30 Anonymous { 10.19.07 at 4:57 pm }

I sure wish I’d seen this site before my endo biopsy! Naturally, my MALE doc never mentioned taking anything for pain either before OR after and I never thought to research it because it was made out as “no big deal” and nothing to think twice about. It’s interesting on this borard that those who have had kids and/or knew to take somekind of pain reliever ahead of time had an easier time with this. My cervix was numbed somewhat but my experience was frankly excruciating, and the cramping only got worse. About six hours later it was so bad I could not unbend from the fetal position–endometirosis, HSG with the tech helpfully trying to force liquid through blocked tubes and the most horrible post-surgical cramping were all nothing to compare with it. I’m pretty tough and never used Rx painkillers but was near tears not just because of the unexpected intensity of the pain but fear something was seriously wrong because NOTHING was ever said about cramping being normal or to expect bleeding! (Or that my interior would also be sore for days. I also was not told about refraining from sex or heavy lifting, though in that condition there was no chance of either).

Doc blandly insisted it was “spastic colon, as no pain could possibly be associated with the procedure”. Um, right.

I do not and never have had a “spastic colon” and found this attitude beyond insulting. Even worse, I got to foot the bill for the $425 lab fee (insurance would not reinburse). A friend drove me to my family physician, who reassured me it was okay and her cramping lasted two days but was nto as severe. Then she gave me some Norco and suggested double doses of ibuprofen until it resolved. God bless her.

I don’t want to scare anyone from a necessary procedure. Rather, I want to help others to understand what might happen so they can hopefully have an easier time of it by being fully prepared in EVERY regard and thus LESS fearful.

31 Anonymous { 11.05.07 at 12:53 pm }

I just got through having the procedure and with the exception of some cramping when the doctor placed the tenaculum, it was no worse than a regular pelvic exam. I am having some post-procedure cramping and bleeding so doctor suggested I “take it easy” today. However, I don’t think anyone should be fearful of this procedure, it really was not that bad at all. Hope this helps reassure the anxious patient (I was extremely nervous after hearing horror stories and reading some of the posts on here). Might be that some women have lower pain threshold, but honestly, this was a piece of cake I mean peice of endometrium :-)

32 Anonymous { 11.13.07 at 3:32 pm }

I had an endometrial biopsy this am. It took under 5 mins for everything and I only felt slight pain from the clamp. Barely felt the actual biopsy. I took 2 Motrin beforehand only after reading all the horror stories on this site. I wish I hadnt google it beforehand because I was a nervous wreck for 2 wks for NO reason! Ladies, dont be nervous -its only a drop more uncomfortable than a Pap.

33 Anonymous { 11.15.07 at 12:30 pm }

I had the biopsy today. I felt nothing – maybe all of the horror stories prepared me mentally, but it was nothing! No cramps at all! I’ve had 3 children so maybe I’m just numb inside?!?!

I took 2 Advil a few hours before procedure. I have been on a daily dose of baby aspirin – maybe that helped? Honestly – no pain!

34 Anonymous { 11.19.07 at 4:50 pm }

I had this test this afternoon. Thanks for the advice to take ibuprofen ahead of time, but the other comments really scared me unneccessarily. It is short and not as painful as I had been expecting.

So, take heart.

35 Anonymous { 12.01.07 at 9:00 pm }

I had this procedure done two days ago. I was totally unprepared. My doctor’s office had told me to expect a pelvic exam. I had taken no pain killers ahead of time. And I had gone to the office myself. I had a male doctor (not my regular ob/gyn. From reading the posts, male doctors seem totally oblivious to the pain, which, for me was excrutiating. I am still obsessing about it. I feel almost like I am suffering from post traumatic stress. I wish I had known beforehand. I definitely would have taken something for the pain.

36 Anonymous { 12.06.07 at 1:23 pm }

After reading all of these posts last night, I was really scared about having my biopsy done this morning. The procedure is VERY quick and I only experienced a small amount of pain while he was doing it. I didn’t take anything for pain before I went. I felt sort of silly for getting myself all worked up over it:) My doctor asked me how much sleep I lost over it last night…lol! A lot!:) I’m feeling a little crampy, but it’s bearable. The only thing that I wasn’t prepared for was the bleeding. I thought there might be some spotting, but it’s more than that. I’m back @ work now and wasn’t prepared for that, so I’m hoping I can hold out until 4:30pm! Just try to stay calm ladies! I know I was having a panic attack yesterday, while I was reading these posts! Again…the procedure is very quick!!! Keep that in mind:) Good luck to everyone!!!

37 Anonymous { 12.12.07 at 9:17 pm }

I had the biopsy done with little explanation. My Dr said it was to predict ovulation, but later I found out a blood test would have told me the same thing. I have had several episodes of pain in my life, herniated discs, pinched nerves, shots in my spine with no sedation, major knee surgury. None of them compare to the pain I had. It only lasted a hour or so after. But I strained so hard that I pulled something in my abdomen which still hurts when I exercise. Also I have had almost a years worth of irregular period following this procedure. I’m talking about a period every 16-21 days. That doesn’t help you get pregnant. We’ve been trying for a year and a half now with no luck following this procedure. Be careful ladies!

38 Anonymous { 12.15.07 at 5:22 pm }

My biopsy was done two days ago. I was not told to take any pain meds prior to the procedure or afterward. My doctor did take the time to explain the procedure and tools being used. He also forewarned when I might feel a pinch/cramp. He was accurate each time, and each cramp was short in duration. I expected some spotting and or cramping afterward, and was surprised that both were scant/
minimal the day of the procedure and the day after. However, to my surprise the bleeding and cramping became intense and constant 2 days afterward. I am anxious for tomorrow & hoping that “this too shall pass”. My greatest concern is the diagnosis- abnormal or normal cells. Waiting is so frightful.

39 Anonymous { 12.18.07 at 11:48 am }

Jen,
Did you ever find out your results? Had the biopsy one week ago (very painful).I to have a similar experience, bleeding between periods and now that I’m suppossed to have my period, nothing!

40 Anonymous { 12.19.07 at 10:07 pm }

I had my biopsy 12/18 my doctor advised me that I can take tylenol, mortrin or advil. I took one tylenol an hour before my biopsy. The procedure was fine I had no cramping. I was thinking maybe I am not too sensitive for pain. with my two pregnancies I didn’t ask for epidural or any pain medicine. I was thinking my OBGYN was too good for the procedure. After the biopsy I was even brought my 2 children for dentist appointment.

41 Anonymous { 12.25.07 at 5:32 pm }

Hi I am due to have one of these soon, and I calculated that my period is due at that time,doe anyone know if can I still have this done?

42 Kristi { 12.29.07 at 6:38 pm }

I am scheduled to have this proceudre on MOnday (New Years Eve) and I am nervous. I have not been prescribed any pain medication for before hand. I am wondering if I can call my doctor to see that morning if she can prescribe something. Do you think that would help with the pain? I am 38 without children, and have been through 2 surgeries already for my periods. I had a period for 2 1/2 months. They said that I have adenomyosis and hyperplasia. Does anyone know much about either of these?

43 Anonymous { 12.29.07 at 6:58 pm }

My Endometiral Biopsy was done two days ago. I was one of the lucky ones that has a doctor that believes in preparing the patient for this procedure. I was given Misoprostol to take, one a day for three days before the procedure. This medication helps dilate your cervix. I’m 42 and never been pregnate or given birth, so I appreciated this medication. It made it so much easier for the tools to pass through the cervix and into the uterus. My doctor told me to take four Advil an hour before the procedure. I asked if Flexril would be better and she said, “Oh Yes”. During the procedure she took the time to explain what she was doing and how it would feel. Yes it is uncomfortable, yes it does hurt. On the way to the procedure my husband stopped for a coke and some Twizzlers. I thought of those Twizzlers throughout the procedure. Why you ask? Because that is what it reminded me of. Think of a Twizzler being inserted into your uterus and spun around really fast about seven times. Hitting different parts of the uterus and scrapping away cells. And as this is happening you are cramping really bad. Best to do deep breathing throughout this. There you go, you just experienced an endometrial biopsy. But wait…. the doctor wants to make sure she got enough, so she gives you a little break and starts the Twizzlers spinning again. Yes it hurts, but at the same time I was having this done, my 12 yr old niece was having spine surgery. So I told myself, if she can handle that, I sure can handle this. My advise to others, if a doctor tells you they want to perform an endometrial biopsy now, tell them no, you can reschedule it for another time to make sure you have time for pain killers to kick in, your cervix to be dilated, and someone there with you to drive you home. As for me, it’s two days later and only spotting blood, soreness in vagina, and just had my first bad cramp, so I just took three Advil.

44 Anonymous { 12.29.07 at 7:04 pm }

Regarding having a period through the procedure…. as long as the bleeding is light, they can do it. I was on day five of my period when I had it done.

Regarding not given anything to take before the procedure, most doctors recommend four Advils, make sure you eat something with this. Take them an hour before the procedure. But call their office and double check with them that it is ok to take.

It amazes me how many doctors don’t take the time to explain this procedure and prepare you for it. Makes me wonder if all those doctors are males.

45 Anonymous { 01.04.08 at 3:52 pm }

Okay, here’s one for you. I went in for my annual exam and the doctor decided to do the biopsy right then because I told her I was having irregular periods. The procedure was definitely not uncomfortable, but not brutal. However, shortly after she completed the procedure, I passed out, while lying on the examining table with the doctor still in the office. I then felt nauseous and began throwing up (they didn’t have a basin, so the nurse gave me a wastebasket). I began sweating like crazy and nearly dissolved the paper on the table. Then I got the chills and asked for a blanket. They didn’t have one and the nurse gave me someone’s fleece jacket to cover me. I passed out a second time and when the nurse came in to check on me I told her. By that time I was pretty out of it and they let me rest in the office. After a while the nurse came back and said that I looked better and could think about getting up to get dressed and leave. I said I was feeling better but as I was getting dressed, I felt nauseous again and laid back down on the table and leaned over to get sick in the wastebasket. I must have passed out a third time and because I was leaning over the table, I rolled off and landed on my face. I woke up in a pool of blood, with a broken crown, a broken tooth, a sliced chin, and a jammed jaw. They transported me to the E.R. ( a hospital is attached to the medical office building) where I had to have six stiches and they kept me in most of the day. I had to have a friend come pick me up because there was no way I could drive. When I got home, I had to sit down twice between the car and the door to my house. What should have been a simple procedure turned into a nightmare and is costing me thousands of dollars in unanticipated medical/dental bills. No way I’m going back to THAT doctor in Parker, COlorado.

46 Anonymous { 01.07.08 at 12:49 pm }

I had this procedure done twice with the same doctor. The first time my doctor advised me to take two Advil 1 hour before the procedure. It took over 15 minutes and hurt alot. The second time I took matter into my own hands. I called my doctor to tell him I would be taking 1 oxycodone 1 hour before. He said OK but I need someone to drive me home. I don’t know whether it was the medication or the fact that my doctor had 10 years more experience in doing the procedure but I felt NO PAIN. I asked him and he said it was the oxycodone that helped but this time it only took 5 minutes total. My advice to you all. Get a good experienced doctor and get medication for the procedure. Most of these doctors are males and have no clue as to the amount of pain involved. If they wanted to do it without meds RUN!!!!!!!!!

47 Anonymous { 01.07.08 at 12:53 pm }

PS
I just posted my experience with the oxycodone. I forgot to let you know. I took 1/2 pill before leaving his office and then 1/2 pill when I felt any slight pain that day only. In total I think I took 4 pills. No pain. Good luck.

48 Anonymous { 01.16.08 at 6:52 pm }

Hi
My doctor attempted the endometrial biopsy today..extremely painful..nearly passed out..water poured off me from sweating to the point of almost fainting. The doctor said she stopped the procedure when she saw the water beading and trickling off my legs. Some cold wash cloths..and a glass of juice helped me recover. The doctor is re-scheduling to have it done under general Anaesthetic. I wouldn’t advise anyone to get this done while being awake. My abdomen is still tender and cramping just from the attempt at doing the procedure.

49 Anonymous { 01.18.08 at 6:58 pm }

Has anyone had any problem with their next period after the endometrial biopsy? I should have started three days ago. I have the cramps and all the fun stuff that comes along with it, but no blood. My last period was 12/21 and that one was just spotty. Then I had the endometrial biospy on 12/27th and spotted until 12/31. I know I’m not pregnate, because I haven’t done anything for awhile. Any ideas?

50 Anonymous { 01.22.08 at 2:49 pm }

I am 58 last year after 13 months got period had biopsy in office everything was ok hurt like hell. Now here I am again November turned 58 got period again another biopsy in office the most painful thing other then childbirth test results thank God normal was told because overweight estrogen builds up in fat cell and scared to death said could erupt cancer cells. Here it is January 21, and I am having another period with cramps and I am scared to death don’t understand all this. Want it to go away and I am afraid to have D & C. Someone who is scared please let me know if symptoms are similiar. Thank You

51 elke { 01.23.08 at 10:39 pm }

I had my biopsy today. I get very anxious about the unknown and panicy. I have a Male DR who is FANTASTIC, thank God and explaind everything before he even had me undress. Then the Nurse assisted him and a midwife came in to hold my hand and explain everything as it was happening.

I had taken 800mg Ibuprophen 1hr prior and I think that helped. I felt it pinch when they held my Cervix, an dalso felt cramping when my cervix was dialated. Uncomfortable for the biopsy, enought to make me lightheaded and flush. Just glad someone was there to hold my hand (my biggest recommendation!) If a loved one cna’t come, ask for a nurse or midwife to stand next to you to talk you through it. I was hyperventalating from the anxiety of the unknown and the midwife helped me top relax and breathe.

Afterwards, spotting and crampy and lightheaded still. And had a hard time speaking since I was clenching my jaw so tight! Otherwise certainly not the worst thing I have been through by any means. I would rahter do this 100x and have negative result to cancer, than never do it and later find out that I could have prevented cancer,

52 Anonymous { 01.24.08 at 6:11 pm }

It seems there is quite a wide range of levels of pain that can be experienced with this procedure, depending on factors like your age, how many children you have had, and the different ways of doing the procedure. I had been told by my Nurse Practitioner to take 3 Alleves 1/2 hr. before the procedure, but forgot to do this, and now that it’s done, I don’t think 3 Alleves would have made any difference. The pain was the worst I have ever experienced, luckily over in about 10 seconds (but then the dr. had to do a second biopsy to make sure she got enough sample.) I am 53, menopausal, & never had children. I would insist on having more serious pain medication before I would consider undergoing this procedure another time!

53 Anonymous { 01.25.08 at 1:13 pm }

i dont have none of the symptoms of endometriosis but my period has stopped and my uterine lining has thickenen that is why my gyn wanted a biopsy iam 49 yrs old and i was told im going into menopause i could not go through with it it was too painful i dont know what to do now is it necessary should i try a new gyn because the last one wasnt pleasant ? oh and the last gyn i had only had one visit with her.

54 Debbie { 01.27.08 at 11:05 am }

This was my previous post:
Hi
My doctor attempted the endometrial biopsy today..extremely painful..nearly passed out..water poured off me from sweating to the point of almost fainting. The doctor said she stopped the procedure when she saw the water beading and trickling off my legs. Some cold wash cloths..and a glass of juice helped me recover. The doctor is re-scheduling to have it done under general Anaesthetic. I wouldn’t advise anyone to get this done while being awake. My abdomen is still tender and cramping just from the attempt at doing the procedure.
Like I said above..why keep someone awake and put them through the pain and torture of this procedure if it isn’t necessary. They told me if you have children it’s not so bad…well if that’s the case I wouldn’t want to be the one getting it done who never had children.
I am 37 with two boys ages 12 and 9..I found it painful. At least for me they tried and then decided they should put be to sleep to do it. I am fortunate enough to be living in Canada (Newfoundland)where this is covered under MCP. I’m having it done as part of a cancer screening process which involves ultrasound, colonoscopy, endometrial sampling..as I am at high risk of certain cancers due to family history.
Hope this helps anyone who is having this procedure done.

55 nicky72 { 01.29.08 at 1:42 pm }

I had an edometrial biopsy this morning and earlier had read some of these comments so I was quite nervous about going in. However, after a couple of inside pinches I couldn’t believe what all of the fuss was about. No cramping at all, no bleeding at all, less pain overall than stubbing my toe. Everyone is different, but this was nothing at all for me. I did take advil before going as they suggested and do have a high pain threshold but still thinking it was going to be a huge ordeal at it was as simple as a yearly examination but quicker. Good luck girls, even though you won’t need it!

56 katskratch { 01.29.08 at 11:04 pm }

I had a bad experience. I’ve had disfuntional bleeding as well… in the past 3 months, I’ve bled for 8 weeks(5 in nov. and now 3 this month). I wish I had known to take some motrin, and I have yet to do so. I am very uncomfortable and I have not been taking it easy. I hate staying still. Any who, I think my doctor may have gouged my lining… there’s now an unfamiliar discharge mixed in with the blood. I’m going to call him. I’m bleeding quite heavily, more so than I already was. All in all though it will be beneficial and I think that the procedure helped to remove the “old blood” as he put it. I think it freed the lining so it could continue to flush

57 anonymous { 02.08.08 at 1:59 am }

I had this test done 2 days ago and am still bleeding (was told since it was so close to my period, the procedure might bring it on). I read other people’s experiences before going in and wanted to post my experience since it might help someone out there. I endure painful cramps every month that make it almost impossible to function for the first 1-2 days of my period. I was a little worried about the pain after reading what others wrote here but thought I’d be fine since I regularly endure cramps that cannot be relieved with maximum doses of over the counter pain relievers. I took 800 mg ibuprofen AND 7.5 mg mobic an hour before my appt. I thought I would feel just slight discomfort since I premedicated more than recommended. During the procedure, the first thing I felt was mild cramping and I thought okay I can get through this. Then the doctor said he could not fit the catheter through my cervix and would have to dilate me. At that point I felt pain so severe my eyes began to tear up and my abdomen began quivering uncontrollably. Then I felt a horrible stabbing feeling and he said it would be over in 5 seconds. I began moaning and crying and became extremely hot and sweaty. It felt more like 5 minutes (whole procedure 10 minutes). The nurse was rubbing my arm and trying to talk to me but I couldn’t answer her. I have never been in labor so I can’t compare it to that but the pain was excrutiating even with premedication. After he was done, I almost immediately felt better. I still cramped throughout that day and some the next but nothing like my normal period cramps. I just want to say to those of you who have not had children and whose cervix has never been dilated before, I would recommend getting a prescription for something stronger than ibuprofen. I wish I had made a call to my doctor before the procedure. I don’t think too many doctors would have a problem with prescribing 2 tabs of percocet (1 to take before and 1 after) if you tell them that you’ve heard the pain is unbearable for women who haven’t had children due to the dilation and clamping of the cervix. I hope this helps someone out there.

58 Mrs. Higrens { 02.08.08 at 1:19 pm }

I have to say that reading all of the above comments really helped me prepare mentally for the range of possible pain with the biopsy.

I took 800mg ibuprofen before the procedure and another 600mg shortly after with the doctor’s OK. I really felt like the worst part for me was the doctor having to stretch my cervix (never been pregnant). That hurt enough to make whatever went on in the uterus barely noticeable. I could feel the flip of the “straw” as the sample was collected, but it didn’t add to the pain.

By early evening I had enough bleeding to fill a pantyliner, but that was it for me. I did take it very easy for the rest of the day (ie: I didn’t go back to work and mostly lay on the couch until bedtime) and continued to take 600mg every four hours throughout the evening. By the next evening I felt back to normal.

My doc did give me the option of general anesthesia once he discovered that my cervix was not immediately cooperative, but I declined. In my opinion, coming out of general anesthesia is worse than the quick amount of time the procedure was painful.

59 donna nap { 02.11.08 at 4:46 pm }

hi all! what a great and helpful…my questions is….i had bopsy done today…..i was bleeding more than doc expected when she went in……..she said tissue had blood……results may be inconclusive and may have to do again ughhhhhhhhhhhh. has anyone had inconclusive results due to too much blood on tissue???? did u have to re biopsy??? i was only bleeding on the outside a little brownish red;but when she went in there was way more. ….she said she might not do it again and as long as my uterine lining is thin on the ultrasound after my bleeding is done……she is ok with the vaginal sono results….i hadnt had a period in two years…just some staining and saw blood over the weekend…anyone been thru the biopsy with bleeding and still got results??? pleaaaaaaaaaaaaaase let me know…do not want to do that again.. what a helpful site…next time i know to take painkillers or ibuprofen before for sure…..need answers…tx to all best of health to everyone!! hugsxooxox

60 Ebeth { 02.12.08 at 1:23 pm }

I had a biopsy yesterday and even though I thought I was prepared I wasn’t. My DR explained everything to me (she said I “might” feel some discomfort – that means it’s going to hurt) and I had read the procedures on line, so I felt very comfortable having the procedure done – I mean I’ve given birth – how painful could it be, right? I don’t know if it was my Dr. or I’m just a big wimp – but that was easily the worst pain I have EVER experienced. I had taken several Advil an hour before, just like they told me – I even practiced my Lamaze breathing but the pain was excruitiating. I have had some cramping and light bleeding, but no worse than my period. And it was over quickly – except they did take two samples and I thought it would only be one. My husband went with me and I’m glad because once I got out to the car I started to cry. I think I was more shocked than anything, because like I said, I thought I had prepared myself, but the pain was more intense than I ever imagined.

I don’t want to scare anyone with my story, because it is an important procedure, but please be prepared. I would much rather think the worst and have a better outcome.

61 Andrea { 02.14.08 at 11:54 pm }

I had this procedure today and after reading these posts I was absolutely beside myself with anxiety. I thank you all for posting, it is obvious that the experiences are completely across the board. Perhaps I am a member of the “expect the worst, hope for the best” club- and I am happy to be so because this procedure was little more than a moment of mild disomfort. My doctor prescived Cytotec which is basically a pill you insert into your vagina the night before the procedure to open your cervix. My doctor told me this may cause period-like cramps but in my case I had no pain at all. I also took Tylenol 3 which my doctor prescribed as well after I took this pill and an hour before the procedure. The procedure took less than 3 minutes and I could not believe how painless it was. I have had steady bleeding today but nothing liners can’t handle. I highly recommend that if you are scheduled for this procedure insist on a drug like Cytotec which will help faciliate which should be a minor procedure. I left my doctor’s office painfree and my boyfriend – who was waiting for me in the waiting room- went on to celebrate a fabulous Valentine’s Day. Good luck to you all- and my heart goes out to all of you who had such bad experiences with this procedure. If you are scheduled for this please do not cancel- your health is too important!

62 ES in SF { 02.27.08 at 3:26 pm }

I had my biopsy yesterday. The online info and this blog helped alot! My Dr. prepared me well for the procedure, always described what he was doing, and was actually quite kind. There are different types of biopsy procedures. For mine I did not have my cervix dilated. The Dr. thought that would be too painful because I have cervical scarring. We agreed to try a biopsy without dilation. Here is how it went for me. I took 800mg of ibuprofen at bedtime. It is important to take this on a full stomach and drink water or you will get sick. I took another 800mg of ibuprofen at 7am with breakfast. I took a final 800 mg at 10:30 am with some fruit smoothy- 1 hour before the procedure. I did not feel pain from the clamp attached to my cervix. In the past I have experienced the sharp pain from the use of that clamp during other procedures. I believe that the drugs dulled the pain away. The Dr. was surprised that it did not hurt. The insertion of the ‘straw’ through the cervix was a strong sharp pain. The collection of the tissue was also a series of sharp stong pains. And then the Dr. asked if I was ok and could I stand having it repeated so that he could get another sample. I was ok! and said yes because I wanted the test to be conclusive. I had no cramping, again I believe that this was because of the drugs. Afterwards I felt shaky and drank some of that fruit smoothy! Remember when you were a kid and got a lollipop after getting a shot? Well a little sugar helps alot. I had my husband meet me and drive me home. I was tired and a bit achy in the afternoon. I did not want to move at my usual speed. But no cramps. Very little spotting.

I was very frightened before the biopsy and realized that I needed to calm down. The night before, I visualized the procedure, walking through it step by step in my mind. I pictured myself lying there calm, muscles relaxed and breathing slowly. I rehearsed this in my mind several times. When I had the procedure I was able to do just as I had rehearsed. I was calm, unafraid, and my muscles were relaxed. If you are afraid you will tense up and make the procedure more difficult. Also fear magnifies the pain, making it echo in your mind. This is a good time to throw out any ideas of modesty or embarassment. If you are tense even the insertion of the speculum will be uncomfortable. So relax! It really helps.

This is an important test so don’t run from it. Use medication, practice visualizing being relaxed, keep your muscles relaxed and breathe ! It is over pretty quickly.

I am nervous waiting for the results. I know that much of my distress about the biopsy was really fear about the results of the test. So now the biopsy is behind me over and done. I will just have to practice being calm and not let my imagination run wild while I wait. Thanks to all the ladies who have posted such good information on this blog.

63 Mimi { 02.27.08 at 9:51 pm }

I had the test today. After reading the comments I almost backed out. But, I did it. It was not so bad at all. Slightly uncomfortable for a few seconds and then it was over. It helped that my doctor talked me through every step, including when she was putting on and changing gloves. She actually took 2 samples. It was very tolerable. Waiting for results now, hope all goes well.

64 Deb { 03.28.08 at 1:16 pm }

Here’s my experience….

Having a hysterscopy allows the doctor the chance to go in and look with a hysterscope inside the uterus with a fiberoptic light and see the inside of the uterus on a screen rather than doing just a D & C blindly and cut away and hope you get the whole polyp. Using the hysterscope with the light will allow the doctor the chance to cut at the edges of the polyp and cut all around it to get the stalk and all. When you do a D & C, the doctor is cutting blinding and just scraping hoping to get the whole polyp.

I hope that everyone else has this opportunity for a doctor to use the hysterscope. Because of this, I know that my whole polyp will come out and then my uterus will be cleaned by the D & C. I was told it takes about a half hour to do the hysterscopy and completely look at the uterus and any other polyps that may be there. THe D & C should take about 20 minutes and then recovery.

My particular incidence of finding this polyp in my uterus was pure incidental and pure luck. I went for my annual pap test at a free clinic because I had just lost my health insurance. Walking in, never ever having a bad pap smear…I thought nothing of it. If this one clinic doctor had not recognized my uncomfortableness with the speculum…we probably would have never found my polyp because I had no other systems. Unfortunately, being 49 and not having sex for 8 years, I would not know if it were uncomfortable or painful during sex. The doctor also did sent me for a blood test that showed I was in menopause and had not had a period for 2 years. I never thought twice about anything else just thought I had been finished with periods and in menopause. Found out that polyps usually show up in women who are between 40 and 50. The free clinic realized that from the insertion of the speculum, which I found excruiting…they referred me to get a transvaginal ultrasound to see if anything else was going on. They did see during my pap exam that my lining was not as thin as it should be for a 49 yr old women in menopause. I went for the transvaginal ultrasound…which I would have to pay for on my own. Knowing I needed to know what was wrong…I paid for the transvaginal ultrasound.

The transvaginal showed a very very thick endrometrium which, of course, scared the heck out of me because I would have assumed being 49 years old my lining should be really really thin. The doctor came into the room at the hospital during the transvaginal ultrasound and said my walls were so thick that the test should again be followed up again in a year. Following up at the free clinic, they suggested an endometrial biopsy to check the endomtrium.

Knowing something must be wrong and not wanting to get such a painful test done, I went for a second opinion with my ob/gyn that I had been going to for 25 years before I lost my health insurance. On my way to my appointment, I called the hospital and said that seeing I am paying for my ultrasound…could I have the results and the CD that was made of the ultrasound. My ob/gyn took the CD and went over to the hospital and reviewed the CD and the results with the pathologist and called me on a Saturday night at 8:00pm at night. Knowing this, of course, I realized this would be serious. My ob/gyn was great and gave me the medicare price for the office visit and for performing a sonohystogram. The sonohystogram immediately showed a polyp. It was extremely painful and I had about 10 cramps that were very bad. I read online what I thought the test was. After it, I felt very faint and fell over the chair when the nurse left while changing. Believe me, I have always trusted my original ob/gyn and by pure luck and my insistance I pursued finding out what was wrong with me.

Today, I had the endometrial biopsy, which my doctor said may not have shown my polyp. The sonohystogram is what found it. The endometrial biopsy took a sample of the lining and may not have sampled the polyp at all so knowing it was there…..the D & C and hysterscopy had already been determined to do. Doing the endometrial biopsy will give us an idea of begnine or cancerous lining.

I do have to say, my doctor knew my worry over the last few weeks and made it very easy for me. Like I said, my sonohystogram was very painful from the cramps….so my doctor decided to give me a local anesthesia. I took 4 200mg Advils and then the anesthesia…and believe it or not….I felt nothing but putting in the speculum. I felt that only because he then gave me the needle of anesthesia. I think I am extremely lucky. I also called his office to see if he was running on time and took my advil a half hour before the biopsy. I took my 18 year old daughter with me and I thought she was going to faint at seeing the instruments used. She did leave the room nauseas.

So all in all, I was so so lucky. I think every girl should ask for a local anesthesia. No cramps, no pain at all. I went out shopping with my daughter immediately after, went to the Casino all night, went to the dance studio and out to eat. I was expecting a day of rest….so happy. So now in about a week, we will know more. Cross your fingers. My doctor said he will personally call me with the results rather than charge me for an office visit. We will then set up the surgery. He was also great and gave me the medicare price on the sonohystogram $300 instead of $1,000 like a hospital charges. And, then he only charged me $108 for the endometrial biopsy. I have been his patient for over 25 years and have never ever had a problem so he know my concerns. Plus my 18 year old daughter and his son went to high school together and we all lived in the same time so we were kind of friends.

I am not having the D & C until the first week of May. I have never ever had any bleeding or cramps or pain at all. We only found this because of my insistance in wanting to know why I had a thick endometrium.

I will keep you posted and thanks so much for caring about me. It is so nice to know that someone else was having the same stress that I was. That last sonohystogram was the worst thing I ever went through in my life, so because of that my doctor was so caring about my pain and gave me the local anesthesia. It is certainly an answer.

I have now opted for general anesthesia for my surgery. He did offer me the epidural or a local but OH NO I do not want to be awake at all.

I did hear from the internet that polyps can reappear.

My surgery will be scheduled and I will have a D & C, polyp removal and a hysterscopy.

65 Suzanne { 04.11.08 at 9:37 pm }

I had the procedure done 2 days. I was totally unprepared. My advice…take some type of pain med. before you go…and make sure you have something for cramping after. I have lost 3 days from work. My dr.decided to do this procedure because I started bleeding heavily after not having my period in 2 years. About a year ago I had blood work done and it showed I was in menapause. The bleeding came out of nowhere. I’m going for an ultrasound on Tuesday. Hopefully I will hear something soon. TAKE PAIN MEDICATION this test is not a walk in the park!

66 Laura { 04.13.08 at 7:29 am }

I wanted to make some reccommendations for those scheduling this procedure. I noted a common thread. It seems like the level of pain may corospond directly to where you are in your cycle. I just had it done afew days ago. And although a bit crampy, like someone is trying to pull my right ovary out at times; I am OK. I could have easily gone back to work right from the procedure. But I was 6 days after my period had started, so I didn’t have too much bleeding post procedure. Spotting some still as well. I also was told by the first nurse to take 500mg of ibuprophen, but when I questioned as to how to accomplish that since it only comes in 200mg unscored tablets or capsules, the doctor told me to take 800mg. That morning, I mistakingly took 5 liquid gel caps instead. (I guess my math skills were off that day!)I made sure to take it on a full stomach of course, otherwise I would have tossed my cookies! When I went through the procedure, it was slightly uncomfortable, but not unbearable. I revealed my mathmatical error to the doctor, and she said, “you know; you tolerated this so well, that we will maybe tell every one to take 1000mg!” But I honestly think that many factors are at play here. Everyone is going to have a different experience. I was having an anxiety attack that morning, just thinking about the whole deal, so I did take a Xanex as well. I had never taken one before, but I highly reccommend this. It will help you relax! And make sure you take your NSAID meds (ibuprophen)at least 1 hour prior to the procedure. Don’t overdose on anything please. Consult your doctor, before taking anything! All People can’t tolerate the same medications.

67 Y { 04.17.08 at 12:27 pm }

I’m with the lady who passed out in the waiting room on the way out. They gave me smelling salts to keep me from doing that, but I screamed like a little girl while it was happening. My dr decided to do it right then and there and I had no pain medication beforehand. Please don’t do this procedure without something to kill the pain. It sucks. I actually told my dr that I hated her. Very rude. I’m so embarrassed that I couldn’t control myself. I left gingerly and went to my car, where I promptly cried.

68 Renee { 04.26.08 at 12:40 am }

I had an endometrial biopsy done 3 days ago. This was my second one. I’m 56 years old (as of two hours ago, hahaha) and still having regular, heavy periods. Lately, there has been a little bleeding between periods and they’ve lightened up a little, which I thought was normal, but the doctor said I should have this test. So, I did. I had the test 19 days after the beginning of my last period, FYI. And, I have never had children or been pregnant (having had my tubes tied 30 years ago).

Anyway, the first one (done about 4 years ago) was really no big deal at ALL. And a different doctor. This time, it was more painful, but thankfully the pain was very brief. Moments of agony but then it would stop. So all in all it was bearable.

I was directed to take 600mg of ibuprofen an hour before, which I did. I also insisted that he prescribe Valium for me, so he did – one 5mg pill, which I also took an hour before. That helped me relax, which i think is ESSENTIAL.

This doctor, MALE, and very experienced, did not describe the procedure for me or tell me what he was going to be doing as he went along. However, if he did I wouldn’t have heard him because I brought my iPod, put on some music I like and my earbuds, and turned it up LOUD. I think it helps to distract your mind from its focus on that part of your body and every molecule of pain you might feel. Anything you can do to avoid “waiting” for the pain and focusing on something else will be worth it.

Afterward, I actually could have easily gone back to work but didn’t. I had a nice relaxing day at home. I had very light bleeding for about a day and a half and no pain at all afterward, until last night and today. Just a crampy feeling. I did treat myself to an orgasm last night (sans intercourse, which they told me to avoid for a week), after which the cramps started, so maybe that wasn’t a good idea. Oh well.

In a nutshell: DO take the ibuprofen; DO insist on a Valium or Xanax or something like that as well; DO consider bringing your iPod if you have one, or anything that can help you focus on something else; and DON’T get yourself completely worked up about it beforehand. It truly is different for everyone.

Now the waiting … results in 2 weeks.

69 Anonymous { 04.27.08 at 12:28 pm }

Well, Like I said before..they put you to sleep here to do the procedure. If they can do it here..(Newfoundland, Canada)why not everywhere.

70 Anonymous { 05.01.08 at 6:09 pm }

I had this done three days ago. I felt a little uncomfortable. In fact I thought he was just doin the pap smear. No cramping afterwards. No meds before or after. Hope everyone has my experience.

71 Susan { 05.05.08 at 4:54 pm }

Ladies, take it from me this procedure is not that bad. Had high anxiety over it for weeks after reading some of these posts. I took 3 advil and 5 mg valium staggered over two hours beforehand. Still very nervous even after the valium I did the deep breathing exercises while waiting for the Dr to come in. My nurse was so very helpful, explained everything to me and held my hand druing the procedure. It was a very quick sharp pain and then it was over! Was a little light headed but the nurse gave me juice and let me lie down for a few minutes. I even laughed and called the Dr “Quick Draw McGraw”! Took another Advil when I came home and have very little cramping.

I think the anxiety beforehand was much worse than the actual procedure.

72 Anonymous { 05.06.08 at 7:07 pm }

I had the endometrial biopsy today. My ob-gyn told me to take aleve or advil an hour before the procedure. Because of the comments I had read on this website, I called my family doctor (a woman) who gave me ativan and vicodin. I took both of those, plus motrin, beforehand. I also asked the nurse who took my blood pressure if she would come in and hold my hand. My ob happened to be a great guy, was gentle, and talked me through everything. I did feel a pinch from my cervix being clamped, and some cramping with the biopsy itself. But after, a little bleeding only and no cramping. My advice…..get a good doctor and drugs. Drugs really do help.

73 Anonymous { 05.16.08 at 6:53 am }

I had this done last month as a pre-test for an endometrial ablation. My doctor told me to take 3 Advil beforehand and also gave me a Xanax to take.

The procedure was not bad at all; some sharp cramping that lasted a few seconds. I had no cramping afterward and just some light spotting. I was supposed to have my period two weeks later, but didn’t have much of one. I was told this was normal.

Ladies, my advice is to ask your doctor for a Xanax to take before like I had. It really helped me to relax, and I think that’s why I had such an easy time.

74 Anonymous { 05.21.08 at 7:40 pm }

Two days before my endometrial biopsy I read all the comments here and I was scared and perplexed at all the different reactions.

I took 2 advil before my appt, and had my husband waiting to drive me home just in case.

My cervix was very open so that was not a problem. When she stuck the pipelle in there it was painful and uncomfortable. Sent me into a moment of shock, but it was over in about 5 seconds. Afterward she just had me lay still for 5 minutes. I felt just a wee bit nauseous, shaky, and clammy, but that passed in a couple of minutes. I also made sure I had an empty stomach before I went just in case.

No pain or bleeding after I left. I feel great. I would do this again even though it was horrible. The fact that it didn’t last long and I recovered in a few minutes made a world of difference in my willingness to go back.

75 Anonymous { 06.04.08 at 6:55 pm }

Ya’ll are seriously scaring me!!!!! I am 20 years old and have been on my period for literaly 6 months. After giving birth a year ago I had irregular periods for a couple months and then just stared the never ending menstral cycle. When I finally went to the doc he order and endometrial biopsy and I’m getting it done day after tomorrow. He never realy specified much about the test or why it’s being done. After spending a couple hours google-ing it I am totaly scared.

From what I’ve found most women who get this test are 15 or 20 years older than me! Is anyone else getting this test as young as me??? Is my doctor just kinda dumb…or do I seriously need this? After hearing women who tell about how bad it hurts I realy want to cancel! My husband is taking off work to go with me…but I’m still nervous because he was the one that passed out when I was in labour. I’m realy not a wuss (i was in labour for 17 hours with no drugs) but I realy don’t know if I can handel this! I’m super scared.

76 Anonymous { 06.05.08 at 5:11 pm }

I’m having this done tomorrow morning and I am quite nervous. I had a hysterosonogram done last week and I was so sick afterward I almost passed out. The procedure itself wasn’t that bad for me but the cramping afterward was over the top.

77 Anonymous { 06.11.08 at 12:27 am }

I had this done today.
Oh.My.God.
I wish I had known ahead of time exactly what was going to happen. I would have taken some motrin beforehand.
The doctor had me do deep breathing, but the pain of the procedure was so intense, I felt like crying. I actually was a little emotional afterwards. I have never had children, and my menstrual cramping has rarely been particularly intense.
But this was probably one of the worst pains I have ever endured.
I like this doctor. But I really wish I had researched this first.

78 Anonymous { 06.11.08 at 2:51 pm }

just had this done..luckily for me my period had just ended and my cervix was still “open”…I didn’t feel a thing…try to schedule this right after your period has ended..as for the cramping afterwards,,,I wish someone had told me it was like labor pains,,the next day was like pains after I gave birth….not fun…

79 Anonymous { 06.11.08 at 10:00 pm }

Well, my GYN gave me the option last week of having it done as a kind of impromptu thing or scheduling it for this week and having a chance to take some pain meds and get a driver lined up.

I opted for the second one and, boy, am I glad I did! For those of you who had no pain, you are quite lucky!

I was on Valium and 1/2 a Percocet and it was still one of the most painful things I’ve gone through (second only to having a dislocated rib put back into place).

It’s been 12 hours and I’m still cramping and having to take meds to make it bearable.

And I have a fairly high tolerance for pain as I live with a bulging disc and have had dislocated ribs for the past two months.

I *almost* just went ahead and did it last week and I’m so glad I hesitated and opted to be cautious instead. My only regret was not taking MORE meds before I went in. If I go through that again, I’m taking the whole percocet instead of just half.

80 Anonymous { 06.16.08 at 4:01 pm }

I am leaving a comment for a prior comment about the endometrial specimen containing too much blood and having to redone, that just happened to me after waiting a week for the results. I am 56 years old and had a period after not menstruating for 11 mo. I was given the option of another endometrial biopsy or a hysteroscopy with a d&c. I decided on the later because I want something that will show polyps if any and something really definative. I will write back when I get it done in 2 weeks, I insist on regional anesthesia and will not do it if they refuse me and will endure the biopsy again if I have to. It did hurt wickedly and I had no pain medicine because it was not planned. The worst for me is waiting to see if I get to keep my uterus or not. Rebecca

81 Anonymous { 06.19.08 at 2:39 pm }

just had this test done and it was by far the most pain i have ever felt. i guess it is just different for different women. i took three motrin an hour before the procedure, which did not seem to do much. if i ever have to have this done again, i will insist on something stronger. i am amazed that some women feel little pain with this procedure; i yelped! so glad it’s over…

82 Anonymous { 06.19.08 at 10:15 pm }

I am having this biopsy done on Monday and I am so nervous now. The nurse called me today and said that for some it can be painful and called me in a prescription for Valium to take beforehand. I think I might take two. They also say I am probably going to have a hysterectomy for fibroids. I hear the word biopsy and I think cancer which totally freaks me out. I am forty and have never been more scared.

83 Anonymous { 06.23.08 at 4:15 pm }

I’m glad I read this AFTER having my biopsy performed. I’m scheduled to have a UFE in a month, so this is mostly a precaution. I took 3 ibuprofen an hour before the procedure. I was told it would feel like mentrual cramps. However, at age 42, I’m happy to report I’ve never had menstrual cramps.

Anyway, they applied some local anasthetic. I felt a little “pinch” when that was done. I could feel a bit of pressure during the actual procedure.

And it was done. I had some bleeding, and they gave me a pad. I didn’t go back to work, but I could have. I stopped and bought some groceries on the way home. I took a couple of Advils just to be “safe.”

It’s only been 3 hours since I had it done, so maybe something drastic will happen, but it was no big deal. My heart goes out to those of you who experienced so much pain. I just wanted to say that not EVERYONE has a terrible experience.

After reading all the UFE horror stories, I’m hoping my experience with the biopsy is a good sign.

84 Anonymous { 06.24.08 at 10:06 pm }

No wonder my doctor told me I did “really well” today! I had this today. I knew I might get one, but I just read it was “scraping” for cells, and thought it was similar to getting your cheek scraped for cells. Uh, no. I didn’t have any pain meds on board, and I was indeed warned that since I’ve not had any children it may be more painful for me and have more longer lasting cramping. Luckily I did have, though, 1/2 a Xanax beforehand that I happened to have in my purse! Thank goodness I had taken that. It allowed me to breathe through the rather considerable pain with a few wimpy “ow ow ow ow ow” remarks. I did have a bit of a vasovagal reaction afterwards and had to rest lying down a few moments, and the nurse did bring me a motrin afterwards. But I’m about 5 hours out and have mild cramping and nausea, but nothing too severe. Thanks for this site and for sharing, everyone! Now I know I’m not as much of a wimp as I thought I was–this thing really DOES hurt! Hang in there, everyone.

85 Anonymous { 06.26.08 at 1:57 pm }

I had my endometrial biopsy six months ago. TOday I had my six month follow up. The doctor had trouble grasping the cervical and had to really work at it. Doing this, I experienced sever dizziness and almost passed out as I was sitting up. I was kind of embrassed and didn’t say anything. My question is, has anyone else experienced this after a pap smear? Could it just have been my body remembering the biopsy experience?

86 Anonymous { 06.27.08 at 12:52 pm }

OMG. I had a biopsy about 24 hours ago and I start sobbing everytime I think about it. A little background – I’m in my 20s and despite being on birth control, I bleed like every other day and on top of that, I have been having episodes where blood just pours out, as was the case yesterday. I have also had a cyst on my right ovary for about 10 months now. I had an ultrasound yesterday and the cyst is gone, so my doctor wanted to take the biopsy to get to the bottom of this. I screamed and burst into tears when my doctor did it. The nurse had to hold me down. It was by far the worst pain I have ever been in. I did not know I was going to have this done and was unprepared and unmedicated. My doctor gave me a prescription for Percocet afterwards and I took 3 yesterday and 1 today so far. The bleeding hasn’t been bad after the biopsy, but the cramping is still going on and I didn’t go to work today. I hope others have it easier than I did. Good luck!

87 Anonymous { 06.27.08 at 6:58 pm }

Out of curiousity, if they probably are going to do a hysterectomy for fibroids on you, why do they need to do the biospy?

88 Anonymous { 06.28.08 at 6:01 am }

I had mine done yesterday after reading about it for days. The procedure itself did not hurt that much, I’d call it uncomfortable at times. I was amazed how fast it was. They made me stay still for about 10 minutes after because some women get up and feel woozy. I was fine. The cramps started as I was driving home. They were the kind that made you make noises when the come on. After taking ibuprofen, they went completely away about an hour and a half later. Not so bad experience, I’d say.

89 Anonymous { 06.28.08 at 6:05 am }

Oh, that’s right, I had mine done yesterday because I’m over 2 years since my last period, I’m 53. The Dr. was looking for cancer cells and I’ll have my results in about a week. She said if it is cancer, I’m lucky because I reported it right away. As a first bleed since menopause, if it is there, it’s early.

If you are post menopause, call your Doctor right away if you bleed! Don’t ignore it!

90 Aly { 07.01.08 at 2:40 pm }

I had this procedure done 15 years ago and I think everyone in the county heard me screaming. I had no idea how intense the pain would be & fault the doctor for not preparing me for it. Fast forward to this week, with a new doctor who really gets it. He told me most of his patients prefer to have the procedure done as an outpatient at the hospital under a light anesthetic. I am post-menopausal & have had unexplained bleeding for a week. There is no reason to be forced to suffer pain in 2008. I am having this procedure done again in two days & I am not as afraid because I know I will be out. The doctor will insert a mini-camera into my uterus, take pictures, & do a d&c so the tissue can be sent to pathology. He will also do an ablation (balloon type device that cauterizes the blood vessels in my uterus so the bleeding will stop). Some women have this procedure done without pain, but I think most of us find it more painful than labor. I wonder if doctors would be more considerate of the pain involved if it was a test done on men.

91 Anonymous { 07.03.08 at 10:09 am }

I just returned from having this biopsy — no big deal! It was very quick, so whatever pain there is lasted, like, a minute. I think if you get scared about this, you’ll get stressed out and it will be worse. I had taken a motrin 1 hr before just in case. Some bleeding now, but I’m planning my regular exercise routine.

92 Anonymous { 07.09.08 at 8:22 pm }

Just had the biopsy done today. My dr. said the only pain meds I would need were Ibuprofen 1-2 hours beforehand. I took 3 Ibuprofen about 90 mins before but it still HURT! As others have said, it only hurts for a short time but it was bad (to me). Part of my problem was that I’ve never had a baby and she said my cervix was very tight – so I had to be dilated more than others might have. You can get through it – bring your husband or buddy to hold your hand (that really helped), breathe deeply during the painful parts, and it will be over fast. I had cramps for 1-2 hours afterwards like very severe menstrual cramps, but now I’m much better. Definitely no picnic, but the pain doesn’t last long.

93 Anonymous { 07.18.08 at 11:07 am }

I took 4 advil one hour before. I’m 31 and never had a child. miscarried 2 months ago and a TV ultrasound showed “retained particles”. Had the Biopsy done to rule this out b/c HCG levels are below 5 and need to find reason for thickened lining.
Painful, but quick is the best way to describe it. Mostly from the straw going through the cervix. I said “that hurts” over and over, but it was done quickly, NP did the procedure and made 2 passes. Hurt so much that I was sweating afterwards. Worst part for me… was told to expect some bleeding. Used a liner – driving home I bleed through the liner and through my jeans… in 5 minutes. By the time I made it home there ws blood everywhere – sat on the toilet and blood and chunks gushed out – far far worse than my miscarriage (at 5 week). Called the dr. office and was told that she expected that – I wish I did. Some bleeding usually doesn’t mean an alarming amount. Still bleeding heavily, but not soaking a pad in an hour, so I guess it’s ok. Mild cramps, and even though I don’t usually have cramps its not a big deal.
Now the worst part… waiting for the results.

94 Anonymous { 07.18.08 at 12:19 pm }

I had the procedure this morning. I can honestly say my period cramps are about 1000 times worse than what I felt. I felt a couple of pin pricks and very little cramping and before I knew it, the procedure was over. I did however take a 550 mg naproxen the doctor prescribed before the procedure. I would have to say that my worst enemy was me. I agonized over having this procedure until I started suffering from anxiety attacks. I contribute the pain free procedure to the power of Prayer and the power of naproxen LOL! My doctor is also the best in the business!

95 lin { 07.22.08 at 9:41 am }

I was scheduled for a biopsy yesterday. I was very nervous after reading this website. About 2 hours before the procedure I took 3 motrin and about 15 minutes before the actual procedure I took 2 blue valium (20mg.). When I entered the exam room I was still so nervous that I decided not to go through with it. I think the PA saw my distress and agreed that I should have an ultasound first and go from there. Today I feel a little foolish for not "toughing it out", but at the time I just couldn't do it. I am scheduled for my ultrasound tomorrow. My tests were scheduled because I am 56, have not had a period for about a year and a half and I started having some light bleeding & cramping. It lasted about 4 days. I would like to hear from anyone else my age who has experienced similar symptoms after menopause.

96 Aly { 07.22.08 at 10:18 am }

I had a similar problem a month ago. Would be VERY leery about a doctor who wants you to have an endometrial biopsy without explaining why and exploring less painful tests (e.g., vaginal ultrasound) first. 3 days after seeing the GYN, I was at the hospital to have same-day surgery with light anesthesia. The pre-op nurses told me that post-menopausal bleeding is very common. The lab results from my D&C came back negative & the doctor said he thought the bleeding was from a thickening of my uterine lining. Everyone's pain threshhold is different, but I would never have an endometrial biopsy without anesthesia.

97 Anonymous { 07.23.08 at 2:04 pm }

I had the procedure done yesterday, and for me the worst part of any medical procedure is the time I spend in the exam room waiting on the medical staff while staring at the instruments that are going to be used on me. I took along my iPod and my favorite tunes to keep me relaxed during the wait. I also use deep breathing exercises during any procedure to help keep me calm and as relaxed as possible. The procedure took no more than 10 minutes and, although wasn’t comfortable, certainly wasn’t painful. I did experience one moderate cramp during the procedure, with a few light cramps afterwards, but no spotting. I’m 45 and I’ve never had any children, so I initially was concerned that maybe the procedure would be more difficult than for a woman who had given birth. Prior to the biopsy, I had a transvaginal ultrasound from a heavy-handed technician, and found that to be more uncomfortable than the biopsy itself.

My doctor had prepared me for what would happen and she emphasized that I needed to take OTC painkillers about an hour before the procedure. I followed up with another dose about 4 hours later, and today I’m back to normal.

98 Anonymous { 07.29.08 at 3:27 pm }

Hello Ladies,

Thanks for all the posts. The biopsy was very painful for me–felt like the doctor was using the jaws of life to get to my uterus. The getting there was more painful than the biopsy itself.

My issue is I’m still somewhat sore over 11 days after the procedure. Not any kind of excruciating pain, but a dull lingering ache or feeling of tightness/pressure. I still don’t feel like my limber usual self. Not sure if it’s the wound or if I pulled a muscle as the doctor yelled at me to “get your buns back on the table!”

Anyone out there have a similar experience or a clue as to why?

99 Anonymous { 07.29.08 at 6:45 pm }

I had my biopsy done today. I’ve had so many procedures that this was just routine for me. There was about 5 seconds of intense cramping for me, but that’s it. I did not take any pain meds before or after – just a little red wine before bedtime! I’m sorry for those who had a bad experience. Perhaps a new doc is worth considering. I love my NP!

100 Eileen { 08.02.08 at 2:36 pm }

The most painful experience of my life–very much like what Michelle described. I was traumatized by the whole thing to the point that years later, I needed a valium so the doctors could induce labor in the hospital.

I never went back to the doctor–I felt like he had attacked me by not preparing me for the biopsy or encouraging me to take pain meds. He described the procedure as "mild cramping." I still have trouble going to the GYN and will only see female doctors. I need to have another endometrial biopsy and my doctor is going to allow a D & C under twilight sedation instead.

101 Anonymous { 08.03.08 at 2:56 pm }

I had this procedure done 4 days ago. I felt little pain during the procedure and none after the procedure. I took no pain tablets before nor after. I have children and I was told that makes a big difference. I am still bleeding slightly. I am more worried about the results I will receive in a few more days that the procedure itself. Vanderbilt Hospital, TN

102 Anonymous { 08.05.08 at 4:33 pm }

I had the endometrial biopsy done this morning after reading through some of these posts earlier. I did take 3 motrin one hour before the procedure and felt very little discomfort. This afternoon I am experiencing cramping and bleeding as well. The procedure was nothing, only took five minutes total. FYI, My doctor is a female and I have had three children. I had the procedure because I have been bleeding since June 24 and it is now August 5. I would strongly recommend taking some type of pain medication though, because I think it truly helped me. Don’t be afraid and don’t cancel your appointment. It’s too important.
Good luck!

103 Anonymous { 08.05.08 at 5:20 pm }

I had this done yesterday. My doctor told me to take 4 Ibprophen an hour before. During the biopsy she had trouble and said she was sorry several times since she knew it was hurting me. It was intense during the biopsy but I was fine afterwards. I did have bleeding yesterday and was very tired, but no cramping. Was warned that today I might have cramping but again nothing and almost no bleeding. So other than being intense the 15 mins. or so for the biopsy not bad.

104 martin { 08.08.08 at 6:20 am }

I had done this procedure almost one week ago. Still waiting for the results. It is painful with severe cramping during the procedure. I did not have any painkillers beforehand,I really wish I would have.

105 Aly { 08.08.08 at 6:40 am }

I have read some posts that report that this procedure is a breeze, with no need for pain meds. This may be true for some women but, usually, it is a painful procedure, followed by painful cramping. There is not enough valium or ibuprofen in the world for me to ever have this procedure again without having same day surgery with light anesthesia. Post-menopausal bleeding is common and it is important to have it checked out. Luckily, my doctor did not minimize the pain factor or suggest that I was a crybaby. Any woman facing this procedure should envision the worst case scenario about their own pain threshhold. There is no merit badge or gold star for painful suffering.

106 Anonymous { 08.09.08 at 5:55 am }

Left a message earlier this week after having an endometrial biopsy. Results came back normal!! So, now my doctor suggests having an endometrial ablation or trying Mirena IUD to control bleeding. I’m very nervous about having the ablation, but do not want to have the Mirena inserted either. Unsure what to do. She also said my husband needs to have a vasectomy before she will perform the ablation.

Also, I’m on day six after the ablation, cramps are finally gone, but having yellow discharge. Anyone else experience this?

107 Aly { 08.09.08 at 8:43 am }

If you are having yellow discharge after an ablation, you might want to check with your doctor. I was told that light pink or light brown discharge is normal.

108 Anonymous { 08.12.08 at 8:21 pm }

Hi Aly,

Thanks for your response. I checked with my doctor and she said the yellow discharge was ok as long as I didn’t have a fever. It finally ended. Now the decision whether to have the ablation or not.

109 Aly { 08.12.08 at 9:16 pm }

If you are wondering whether or not to have an endometrial ablation to resolve the problem of post-menopausal bleeding, there are several different types. I had a balloon ablation following an endometrial biopsy and D&C last month, all under light anesthesia at the hospital. You can "Google" ablation or ask your GYN about it. I had never heard of it before and still think it sounds like something you would have to make in church! An important factor seems to be how frequently your doctor performs this procedure, because you want to have this done by a physician who is very experienced. Ablation stopped my bleeding and only took about 5-7 minutes after the D&C (I was OUT, but the doctor told me how long it lasted).

110 Anonymous { 08.14.08 at 12:08 am }

I had the endometrial biopsy this afternoon, and it was a whole lot better than I had expected it would be after reading all of your experiences with it. This said, I am also grateful to have seen that there are great variations in experience and pain levels with this procedure. I did take 4 Advils about 1 hour before the procedure, and I feel that that really helped me not to feel too much pain. I also used relaxation breathing to get me through the pinching part, and thankfully, my doctor, who delivered my daughter (who was placenta previa), is very gentle and kept me distracted with conversation, so it really wasn’t too bad. He explained that I might have some spotting and cramping afterwards, and I have had some light spotting, but no cramping thus far. I also brought my husband along to drive me home, and I will admit to feeling sore as we got home, but I relaxed on the couch with a glass of wine, and that helped a lot too! From all of your advice, I will be really careful for the next couple of days with my activities; basically will take it easy. Now to wait for some good results I hope!

111 Anonymous { 08.14.08 at 10:42 am }

I had an endometrial biopsy 6 months ago due to heavy bleeding which I found out was precancer (simple hyperplasia). I had no idea they were going to do this test before I went in. It was quick, but oh man was it really sharp pain. I stayed on the table for a few minutes after the doc left the room in shock. I had some bleeding and pain that evening and the following day. After that I was back to normal. I do wish I had someone to drive me home. Not necessary, but it sure would have been nice. I just called and scheduled my 2nd biopsy for next week. I will be taking some pain meds the day of the biopsy for sure this time! For all of you who are having this test for the first time just remember it is necessary and thankfully it is quick.

112 Anonymous { 08.15.08 at 2:04 pm }

Just had my biopsy a few days ago still hurting and bleeding a little.

I don’t want to scare you but you should know the truth. the doctors and nurses tell you it is an uncomfortable procedure and for some younger woman that have not had prior abdominal surgeries or severe endometriosis that causes scar tissue to attach to your female organs it will be easier.

They didn’t give me anything for pain and told me it would be over quick. The Dr. clamped onto my uterus pulled it down and then when I screamed that it hurt real bad she let go and started over with one that had pads on it, like that was going to matter. Then after a few seconds of scraping she stopped because of my screaming, “Your killing me!” Then she said she didn’t have enough tissue and started over.

My husband was not believing what he was seeing. He almost passed out. Then when it was officially over, I had to lay there for an hour before I could move. I passed out at the elevator. A surgeon that was walking by stopped to help. I told him that they said it would be nothing and he replied, “That is what they tell you so you don’t worry too much.” He knew that the pain was real.

Not everyone will experience they same pain as I. I didn’t take anything prior because they told me it wouldn’t be a big deal. They didn’t tell me to take it easy afterwards are anything.

When I called and complained the Dr. got defensive and said, “Well, I done everything by the book.”

I have had a lot of things happen to me over the years and childbirth doesn’t compare and I had only one child due from the pain from that trauma, it was a dry birth and I had complications.

Be prepared, take something before having this done. If your healthy and no scar tissue you’ll do fine. Good luck, and pray for all of us that had to endure this trauma.

God Bless.

113 Aly { 08.15.08 at 2:44 pm }

Whenever a doctor or nurse tells you an endometrial biopsy is “no big deal” and you are being childish if you are afraid and anxious, ask THEM to have it done first and see how they like it. I have read postings on this site from women who describe the procedure as quick, no problem, etc. But, this is your body. There is no reason why anyone must be subjected to extreme pain and anguish in this day and age. If someone else wants to take a little ibuprofen and have the biopsy, let ‘em. If your doctor doesn’t respect your concerns, change doctors.

114 Anonymous { 08.25.08 at 2:02 pm }

I had an endometrial biopsy in August 2008. I took 800 mg Ibuprofen ahead of time. I agree with others who say it made no difference. The biposy was very painful for me and not at all like normal “menstrual cramps”. Although the procedure was over relatively quickly, I had a vasovagal reaction – sweating, light-headed, dizzy. I felt like a huge wimp at the time, but now unedrstand that for 50% of women this is a moderately to severly painful procedure. If I require an endometrial biopsy again, I’d consider exploring options for light sedation in a hospital.

115 Anonymous { 08.29.08 at 2:54 am }

During an ultrasound to check on my fibroids the report said that the the lining of my uterus seemed thickened. My phsician scheduled me for a biopsy. After reading about some of you ladies experiences, to say I was a little concerned would be an understatement. However, I knew that my kind, caring, FEMALE physician would make it as easy as possible. I took some Advil though I needn’t have bothered. She warned me before she took the sample that I would feel cramping. I hardly felt anything. A little spotting but nothing big. The good thing is my physician agreed to take my Mom in as a new patient because I took her along to drive in case I couldn’t drive. I wish everyone had an experience as good as mine.

116 Anonymous { 09.04.08 at 9:24 pm }

I was scared out of my mind to get the biopsy done, as I’d experienced wicked pain when I’d had it done 25 years ago (yes, I still remember the pain…vividly). During that procedure, the last thing I remember (besides the pain) was my doc saying “try not to buck your hips.” Gee thanks. This time I wasn’t taking any chances. After reading this blog, I cried until I convinced the doc to give me a local anesthetic. He warned me that the shots would be the most painful part of the procedure. It was. It hurt, man did it hurt! If I ever have to do it again, maybe I’ll opt for no shots! So, after 2 shots into the cervix, I was prepared for anything. Then came the quick sharp cramping. I must’ve broken the poor nurse’s hand that I was squeezing. It was over in 10 minutes (seemed like a lifetime). Beforehand, I loaded up on Ibuprofen (I mean loaded up, like 8 200 tablets, which I don’t recommend, I know it’s bad for you). I’m home now, no cramping at all. Of course, I’ve eaten Ibuprofen like candy since I got home. Good Luck to all sisters out there who go thru this.

117 Anonymous { 09.11.08 at 9:12 am }

September 11,2008

Everyone should read this site before an endometrial biopsy. I had one done yesterday and the pain was as bad as delivery even thought I took1 Advil about 30 minutes before the procedure. I have a pretty high pain threshold and am a nurse so I thought that I knew what to expect. My husband stayed and said that it looked worse than my two deliveries. The doctor (a female) said that people usually don't have as much pain as I experienced so that really scared me especially since I'm 57 years old and fear cancer. I may need to have a D&C since she did not think that she got enough for a biopsy. Thanks again for all of your comments. I was beginning to think the worst or that I was just a whimp.

118 bobbij1026 { 09.11.08 at 4:55 pm }

Had the proceedure done today. Very heavy period prompted me to call the Dr. he wanted me in today. I’m 38, have had 3 kids. I was not expecting him to do this test. I thought for sure he would do an ultrasound. I didn’t even know they could do something like that at the office. Well ladies, I will NEVER let them do that to me again unless I am knocked out. He did explaine the procedure, but the pain was worse than I ever imagined. I had taken a motrin earlier that day and a 1/2 xanax right before my appointment, this did nothing. All I can say is it was very quick and so far little cramping (I’m still waiting though). Good luck to anyone that is having this done. My advise is to bring someone w/ you. I was lucky enough to know one of the girls that worked there so she stayed with me. Now I will wait till next week and God willing the results will be good

119 Stephanie { 09.18.08 at 7:06 am }

Hello…
I just had the biopsy done yesterday and I have to say I was expecting a lot worst after reading the comments. However, I guess I just have a good Dr. because the only time I felt discomfort was during the actual extraction of the tissue which came in the form of cramping. I also felt dizzy like the room was spinning during the extraction. After everything was removed I felt fine. I did take 4 200 mg Motrin before I went and I took 4 200 mg Motrin before I went to sleep. So maybe that helped out with the pain. For anyone that has to have this done DO NOT BE SCARED…. remember it is only to help you not to hurt you. Good Luck.

120 Barbii { 09.18.08 at 4:40 pm }

First let me say I am a google snoop, anytime a Dr. says I have something I am on google, and like a lot of you I get a little worked up about something’s. Well last night I stopped by here to read about what I should expect from my wonderful “endometrial biopsy” I had this morning. After reading all of the responses I can honestly say I almost canceled because I was scared to death but my husband would NOT allow me to do it. So my appointment was at 10:15am, at 9am I took a Xanax and my pain pill (oxycodone) which I take regularly for my Rheumatoid Arthritis, so I took 1 and 1/2. I had my mother go with me for moral support. I am 40 years old, never had children and it was about 3 days before my cycle. I prepared myself from the waist down and waited for the Dr. still scared out of my mind and looking for a quick exit. Now for the “biopsy” yes it was very uncomfortable but he told me everything he was doing and a few times I jumped a bit and yes there was very bad cramps while he did this but it was nothing like I had feared and over very quick. I have a bit of bleeding and really no cramps after it was over. My main point is yes its horrid and no fun but please for any of you who read these post and think about canceling, please don’t but do bring someone to be there with you, just having my mom there holding my hand made it much easier. Today I was told I have ovarian cancer, now I wait until the surgery to find out the stage I am at and no matter what they tell me, I will fight this and I will win. The pain from the biopsy is nothing compared to the pain your family will have if they lose you. My thoughts and prayers go out to everyone who has to go through this and if anyone would like to talk on a more personal level please feel free to email me at barbii.electric@gmail.com

Much Love and Healing Thoughts to All

121 Anonymous { 09.18.08 at 6:46 pm }

I had an endometrial biopsy 3 days ago and I’m still having cramps and feeling lousy. The procedure was extremely painful even though they suggested I take 4 Advil in advance. I agree with others, why don’t they suggest that you bring someone along in the event that you feel nauseous and dizzy like I did afterward. My advice to others, is find out what you can do for the pain – my procedure lasted about 15 minutes and did not feel brief at all. As I said 3 days later and I’m still having bad cramping. Education and preparation instructions definitely needs improvement. I hope there are some OB/GYN’s or nurse practitioners out there reading these comments.

122 Anonymous { 09.26.08 at 12:55 am }

I had the biopsy today and was well prepared after reading all these posts. I followed other’s advice and took 200mg of ibuprofen last night and a 1/4 of a xanax so I could sleep. This morning, an hour before the biopsy, I had some toast and I took 800mg of ibuprofen and a 1/4 of a xanax. My husband drove me to the appt and I fell asleep in the waiting room. (xanax=very relaxed!!) Before the procedure, my Dr. (A male) explained everything and even showed me the instruments. I was terrified of the clamp on the cervix part (from reading the posts) so when he placed the clamp, he had me breath in slowly and then cough. As I coughed, he placed the clamp and I didn’t feel a thing. He later told me that he uses this technique to distract. When he passed the canula in, I did contract but I kept my eyes focused on my hubby and I breathed one long breath in and out. Then it was over! I cramped a bit on the table after the procedure but that was gone in about 5 minutes. Right after the procedure, I broke out in a clammy sweat and started to shake-adrenaline I assume-so my Doc wiped my neck and arms and face with a cold cloth and had me lie there till I felt better-about 10 minutes total. My hubby and I left and went to lunch. No problems so far except a tiny bit of spotting and I feel sore from the speculum. I took more ibuprofen just in case but no more cramps this evening. Good luck to anyone reading this…

123 Anonymous { 09.26.08 at 10:37 pm }

I had this done today – my doctor's nurse gave me the wrong advice and said NOT to take advil beforehand because it would increase the risk of bleeding. I got there and my doctor said "Did you take Motrin?" Grrr. So I popped 3 Advil liquid-gels, although I'm sure they didn't help in the 5 minutes before she did it. On a happy note, I barely bled at all, so maybe not taking advil did help with the bleeding situation?

For me, I've had some very painful experiences in life – it was not as bad as labor pains, a bowel obstruction, or a D&C (my 3 most painful medical situations). It was painful enough to make me yelp out loud and say "OW" throughout the procedure (she had to do get 2 samples because my first sample wasn't good enough and I found the dilation very painful).

I didn't have much pain afterwards so I was happy it was just about 5 bad minutes and then I was on with my day. But I have a toddler at home, so by the end of the day of carrying her around, I was in pain and wished I had help at home afterwards. Keep that in mind and try to arrange for a friend or family to help out if you have kids at home or your day involves lots of lifting/bending.

124 Anonymous { 09.27.08 at 10:36 am }

I recently had this procedure done, and my doctor didn’t recommend any medication before or after. I didn’t experience any pain and only very minor spotting after the procedure. I’ve read that there are a couple of different ways to do this, so that may explain the difference in pain. Good luck to anyone having this done; I hope your experience is as easy as mine was.

125 Jami { 10.02.08 at 4:23 pm }

I just had the biopsy done this morning and I feel fine. My procedure did take about 30 minutes – apparently my 46 year old cervix is that of a 20 year old (the only thing on my body I’m sure that is like a 20 year old!) and it took quite a time to get through to my uterus. A bit of cramping for a couple of minutes and that was it. I am bleeding a tiny bit, and have no pain. I took 4 advil before the biopsy and have had nothing since. So, take heart, all biopsy experiences aren’t that bad.

126 Anonymous { 10.02.08 at 5:54 pm }

I had the biopsy done this morning. After reading the comments here I was absolutely terrified; tossed and turned all night. Needless to say it was for nothing. This procedure was a piece of cake, I took 3 ib’s about 1/2 hour before the procedure. During the procedure there was some pinching and pain no worse than say a shot, some weird scraping sensations and it was over. There was some cramping that lasted maybe an hour after words. And I spent the remainder of the day at the mall. Hope I don’t pay for it tomorrow….

127 Anonymous { 10.02.08 at 8:48 pm }

I wish I had read this blog before having my procedure the other day! Apparently I have a larger than normal uterus that is not where it should be, and the doctor had a hell of a time locking it down. There was no mention of pain or painkillers, or information of any kind for that matter! What I did read on the net indicated there would be a sedative given for the ‘Painful’ kind of biopsy, so I assumed we were going the easy route…I have a phibroid tumor, extra bleeding etc and they wanted to rule out cancer. He spent 10 minutes poking around inside and gathering multiple samples, meanwhile I’m yelling and jumping out of my SKIN! He had the nerve to ask me if I had a really low tolerance for pain after it was over, I felt like reaching over and grabbing his testicles with everything I had left! He won’t ever be performing another procedure like that on me EVER! Ladies, get smart, get medicated well before hand. Worse cramps of my life, except for my miscarriage, only lasted 24 hours. Still bleeding..

128 Karina { 10.03.08 at 9:58 pm }

I had the test done yesterday and all I have to say is “GOD! Did it hurt!!!” Tears were streaming down my face all through the procedure. Of coarse take into account that I have not done the laundry in seven years and had a c-section. He said my cervix is very tight and its very hard to get to my uterus. But after I really have not had pain. They did find that my endometrium is borderline into turning into hyperplasia. I am 29. I also have polycystic ovarian syndrome.

129 Ann G { 10.04.08 at 10:30 am }

Hi, Unexpectedly had this at a gyn appt prior to balloon ablation. It, hurt at the time but I already take chronic pain meds for nerve damage. I also unexpectedly had to take my 5 year old. Who reacted not at all to the procedure. I held her hand the entire time to assure her that the lady doctor did not hurt, but it did. She could not see anything. I was faking it for her sake. Two days later I was ok, but she had me scheduled for a Sono with TV probe. OMG did that hurt. I guess they were pushing on the cervix. Now I have cervical pain and bleeding and a lot crampimg and of mucous. Sitting and standing hurt. And don’t forget I have pain meds. Oxycodone. I have been been finding myself holding my breath from the uterine pain which right now is trumping my nerve pain. That says alot. Today is Saturday. I had done

130 AnnG { 10.04.08 at 5:37 pm }

I just came back from the ER. He said I have endometriitis> SP Infection.inflamation from the biopsy. I said Sounds so benign. he said It's very painful.. And I said You ain't kidding about that.

AnnG

131 Anonymous { 10.06.08 at 7:19 pm }

i am a 35 yr old and have been bleeding for over 2 1/2 months, finally getting in to see my doctor she tells me that not normal umm duh… she then sends me to another gyn doctor and i have an endometrial biopsy. one word to describe that procedure OMG! i have never felt pain like that in my life i wish i would of known to take some pain meds before this procedure better come out normal.

132 Anonymous { 10.08.08 at 6:25 pm }

I had an external/internal pelvic ultrasound last week to determine size/location of “uteral” (?) fibroid. Went in today, so I thought, for a pap, breast exam, and ultrasound findings. After the pap, my Dr. informs me she was going to do an endometrial biopsy. She was very thorough explaining the procedure, and gentle yet quick while performing it. But OMGOODNESS…I nearly fainted the pain was so intense. I’ve given birth 3 times, and this pain ranks right up there with labor. I agree with another post, I don’t think advil would have helped much as the pain is extremely acute.
Thank the Lord it didn’t last long. I made it to the car where I promptly cried. I still have cramps tonight and am bleeding a medium amt. I am frustrated that I was not informed this procedure was going to be done. I plan to email by dr. about this…

133 Anonymous { 10.09.08 at 5:18 pm }

I had this procedure on Monday October 6, 2008. It was an uncomfortable and somewhat painful procedure, but it didn’t last long. I didn’t have any pain meds before and didn’t need any afterwards. I am now preparing for a hysteroscopy on the 22nd which will be done in the office and am wondering if anyone has any stories to share?

134 Anonymous { 10.12.08 at 6:58 pm }

Ladies – I am forever in your debt for taking the time to share information we would otherwise never get, if not for each other. I am scheduled for this charming procedure next week. I had my regular yearly exam and my doc found endometrial cells on my cervix. The funny thing is, I’m scheduled for a complete hysterectomy in three weeks, so whatever they find would be rectified by, of all things, a hysterectomy. I had a bilateral mastectomy in February (all of these procedures are purely preventive – ovarian and breast cancer is rampant in my family on both sides). One of the pre-surgical tests was a transvaginal ultrasound which showed a beautiful and healthy set of reproductive organs. My doctor is taking all the precautions recommended by the American Cancer Society, so I can’t argue with his intentions. What truly chapped my ass was the way his staff treated the whole thing. I got a call from a cold as ice scheduler who told me this was a nothing procedure, takes no time at all, and “we’ll be here to hold your hand.” That last statement made my hair curl. If you have to hold my hand for anything, that’s my warning to order general anesthesia. With my suspicions aroused, I found your website and THANK GOD AND YOU that I did. I’m the kind of person who needs vercet when I get my teeth cleaned. My doctor had a hard time finding my cervix during my exam. I have twin boys but they were delivered by C-section so my cervix is small and plays hide and seek. Your comments educated me as to what needs to be done with a small cervix during this procedure. From everything I’ve read I started to have panic attacks – and for damned good reasons. I would never have survived this without all the info. I called my doctor over the weekend so I wouldn’t have to go through his regular staff who would never connect me to him because I’m “overreacting.” We had a nice long conversation about this procedure. He tried to assure me he was extremely gentle, but there is one small matter that everyone seems to overlook. It’s called your central nervous system. All the logic in the world cannot change how your nervous system reacts. Bottom line, we are changing the venue of the procedure from his office to an outpatient surgical center and I’m getting general anesthesia. He was so easy about it. I guess we have to be our own advocates and not judge the doctors too quickly. We need to get past the front office soldiers trying to keep the doctor from having to deal with “nutty” patients. And do whatever we must to educate ourselves about anything a doctor proposes to do to you. Thanks to you all and God bless you for being there!

135 Aly { 10.12.08 at 8:31 pm }

This site is the best source I have ever found for information about this procedure. It helped me before my endometrial biopsy last July (with light anesthesia), and has helped me validate my feelings since then. Some women have little or no pain with this procedure and I salute them. But, then there are the rest of us! Maybe all physicians who perform endometrial biopsies should have this site as required reading.

136 Robbin { 10.14.08 at 6:43 pm }

ok, I want to thank you all, too! I had to get an endrometrial biopsy because my periods are HEAVY AND I want to get an ablation.

I found this site after my first experience last friday Oct 10, 2008. The whole experience just didnt feel right so I went surfing. The first doctor (on oct 10) poked and poke and said well you are going to have an ultra sound. I cant get in because your cervix is too stiff. And I left there with a lot of pain and bleeding(that lasted the whole weeekend) and bill for $600. And she didnt give me the option of taking that pill to soften the cervix. NOPE just go get an ultrasound!

I told my friend who was an OR nurse for 22 years about my experience. She said the same thing happened to a friend of her’s and suggested I got to a male doctor (she suggested that maybe the female’s hands were too small? And that the male doctor did it for her. I took her advice and that is where I just came from. This doctor was awesome. He spoke to me for a good 30 mins before we continued on with the biopsy.

He said I got a gold start for the toughest cervix. He also had to use the ultrasound equipment in the office to guide him. Anyway, the job is done!

Now he also suggested before I go thru with an ablation that I try a Mirena IUD http://www.mirena-us.com/what_expect/index.jsp. He gave me that pill that was mentioned for the IUD insertion. I asked him why the other doctor didnt mention that pill, to maybe retry the procedure before I go thru an ultrasound. He said not everyone knows about it!

Personally after what I just experienced. If you are going for this procedure…..get the pill before, just in case.

I will keep everyone posted. I plan to get my money back from the other doctor too!

My name is robbin. it is much easier just to post as Anonymous.

137 cksisson { 10.16.08 at 5:02 pm }

I read all of these comments beforehand, and I was scared, especially since I’m 35 and have never had children. I wanted to back out but knew I couldn’t.

I took 500mg naproxen (Aleve) about four hours before the procedure.I took 500mg of Lortab about an hour before the procedure.

My doctor was a woman, and she was very patient and kind. She explained what she was doing as she did it.

The first moment I felt pain was when she gripped the uterus with the clamp to move it out of the way. I was waiting for it, so I’d already balled the sheet in my mouth, bit down hard, whimpered slightly. Yes, it hurt a little. But it hurt in an odd way. A hot flash of “Oh God” and nausea, and then it was over with. I never really felt any cramping, and haven’t since then. I just took my dog for a walk.

Would I want to do it every day? No. Could I stand it once or twice a year to save my life? H*ll yes. Don’t fear it. Take some pretty strong painkillers, and know that it doesn’t last very long.

I’m sorry for the others who had a worse experience.

138 Anonymous { 10.17.08 at 6:08 pm }

This is a brief but decidedly unpleasant experience. However, your tension and anxiety about it will make it a lot worse. Take the ibuprofen ahead of time, practice deep breathing while the procedure is being done and if you think you’ll need them, ASK FOR MEDS before hand. Insist on them. We are all different, experience pain and anxiety differently and a good MD knows this. Be proactive. I am going for my second procedure and although I am not looking forward to it, I have faith in my MD and know I can get through this. This procedure saves lives.

139 Anonymous { 10.21.08 at 1:13 pm }

Today is Oct. 21, 2008. I had an endometrial biopsy this morning, and the only thing I felt was the shot from the numbing medicine my doctor gave me. I’m a virgin. It’s just like a pap smear except you’ll feel a deeper sensation. It took 2 minutes. I’m fine. Don’t think about it too much. Ask the doctor to talk you through what he or she is doing.

140 Anonymous { 10.23.08 at 6:02 pm }

I had the biopsy today and after reading all the comments I was a little worried because I always have pain with gyn procedures including putting the speculum in. However, I’ve had 2 ivf transfers where I was able to relax and have an easy transfer even with the speculum so I figured I would probably be ok once I took the meds. The office gave me naproxen to take prior to the procedure but I’m not sure of the dosage. I called and asked for some prescription pain meds as well. I took 2 darvocets and 2 lortabs (left over from a surgery in Aug 2007)an hour prior to the procedure so I figured I would be fine. My doc is experienced but she didnt explain what she was doing at each step. The clamp wasnt that uncomfortable and I was really relaxing cuz I know that helps. She mentioned something about my cervix being small but I’m not sure if she dilated it or not. I guess I probably would have really felt that? I’ve never had kids plus I am on cycle day 22. She said something about which type of tubing she was going to need and once she put it and moved it around I felt such a sharp pain I cried out. She then said she was almost finished and did it one more time and it wasnt quite as bad. I’ve never been in labor but it was the most painful thing I’ve had done. I just wonder if the pain meds helped or not. Surely they did but I cant imagine how this would have felt if I hadnt had any.

141 Anonymous { 10.27.08 at 7:22 pm }

O.K. here goes… Today is Oct. 27. I was told today that I needed this procedure. It is scheduled for next week. I am 35, no children. I was told (by my doctor) to just take some OTC pain medicine a couple of hours prior, and I would be fine. My doctor showed me the straw-like tool she would be using, and made it all out to be no big deal. After reading, I am terrified and near tears. I am actually considering canceling, that’s how scared I am. Should I have her write me a prescription for pain medicine before-hand (if I do decide to go through with this)? What meds should I request?
Signed,
Shaking like a Leaf

142 Aly { 10.27.08 at 7:56 pm }

To Shaking Like a Leaf:

I recommend asking your doctor to phone into your pharmacy a prescription for Valium and a pain killer like Hydrocodone — take both in advance. Arrange to have someone drive you home.

If your doctor says you are being a crybaby for wanting something stronger than Motrin or Advil, get a different doctor.

I told my doctor of my concerns three months ago, and he said most of his patients only want the procedure done as same-day surgery at the hospital so they can have light anesthesia. If I ever had to have another one, that is the only way to go. Good luck.

143 Anonymous { 10.28.08 at 7:16 pm }

Hello All,
This is a great site and thanks to all who post here. I had the test last week. Wow.. she just decided to do it, am 52 with random very light break thru bleeding and probably fibroids. I stopped having my period about 10 months ago. I have read that 90% of all post menapausal women have fibriods. Anyway, They gave me three motrin. (and not enough time to even get them in my system) for the cramps. I was/am passing a kidney stone, its caught in my uteter and wouldnt you know it, the suction tube chose just that spot or next to it to suck the meat out of me. I am sure it pulled horribly on the stone. Perhaps they could use that straw to suck the stone out hehehe… anyway… I had double pain.. it was horrendous… she had to do it three times before she got a big enough peice of me. It was blindingly painful. But Im sure it was made worse by the unlucky positioning of the straw. I did have deep cramps for a few minutes, minor blood flow just that day and spotting for another day. I was not told anything about care afterwards. I did read a paper that I signed and was not given a copy. The main thing that stood out was that the straw could puncture the wall of the uterus… So I stayed as still as possible and also did breathing. I wish I had someone with me, cause it left me shaky. I go tomorrow for the blood test and a uterine sonogram. They next week for the results. Hope its nothing… I do feel anxious however and its increasing. They really need to be more on top of keeping us informed. To be honest, every woman my age or older whos gone thru meno has had break thru spotting at one point or another during the first year, or even a random period. My poor body has been having periods for 39 years, its hard for it to quit. lol… I wish everyone well who goes thru this. Its not fun, but, its quick. If ya have something to take, take it, if you have someone to go with you, bring them. Even a shoulder to sob on for a moment is a blessing. God bless you all.

144 Anonymous { 10.30.08 at 10:01 am }

My Dr was terrific in preparing me for this in advance. She told me exactly what would happen, she prescribed Misoprostal to "soften" my cervix and 1-2 vicodin to take 1 hour before the procedure. Reading this Blog was very helpful in decreasing my angst knowing that My Dr.was doing the right thing and seeing what other women had experienced. Even with all this, my procedure was not successful. After 3 attempts to get through my Cervix the Dr. gave up, apparently there was too much scar tissue (who knew?)and she said if she continued she would have to scrape me off the ceiling. I consider myself to be pretty tough & told her to continue though it was very painful, more so with each attempt. She said she would not let anyone do it to her so whe would not do it to me. So… tough as I think I am, I sat up, the world spun around and I broke out in a cold sweat. After lying down for 20 minutes I was embarrased but fine. I am 56, have never had children and was 10 months past my last period when suddenly I had lots of bleeding. So now we still don't know what is going on and have to decide if I have a D&C. Thanks again to all of you who took the time to share, it really did help.

145 Anonymous { 10.30.08 at 10:34 pm }

I have a thickened uterine lining, so my dr. gave me the choice of an endometiral biopsy or a D & C. I have not decided which one to do yet!

I told my doctor that I heard the biopsy is really painful and that you can feel the cutting. (that's what a friend told me) My doctor said there is no cutting, that's it's a straw that suctions out tissue. She said it only lasts about 5 seconds. She said it feels like menstrual cramps, and asked me how bad my menstrual cramps are, like she was implying that if I never had bad menstrual cramps, that I won't have bad cramps during the procedure.

I don't know what to do and I know that waiting is not a good thing to do when they need to check to see if you have cancer.

I'm also afraid of the D & C because I'm afraid of being put to sleep. I've watched my daughter get an endoscopy and colonoscopy done, and they didn't put her to sleep enough and she suffered through the entire procedure. I'm afraid the same will happen to me and I won't be able to let them know I'm really awake. I'm also worried about having a tube down my throat.

Then my doctor said I can just get a "twilight sleep" instead. But I'm afraid the twilight sleep won't be enough.

I don't know what to do!

Anyone on here that's had both procedures done….which would you prefer and why?

It's Oct. 30th….thanks for any help and input!

146 Anonymous { 11.02.08 at 2:56 pm }

Found this site only after I had the procedure on Thursday, Oct. 30 (it’s Sunday now). Sure wish I had read it beforehand! By far the most extreme pain I’ve ever experienced or could imagine experiencing. I’m 41, no kids. I just wanted to post to agree that, if your doc won’t give you good pain meds, get a new doc. I missed two days of work, and am still in some pain today. I called the office twice in tears, basically begging them for a prescription for a stronger pain med than Motrin, which wasn’t doing anything for me. The flat out refused. I’m seriously appalled at the way this office handled the biopsy and don’t think I can return. Like so many here have said, they acted like it was just no big deal. I think the biggest problem was the Cytotec (misoprostol) they had me take 4 hours beforehand. For those of who said you wished you had it, don’t be too sure. I think I took way more than the dr had intended thanks to the pharmacist – and learned only afterwards that the amount I took is the amount one takes to induce an abortion. Shame on me for not doing more research – but it all was happening pretty fast. I think this procedure can be fine – painful, yes – but should be manageable if you get some pain meds, and don’t take the misoprostol (at last not more than 200 ug).

147 Anonymous { 11.03.08 at 10:29 pm }

Hello, it’s me again, “Shaking like a Leaf” from last week. As I posted last week, I was scheduled to have my procedure today. I called earlier in the week and had my doctor call me in an anti-anxiety med. because I was seriously having a hard time sleeping and eating just thinking about having the biopsy done. She called me in one valium and no pain meds. (I got 2 vicodin from a co-worker). I took the valium 1 hour prior to my procedure, but my doctor was running behind schedule, so I think it had worn off by the time I went into the stirrups. I had also taken the vicodin about 1 hour prior. I would like to ease some fears by reporting that this procedure was really NO BIG DEAL for me!!! I seriously worked myself up for nothing! The biopsy felt no worse than a “rough pap smear” as some have reported. Please understand, I am in no way minimizing the pain and discomfort some felt when they had the procedure, but for me, it was fine and believe me- I was SUPER scared!!! Now I am just awaiting my results, which I expect to be fine. I don’t want to get myself all worked up again!
Signed,
“Shook Like a Leaf for no Reason”

148 Anonymous { 11.03.08 at 10:41 pm }

Hello,
I just had an endometrial biopsy (today) and I have also had a D & C (a couple of years ago). I was very nervous and anxious about each one. If I had to "recommend" one, I would say the biopsy, especially if you are afraid of being put to sleep. I think I was more afraid of the biopsy because the thought of being awake through it all scared me to death, but it was over so quick! I had the biopsy 7 hours ago, and I haven't felt any pain or cramping. Based on the comments posted here, I guess it is almost impossible to know how the biopsy will affect you if you have never had one, but mine was fine. Afterwards, I told my doctor of my initial fears and concerns (i.e. vasovagal symptoms), and she told me that some women experience those even during a pap test. I would say get as much information from your doctor as you can about each procedure before you make a decision. True, you are asleep during the D & C, but not completely under where you have a tube down your throat. In fact, my doctor told me that I was even speaking to those in the room during the procedure, but you have no recollection of it at all. All I remember of the D & C was being given medicine through the I.V., feeling drowsy, and waking up after it was all over. I had to take the next day off from work and take it easy. After this biopsy, I feel fine. I was already spotting- heavily- so I can't say whether the spotting is from the biopsy or not. I hope this helps some, and I wish you the very best!!!

149 Anonymous { 11.05.08 at 5:36 pm }

I THANK EVERYONE who has taken the time to write their experiences here. It has been most helpful.

I am 44 years old and have never had children. I took birth control for about 10 years (to regulate my menstrual cycle). Four months ago, I went to the emergency room with a pink, swollen, hurting left calf along with shortness of breath. An ultrasound and Cat scan determined that I had a blood clot in my leg (Deep Vein Thrombosis) and a blood clot in each lung (Pulmonary Embolism).

I was told the clots were caused by a combination of birth control and my job which requires LONG periods of time sitting at a computer (2 1/2 to 3 hours at a time with 15-minute breaks in between).

I was put on Coumadin blood thinner and was told to stop the birth control and that I could never use it again.

One month ago, I bled so much during my period that I passed out twice. (Most of the bleeding was from huge clots.) I went to the emergency room and it was determined through ultrasound and Cat scan that I had uterine fibroids. I also had to have a blood transfusion.

It was suggested to me that I have an endometrial ablation to solve the excessive bleeding. However, I had to have an endometrial biopsy first to rule out cancer. I was scared to death until I found this site and was comforted by the fact that many women need to have the same procedure so I wasn’t alone.

My doctor fully explained the procedure and encouraged me to take 800mg of ibuprofen about 30 minutes to 1 hour beforehand. She said this would alleviate the cramps I might feel during the procedure. Since I am taking a blood thinner every day, I have also been advised by my hematologist that I am not allowed to take ibuprofen (or Motrin, Aleve or anything with aspirin in it).

Because I was so scared, and after I read the experiences on this site, I went ahead and took the ibuprofen anyway. I figured one time only probably wouldn’t hurt me. I also took 10mg of Valium at the same time.

I’m sure I lucked out…the procedure was only “uncomfortable” for me with no pain whatsoever. The doctor told me she used a spray twice to numb my cervix and it must have worked well. I only felt very slight cramping during the procedure and had only very light bleeding for 2 days afterward.

My 22-year-old niece went with me to hold my hand (and beat up the doctor if necessary) and even she was shocked at how easy everything went.

I would definitely highly recommend anyone take 800mg of ibuprofen about 30 minutes to 1 hour before the procedure. I think that alone saved me a lot of pain. The Valium may be unnecessary for some people but for me, the type who freaks out pretty easily, it really helped me relax.

I just got my biopsy results and all is clear. Now I am scheduled for the endometrial ablation in 2 weeks and I have something else to get stressed out about.

I’m definitely glad to have had this website to read other’s experiences as it helped me ready myself for the procedure.

150 Anonymous { 11.06.08 at 5:28 pm }

I am 44 yrs. old, 3 children. Had an endometrial biopsy before my first child. It was literally two minutes of major pain, sweating, and breathing. Not fun, but I was also not knowing what to expect. I have since had 2 more biopsies. One about 10 yrs. ago and the other just last week due to irregular periods, heavy, and cramps more often than not. I must say that this last experience was fine. Yes, crampy and “pinchy” but nothing like the first time. My advice to someone who has never had one. Take 2 extra-strength Tylenol about 2 hrs. before and then 2 Motrin one hour before. You will be fine. Breath and look at the second hand on your watch. The procedure is faster than you think. I spotted lightly after each time, but not much else. Everyone has a different pain threashold. If you’ve had severe cramps or a baby, this is a piece of cake. If you are a drama queen, you will have a problem. No, it’s not pleasant and I would prefer not to have one, but come on people, the whole thing takes 2 minutes. Don’t read the freaky stuff. I’ve had 3… plus MANY more procedures, this is easy. Remember, it’s super fast.

151 Anonymous { 11.07.08 at 4:44 am }

I’m 44 years old, no children. I’ve had excessive bleeding for several months. My doctor said she needed to do an endometrial biopsy to rule out cancer before I could have either an IUD or ablation. She said to take 800 mg of ibuprofen 1 hour before. I asked about Tylenol and she said not to bother because it wouldn’t help and the pain would be a bitch. I chose ibuprofen. My biopsy was done on 10/30/08 with a straw-like tool that suctioned out some endometrial lining. The doctor said it would take about 15-20 minutes and it took about 10 minutes. I only felt minor cramping and no pain, thanks in large part to the ibuprofen. It also helped that my doctor explained everything she was doing as she did it. For me, it was like a prolonged Pap test. Just slight bleeding for a day afterward. My biopsy results were negative and I decided on a hydro thermal ablation rather than an IUD because I want something more permanent than just the band-aid of birth control. My thoughts are with everyone out there awaiting an endometrial biopsy. I think the most important thing is to have a doctor you are comfortable with.

152 Anonymous { 11.10.08 at 3:22 pm }

The truth is ,this procedure is exceedingly painful and I am very tolerant to pain…I did not know I was having it until sitting in the DR’s office today. When I asked before the doc did it if is it painful he laughed with an EHHH…yes…anyway ladies, I highly recommend taking a painkiller BEFORE this procedure, it is evident everyone and everyboy reacts in a different way, but in my honest opinion, better safe feeling then how I walked out of there nauseus cramping severe, and felt just like my endometriosis each month…but worse…

153 Anonymous { 11.12.08 at 11:01 pm }

My first post is about 8 posts before this one, just wanted to give an update. I needed to decide on an endometrial biopsy or D & C. I had the D & C done this morning, and I'm so glad I did it.

It was so easy, they put me to sleep and I didn't feel a thing. Also, my doctor also did the camera thing.

So if you're afraid to get the biopsy done, ask for the D & C!

154 Anonymous { 11.15.08 at 8:47 pm }

Hey All. Let me start off with saying I have had one child and nearly had my appendix burst years prior to this procedure. I had an endometrial biopsy procedure done immediately after an ultrasound detected two ovarian cysts and two fibroids. I had no warning about the pain(told me it would just be very mild cramps and under 5 mins.) and the form I signed did not warn about any risks from procedure. No pain killer offered. I am a fairly active person and pain doesn’t not usually phase me.

After waiting in an ice box room undressed for literally an hour, it was about 15 minutes. After initiating and pulling out after trying with brace clamp and intial suction, the doctor realized he had to dilate the cervix… about 6metal instruments and cranks later he took the sample. The whole time I was clenching my teeth so tightly think I need to see the dentist. The cramping was equivalent to childbirth, but worse because there isn’t any hormones helping you dilate.

I was in agony for the first week (barely able to walk) and when I went in complaining of pain still I was given antibiotics just “in case of infection” with some muscle relaxants finally. I am still in mild pain two weeks later and after being with my husband for the first time, it felt not right… extremely week and odd. Anyone have the same issue with climax that was dilated? I have not had my mentrual cycle which is now two weeks over do.

I don’t think this procedure is to be taken lightly and TAKE a decent pain killer. If I had only known I would have, but I was sent home with nothing and can’t take the good ones over the counter bc of blood pressure. I have never had ongoing issues like this. I just looked it up now and got nervous about all the possible risks that I had no idea of because I went right from the fear of what happened with ultrasound to the biopsy because that is what the doctor said to do. Now I see there are risks like Asheman’s disease but I am not sure if that would apply for me or not. I also noticed a risk of issues for women that are dilated in the article below. Just not liking the idea that something they did could be permanent and hinder my childbearing ability or sexual height. Any thoughts?

http://ndt.oxfordjournals.org/cgi/content/full/19/8/2074

155 Anonymous { 11.17.08 at 3:32 pm }

I know this is an old post, but it helped me so much that I just wanted to post and say thank you to everyone who has commented on it and to the person who wrote it.

I have had several cervical biopsies over the years and had experienced terrible pain with every one of them. When I found out I had to have an endometrial biopsy I was terrified. Thankfuly my doctor offered up the misoprostol and 800mg motrin because I’m in my late 30′s and have never had a vaginal birth. I also asked for something for anxiety. The misoprostol worked so well (200mg orally and another 200mg vaginally) that she didn’t have to dialate me manually, and though the biopsies hurt they didn’t hurt nearly as badly as I’d feared they would. It was like bad period cramps, and those are lessening now. Overall it was not horrible, and if I have to do it again I would be able to with much less fear.

If you think you will want the drugs ask for them. I had discomfort and some pain, but certainly not the worst pain I’ve ever felt in my life.

156 Anonymous { 11.22.08 at 3:28 am }

If you are ever told you must have a one of these tests then and there, run. Do not allow them to do this to you without softening meds for the cervix and pain meds before and after. It angers me how much they hurt us when there is so many options to ensure a safer procedure.

157 Anonymous { 12.01.08 at 5:00 pm }

I just had my first biopsy done last week and i can honestly say that the pain was the same as my period cramping but the pain was gone as soon as the biopsy was over. My period cramping is pretty painful but when comparing the pain, i would much rather have the biopsy than my period any day!! It’s been 6 days now and i am still spotting but i have no pain.

158 laura { 12.01.08 at 5:37 pm }

hello,
My name is Laura, i am having the endometrail done tom 12/2/2008. i am glad i read this, i was to scared to ask for something stronger then motron 800, but im not now, i had the colposcopy done Oct 31, and that was the most EXTREME pain ive been in, and i am no wuss, i can handle pain well. I am 24, and have had 0 kids, so i cannot compare this to labor, but my god the colp hurt like !@#^. I also am not “sexually active” with men, so i may be “tighter” then most in that area i guess wcich could add to the pain. I will NEVER allow such an inhume test to be done to me again, i felt very violated, and i cannot believe ur not given a seddative for something like this, before having back surgery they gave me a valume(sp?) just because i was nervous and yet for something so extremely painful they give u motron are the NUTS!! I will be demanding something much stronger before i allow them to come near me tom. thank you to all those who have posted. and please for those who have to have either done, please ask about stronger drugs, and make sure u know everything! u need to. thank u all again, and best wishes, good luck, my prayers will be with all who have to have either done!

159 Anonymous { 12.01.08 at 8:57 pm }

I had this procedure done 2 weeks ago. two words of advice: take meds. I happened upon this very site only a few hours before my scheduled appt. so I was totally prepared mentally. also, my best friend had it done by my same doctor and agreed with the description here of labor pains and spotting and had not been warned ahead of time of the effects during and after and not offered any meds. I take vicodin on occasion for migraine headaches so I have them on hand at all times.
About an hour before my appt, I took 2 ibuprofen (Advil or Motrin) for the impending cramping [as advised by a blogger here, TY!] and 1 vicodin on my way to the appt for potential pain. after spending a long time in the waiting room and having to go through a pelvic ultrasound just prior to my appt which took another hour altogether, I thought it might not be a bad idea to take 1 more vicodin. Let me just say, I can function fine with 2 vicodin, i’m just super relaxed and feeling “warm and fuzzy”, not loopy or out of it. Well, with all that medication on board, I have to say that it WAS STILL very painful, like someone stabbing you inside and I did have tears in my eyes. BUT, it WAS over quickly, like less than 10 minutes. my doc was willing to take a break at any time if I wanted, but I chose to get it over with. as my doc pointed out, all you have to do is say “hi” to the uterus, and it cramps up. after the instruments were out, I had no pain or cramping whatsover and no spotting either. I was not light-headed or dizzy. I drove myself home and had no pain or cramping at all, ever. so maybe the 2 Advils and 2 vicodins did exactly what they were supposed to. so bottom line is: anti-cramping meds (ibuprofen) and narcotic pain relievers work wonders. p.s. the test results came back just fine and it was worth the peace of mind.

160 Anonymous { 12.03.08 at 8:48 am }

I had this done two weeks ago, still waiting for the results. If they lost them I will not do it again. I think it is so inhumane they way they do it. Heck, they will knock you out for a D&C, but not when they take a bite out of you! I nearly passed out, and it took me a long time to recover from the woozies. I got sick and vomited. It was horrible! If they even mention doing that to me again, I'm running for the hills! And I had 2 children!

161 Anonymous { 12.04.08 at 4:56 pm }

I just came back from having this done. I’m 28 and NP. I needed it done due to recurrent spotting (both on and off the pill). I was so scared of this test that I put it off for over 6 months; I completely freaked myself out reading this page and other accounts online.

In the end, I am very happy to report that for me it ended up not being a big deal. At all. I took four advil an hour beforehand. The OBGYN did a quick manual pelvic exam, put the speculum in, and wiped off my cervix with a ton of betadine. The biopsy itself initially felt like getting poked in the cervix fairly aggressively– like a very poky pap smear. She couldn’t get the pipelle thing in and had to poke me with something else to get things going. Again, this was mildly painful, but just like mildly exaggerated pap smear achy-ness. Once she got in to the uterus, it basically just felt the same, but more intense– the same kind of getting poked down there feeling, with some cramping. I said “ow, ow, ow” a lot, but did not tear up or scream or cry, and I am a giant wimp. She actually did not succeed at getting my uterus to give up a decent sample, so had to try two more times, and it basically just felt the same. In the end, she still wasn’t sure whether the sample she got was going to be adequate, but she said she’d send it off to the lab and hope for the best.

Just wanted to write because I was incredibly worked up over this but ultimately had a very positive experience. I’m very sorry for everyone upthread who had traumatic experiences. Just wanted to chime in and say it doesn’t always turn out to be that awful, for people who may be reading this and freaking out.

162 Anonymous { 12.08.08 at 10:46 pm }

Hi, guys.

Thank you so much for all sharing your stories. Here's mine.

I am 34 and have had abnormal paps for the past 2 years, had the first colpo/biopsy come back all clear last year, but this time it showed CIN I and that I needed a LEEP, which I got last July. It came back all clear – they got all of the abnormal cells, supposedly.

I have had one child, by the way, but have HPV and have had some trouble conceiving.

Just got my follow-up pap after my LEEP, 4 months after, and they just called me today to say it came back slightly abnormal again and they want to do an endometrial biopsy and possibly D&C.

After reading your posts, I realized that I had this procedure done when I was 23 (the biopsy), although like many of you, it was done last-minute by a male ob and was the worst pain I'd ever felt. I remember screaming out that I'd never have kids if it hurt this badly (that one came back negative, btw).

Anyway, I'm confused as to why they want to do an endometrial biopsy but am expecting a call from my ob/gyn soon to discuss. I think they are kind of freaked out that I've had so many abnormal paps and aren't sure what it could be.

Anyway, thanks to you all for preparing me mentally for this all. I kept some vicodin from when I had the LEEP done – that is no walk in the park either, believe me – so I'll take those and whatever else they prescribe. But thanks to you, I'm informed and can ask some great questions now. You've been an enormous help.

Good luck to all of those waiting for results and may they all come back negative.

163 Anonymous { 12.09.08 at 5:52 pm }

I just had this procedure done this afternoon and it was the worst pain I have endured. Worse than my miscarriage pains and worse than my gallbladder pains. If the procedure would have lastes 30 second more, I would have passed out or threw up. I think the worst thing was knowing you were under going some serious pain and you couldn’t move(or kick the doctor in the teeth) to get away from it. The thought of ever having this again makes me sick to my stomach. I guess we can thank insurance companies for not letting this be a procedure where you can be sedated or knocked out would be fine with me. Sorry to frighten anyone but to sugar coat it would be just plain wrong. That’s what the nurse did to me and I wanted to smack her when I walked out of the room :)

164 Anonymous { 12.11.08 at 3:31 pm }

My doctor just told me she wants to do this procedure; she said some women feel some cramping, some don’t, but to take some Tylenol beforehand…Advil would be fine if I prefer it. The appt is set for 12/23.
Now I’m reading up on it, and I’m scared to dead. I’m even questioning the neccessity, because I just mentioned during the appt that I’m having heavy periods that last a bit longer and my pap showed endometial cells…no big deal, right?…she said they don’t worry about the cells if under 40, I’m 44. Plus, the date happens to be during my and my husbands only break from school in a year, so I don’t want to be out
of “commission”. I’m thinking about declining or at the very least waiting till after school break. What do you think?

165 Anonymous { 12.12.08 at 2:45 pm }

it’s been 3 and a half weeks since the biopsy and I’m still in pain and the doctors don’t believe me. I saw the third one yesterday. I seem to just make them angry. If I had to do this over again, I would run away real fast and I’ll tell you what, they will NEVER do this to me again without my being put to sleep, cervix softening drugs, pain killers to boot. They tell me to take 4 advil (800mgs) every 4 hours.. if I did that my stomach would be bleeding! What kind of health care do we have here?

166 Aly { 12.12.08 at 5:17 pm }

For the most part, the doctors ordering and conducting these biopsies are male and/or insensitive to a woman’s pain structure. If a doctor tells you to have an endometrial biopsy with only Advil, make sure a male nearby (preferably the doctor) agrees to have a circumcision with the same over the counter medication!

167 Anonymous { 12.14.08 at 4:33 pm }

I wish I had known about this blog before I agreed to let my ob/gyn do the endometrial biopsy. On 12/02/08 I went in for a Pap and ultrasound. The latter showed endometrial thickening (my period was due in a couple of days), and the doctor told me she wanted to do a biopsy in addition to the Pap. The pain was brief, but AWFUL. Way more than the “slight cramping” she said I would feel.

My period started an hour after I came home from the doctor’s office. It was a very heavy period that lasted 6 days. I was fine for a while, but last night I began experiencing moderate to severe pain in my vagina. Could this be a delayed reaction to the biopsy? I don’t have a fever. Last night I had to take Vicodin because the pain was keeping me awake. This morning three ibuprofen only took the edge off the pain. What is going on? This plus the anxiety of waiting for the results. Thanks for letting me vent.

Scared *bleep*less

168 Anonymous { 12.14.08 at 10:46 pm }

I had my biopsy two days ago. I was told to take a couple motrin – I wish I would’ve taken some vicodin (and maybe a flexeril). My pain has gotten worse, my abdomen is distented, and I haven’t really done anything since. Friday I spent 10 min in the store, Saturday I spent an hour at a Christmas party – sitting. Driving hurts, walking hurts, laying is uncomfortable, and I can’t sleep. In the last two days, I’ve taken motrin, vicodin, xanaflex, and even prayed a Crown and coke would take the edge off. No luck. The “cramping” is like pulsating daggers. I’ve had back problems for 25 yrs and had 2 spinal surgeries. I remember the pain, and can tolerate a lot, but when nothing seems to relieve it… it gets a little discerning. And while I can find things on the web which state what some “possible complications” are, nothing goes into any detail as to what the symptoms ARE for those complications. Basically, its the weekend, dont want to feel like a putz and go to the ER just to find out there’s nothing wrong… and I can’t find anything online which would help me decide if I *should* go in. So, guess we’ll see what tomorrow brings. Hopefully I’ll get some sleep tonight…..

169 Anonymous { 12.14.08 at 10:57 pm }

Oh, and my biopsy wasn’t “quick”. I tolerated the pain quite bravely as the tears welled in my eyes, time and time again. Finally, after several minutes, they stopped suctioning and continued to help me “breathe”. When my belly had finally started relaxing again, I was told “ok, we’re half-way thru”, then it started in again. Holding onto the bed, pressing my feet in the stirrups, and covering up my tears with my free arm, is not exactly what I would consider “quick” or “just a pinch”.

170 Anonymous { 12.15.08 at 5:58 am }

Dear Dec 11th – change your appt.

171 Anonymous { 12.15.08 at 9:07 pm }

Wish I would have visited this site 6 days ago. I thought it might be a porn site. Sperm Palace? Anyway, what a great place to find out word of mouth (fingers) info that the Drs office won’t tell you. I was supposed to have this biopsy a yr ago and put it off because I’m a nurse and I knew that jabbing a stick up my cervix and into my uterus might cause some pain. The Dr gave me 1mg Xanax and 800 ibuprofen 1 hr before. The xanax chilled me out but the pain was big. I slept most of that day. The next two days I went to work, did some major house cleaning and then baby sat for a 3yr old and a 9 month old that apparently were on anphetamines. Sure wish they would have told me I should take it easy. I’ve been bleeding bright red and clotting. Cramping continuously and feeling totally wiped out. I called the office and left the Dr a message and was called back to come in to see the nurse pract. She gave me some very strong estrogen pills and told me to take two but I have to take a phenergan fist to help with the nausea the estrogen will cause. I put the pills in my purse and went home. I get home to find a message on my machine from the Dr telling me that my biopsy was normal and to call her if I’d like to discuss uterine ablation. It seemed as thought she knew nothing of my visit there today. My gut feeling is to not take the estrogen. The NP talked as though this was just a premenopausal period. This is not bleeding like from a period. It’s like a fresh stab wound. Feels like a fresh stab wound. I see others have experienced extended bleeding and pain. So now at least I know I’m not alone. I’m calling the office tomorrow and insisting the Dr call me back. If I can stop the bleeding all together with ablation instead of hormones I think I’d rather. I’ll see what the stirrup queens think of that procedure first though. Great Site!

172 Anonymous { 12.17.08 at 10:33 am }

Aly said…

For the most part, the doctors ordering and conducting these biopsies are male and/or insensitive to a woman’s pain structure. If a doctor tells you to have an endometrial biopsy with only Advil, make sure a male nearby (preferably the doctor) agrees to have a circumcision with the same over the counter medication!
Friday, December 12, 2008 6:17:00 PM

Beautiful Ally, just Beautiful!

173 Anonymous { 12.17.08 at 10:56 am }

Friendly FYI our doc's should tell us before doing anything, but unfortunately for us, they almost never do…. so I will…

a successful endometrial ablation stops, or slows down the bleeding during your period…
it works by burning or freezing *Killing of tissue* The endometrial lining of the uterus. In doing so, it is much harder to test for uterine cancers because the lining is dead now.

so.. they will want to do a biopsy before they do an ablation to rule out cancer because once the ablation is performed, a biopsy won't work anymore.

now… for what's it's worth I'm going to tell you this too. IF there is any reason you MIGHT have to have a D&C? They send the tissue to pathology that they scrape out of you during the D&C. Many women have to do the D&C before an ablation.

if this is the case, beg them to spare you the biopsy since they will be doing the D&C anyway.

174 Erika { 12.17.08 at 8:48 pm }

I had a D & C for an incomplete miscarriage 9 years ago and it was a piece of cake physically. I was an emotional wreck, but I really don't remember any discomfort. And I got pregnant again really soon afterward. That was then, this is now. I am 36 and have been having issues with bleeding, spotting, discomfort, so they did an exam and U/S. Turns out my uterine lining is too thick and now I have to have this biopsy. I am scared out of my mind!!!! And I am having it 3 days before Christmas to boot!

My only out may be my period. Chances are that it is going to come before Tuesday, and then I will get to put it off a bit longer. But they seem concerned and wanted to get me scheduled asap, so I am worried about what they are looking for.

175 Anonymous { 12.17.08 at 9:43 pm }

My Dr told me that my endometrial biopsy was normal and that I have a thick uterine lining and that’s why I will have heavy periods. Tomorrow will be one week since my biopsy and I’m still bleeding. My period is due now so I won’t know when I’m going to stop. Looks like my period is not going to just fade away nicely and my peri-menopause is going to be bloody hell. I was thinking that Ablation might be a less invasive procedure than a total hysterectomy. I just want to avoid living like an anemic bowlegged adleminded wench. Spot remover in hand. Is massive doses of estrogen the only non surgical option?

176 Anonymous { 12.18.08 at 11:04 pm }

I had my biopsy yesterday, you wanna talk about pain!! My Dr. told me everything to expect and went thru the procedure with me but failed to mention any thing about PAIN OR PAIN MEDS. I have not had a period for about a year and started bleading for two weeks.
i will never do this again, and unless your dr. has majick fingers good luck!

177 Anonymous { 12.23.08 at 10:05 am }

They say some women feel major pain, some don’t. Interesting bit of information, I found out my sister has endured two of these painful tests. The first one she took pain meds before, didn’t help one bit. The second one, the NP couldn’t get it in, hurt like nothing else. Finally this NP said,’rest while I go get a doctor” the doctor came in and did the biopsy, she said she hardly felt it that time

so.. I’m thinking, it’s not the woman, it’s the doctor.

Never let them stab you, it’s been a month and a half and I’m STILL on pain meds, major pain. Major. Ruined my thanksgiving AND my Christmas. They want me to go away. I’ve been on antibiotics for two weeks and still I hurt. I’m worried about my liver and stomach because they wouldn’t give me pain meds that work, Told me to take 4 advil every 4 hours. I’ve been taking that dose of Advil for over a month. Can’t take it anymore, the heartburn was killing me on top of this pain.

I was pain free before I went to this butcher. Now? I wonder if I’ll ever be able to enjoy sex with my husband again.

And people holler at me because I don’t go to the doctor often enough. Well, when they hurt you every time you go, you wouldn’t go either.

178 Midnight Madras { 12.23.08 at 2:01 pm }

So no offense, but after reading all of the horror stories on here I was scared to death about my biopsy!!! Had it at 11:30 today and here I sit, drowsy from the 1/2 of a Vicoprofen tablet I took before going to the Dr. (and possibly a bit from the procedure itself) but none the worse for wear. It did hurt, but really no more than I expected. I figured that for me the reality would fall somewhere in between the “worst pain I’ve ever felt” stories and the “aw, it was nothing” stories. The part where he gripped the cervix sucked pretty bad…I gasped and grimaced and I saw Hubby’s face go white. Then when he went in with the pipelle it was even more intense. I never cried out or anything but in my head I was thinking “stop it!” I didn’t cry but my eyes did start tearing up. Hubby dropped his head into his hands…he can’t stand to watch me hurt. He ended up having to lie down on the floor after the Doc left!!! When it was over I got the cramps and I have felt pressure since, but nothing unbearable and I don’t think I am bleeding. They did give me a little pantiliner but no big pads. Doc didn’t even give me any restrictions. I should have my results in a week or so. I am VERY drowsy though and I think I am going to go to sleep now.

179 Anonymous { 12.23.08 at 2:38 pm }
180 Anonymous { 01.02.09 at 7:22 am }

"this procedure saves lives!" Is what they said… she said..

just how many lives does it REALLY save, I wonder? Really…. it can't reach all areas of the uterus.. what IS the percentage of cancer is misses? Why do they put us through this pain when there are SO much better ways to detect cancer? AND? The chances of it being cancer are 0.48%

to me? That small chance is not worth the pain and chance of infection of this test

I was infected from the doc by this procedure on 11/17/08. They did not warn me of this, did not care I was in pain two weeks after this procedure. I had to scream to get 20 darvecets out of them the first week. Which did very very little for the pain. Pharmacist told me, only take one of these, there is TONS of tylenol in these, if they don't work take 4 advil two hours after one darvecet.

well hell. after 6 weeks of 24 advil a a day, my stomach was bleeding. They still didn't care. Want to go to a gastro guy? We'll refer you.

what is with medicine these days? I don't get it.

I've been on heavy duty antibiotics for 4 weeks now. After going to doc #3 did I get these. I am finally feeling better, only to have to let them back in there for a D&C and hysteroscope. I am terrified they will infect me yet again.

I really want to see that first doc have a circumcision with NO pain meds, which is what he did to me when he stabbed the hell out of me with that stick. And when he calls for meds, I'll tell him what they told me… "This NEVER happens. Take 24 advil a day and get over it"

Actually, I want to perform the circumcision on this guy. Anyone know a few big guys to hold him down for me? *wink*

Yeah.. THAT would be the best pay back EVER.

181 Anonymous { 01.06.09 at 6:42 pm }

I just had a endometrial biopsy done today and it wasnt bad at all. Ive had worse cramps during my period. i did take 800 mg of motrin an hour before it so im sure that helped a lot. im glad i read this site it let me know about taking the pain med before and what to expect. It only took about 5 mintues to do so that was good and i did bleed some afterwards but only used one pad.

182 Anonymous { 01.07.09 at 2:25 pm }

I had an endometrial biopsy around 20 years ago "on the spot". The Dr. told me that he usually didn't do them, outside the hospital, on women who hadn't had children. He did tell me that it was uncomfortable… like severe menstrual cramps. So I agreed to proceed without the help of any pain meds at all. That was a mistake. First, the pain was excruciating. I think I nearly passed out. I was nauseous. My reaction was so strong that I think he gave up. Didn't get a good sample at the first try so just let it go. And I didn't go near a Dr. for YEARS afterward. I felt I was misled.

Now I've just had a D&C and Hysteroscopy and resectioning… they took out two fibroids and a polyp. I had that procedure because of abnormal bleeding. The polyp turned out to have "hyperplastic" cells of a pretty aggressive type. She used the word "pre-cancer". Now I have to come back and have a pelvic ultrasound and endometrial biopsy in six months in order to monitor.

In reading the postings, I am relieved in that my initial experience with the procedure wasn't out of the ordinary. But I am also just not sure I have the courage to face this again… to schedule that appointment and keep it. I have had two children since then… one via c-section and the other via V-BAC. The pain from my original biopsy rivaled the pain from labor ramped up with mega doses of pitocin except that it was much more sudden and piercing.

Anyway, I'm glad to find the site. If anyone has advice to share, I'd be grateful. I can't afford to stay away from Dr.'s for years this time… I am a diabetic and now, apparently, dealing with "pre-cancerous" cells.

from Extremely anxious

183 Anonymous { 01.07.09 at 4:03 pm }

Wow. Good thing I found this site. My doctors are very hush hush about everthing they do to me. I had an ultrasound that my reg obgyn did and found a cyst on my overies and sent me to a specialist to have it evaluated due to having high testosterone levels. To my surprise haha the specialist just thought i was there because of the high testosterone. I was unaware that they didn’t know at first. We went through the first visit and she told me i had polycystic ovarian syndrome. also known as pcos. They sched me for a saline infusion sonography which i had done today. They had to check my uterus for abnormalities due to irregular periods, and the pcos. They had to insert the catheter into my cervix to fill up my uterus with saline solution. Turns out when i mentioned the cyst she was surprised and used the ultrasound and discovered no cyst that was from my menst cycle. But as the uterus filled with solution i have a growth of some sort in there. The doc acted very surprised to find it and called in the head doc who came in asap. the two of them discussed very quietly among theirself while i sat back freaked out. At the end i was told see u next week for the endometrial biopsy to check for precancer and to see what the growth is and if i need it surgicly removed. I was given a paper to read about the procedure and sent on my way. I get freaked out very easy and after todays procedure i have spotting and severe cramping. After today and reading all of the posts i will be calling my doc tomorrow and DEMANDING pain pills before i come back. Just in case im one of the unlucky one. Better safe than sorry. I almost want to cancel the next procedure but I know i shouldnt. Good luck to all.

184 angie { 01.08.09 at 6:59 pm }

Had my uterine biopsy done today. Took 4 advil 40 minutes prior to the test. The stabbing pain everyone is talking about is the doctor dilating your cervix. One that was achieved a felt cramping and she suctioned the specimen out. I’m 41 and am having extremely heavy periods due to thick lining. On a scale of 1 to 10 the pain is about a 5. Breath ladies and it will go quickly. I had myself so worked up from this site and the women saying how horrible the pain was. I assure you it’s nothing you can’t handle.

185 Anonymous { 01.09.09 at 12:35 pm }

From what I am reading it seems like I am the worst-case scenario for this test. I am small (equals smaller cervix), I have never been pregnant (my cervix has not been stretched from childbirth) and they did the test at the end of my cycle (cervix not open).

I’ve been fine since the procedure but I wish I had been a little more prepared! I knew enough to take three Tylenol ahead of time but I don’t think it really made much of a difference. My doctor had to take three samples! Yow-sa! Each was pretty quick but MAN did that hurt!

The most unexpected part was that as they were “manipulating my cervix” I nearly passed out – I got extremely shaky, nauseous and broke out in a sweat. The nurse ran to get me juice and a cold compress for my head. It passed after about 5 minutes and they were able to go on and finish the test (thank goodness – I can’t imagine going through all that for nothing!)

186 blondeballerina07 { 01.10.09 at 2:30 am }

I am only twenty years old, which according to my doctor is young to have the biopsy done. I got the short end of the stick on this procedure I have never had a period, or sex, and i am a very small girl only 98pounds. The only thing ever up my vagina was the speculum and the ultrasound wand which was today. I HAD NO IDEA WHAT I WAS IN FORM WHEN I WALKED INTO THE OBGYNS OFFICE FOR THE FIRST TIME. Until today I have always thought of my self as having a very high tolerance to pain. The initial exam was not comfy but after the rest of the day IT was like shooting the breeze. The doctor had me dress and transfer rooms to do an ultrasound. The ultrasound tech was anything but gentle. I was gritting my teeth as she inserted the wand and moved it around. I was very uncomfortable digging the wand around she apologized saying wow your ovaries are very far apart. She stepped out and got the doctor and then continued the ultrasound, according to THE ultrasound my endometrium was very thick and the doctor wanted to do the biopsy. He allowed me to dress and explained the whole procedure and that it would be painful and cause cramping. He had me come back later so I could take the misoprosil to help relax my cervix since I have never had children. I was very anxious and very very nervous as I sat there waiting. I finally got called back once again undressed and got into the stirrups (all of this was totally foreign to me until today TRAUMATIC). He inserted the speculum which was once again not a good feeling as i stretched and cramped but nothing compared to what I was in for. Finding my cervix was quite an ordeal. I vomited and became very sweaty as i could feel him digging around for it when he found it he twisted and turned getting it in a position he wanted to. He explained he was going to clamp it to hold it still, I took a sigh of relief thinking the clamp would be smooth/ gentle similar to speculum I realized i was very wrong as he clamped the tenaculm on it. He then inserted three injections into the cervix to help numb it he said, although I think all it did was hurt as he poked me and sting while he injected the medicine. Following this i felt his hands as he rubbed the medicine in kind of like the dentist does when getting a cavity filled. With the cervix painfully clamped he attempted to dilate my cervix, he did this twice unsuccessfully as i begged him to stop. He listened to what i had to say and said if that is what you really want to do we can reschedule. I took a deep breath and though that i was more than half way done and the worst was over. I knew I could never talk myself up to this again, and I sure as hell didn’t go through all that pain for nothing. He then let me take a break and talked me through breathing and relaxing to calm me and my body. He unannounced to me until I felt that excruciating pain again attempted to dilate my cervix this time successfully. At this point I was crying and begging him to stop he reassured me we were almost through. He continued to explain what he was doing as he inserted the vabra aspirator which was uncomfortable even with being dilated. He then tried to gather the cells and unlucky for me the first attempt was unsuccessful. I just felt an intense cramping and grabbed my abdomen. He talked me through the breathing again giving me a break before trying again. The second time he was able to get cells, but not a sufficient amount. He moved the stick type thing around my uterus five times, each more awful than the one before. He decided he thought he had enough cells for the two biopsies he wanted.
I took a nap when i got home after the physically and emotionally exhausting experience.
I spent an eternity at the doctors and I was so anxious as it was my first pelvic exam, but this was the worst experience I was traumatized. I feel awful for all of you who went in blindfolded I was lucky I had a good doctor who explained the procedure and told me it would be a little painful and I would feel very crampy. Unfortunately I had no idea what type of pain he meant. As for bleeding I have bleed very little only a couple spots probably from the clamp, but the cramps are awful I have layed in the fetal position all day and have no intention of moving.

If sex/ having a kid is anything as painful as this count me out!!!

187 Anonymous { 01.12.09 at 11:06 am }

To Extremely anxious,

If your pathology report shows aggressive pre-cancer cells, why are they waiting to take out your uterus? I cannot imagine waiting 6 months and re-testing.. that’s insane.

call them and schedule a hysterectomy asap. what is wrong with this doc’s?

also, I will never, I repeat NEVER let them do any of these tests on me again… so, with that, I bid you good luck. ((Hugs)) Take out your uterus to get rid of those cancer cells. I am amazed….

188 Anonymous { 01.12.09 at 11:08 am }

PS to Extremely anxious,

how was your recovery after the D&C, polypectomy? I go in for that in a few days and am terrified… I was the one who the doc infected with the biopsy, i cant take 2 1/2 more months of that pain again. :o(

189 Anonymous { 01.12.09 at 1:31 pm }

After reading all the comments I am wondering if Male Doctors are writing the posts that say things like, “I don’t know what all the fuss is about!”

wouldn’t surprise me…

190 Anonymous { 01.13.09 at 11:03 am }

Hi, ladies…

I had to add to this since I read your page before going to my biopsy. I was pretty freaked out! I took one Vicodin that I had left over from my LEEP procedure and was all loopy and out of it. The doctor and nurses got a kick out of that.

I am happy to tell you that the biopsy felt like no more than a prolonged Pap smear. Maybe it was the Vicodin (you think?), but I cut my thumb on the way to the doctor’s and that hurt like hell! So I didn’t take enough Vicodin not to feel any pain.

I had both ECC and endometrial biopsy and both just felt like an uncomfortable, prolonged Pap. (You know how the Pap can kinda sting but it’s over quick? Well, this was like a Pap that just lasted a bit longer). I have had one child, so this is why my doc said it wouldn’t hurt. Also, he is very experienced and said that many docs are NOT, hence why it takes a few tries and can hurt.

So please don’t be too worried, ladies — you all helped me prepare mentally and really, it was so fast and not painful at all.

As many others have mentioned, now that I’m through the biopsy (breeze!), the waiting to see if I have cancer is the awful part. Good luck to all of you having this procedure and may your results be negative.

191 Anonymous { 01.13.09 at 9:41 pm }

in ref my earlier posting on the 7th ….Wow. Good thing I found this site. My doctors are very hush hush about everthing they do to me….

Now that my biopsy is over i can say i will NEVER do that again. i took the advise to call and get a pian killer which they called me in vicoprophen and told me to take that and 2 alieve i called the morning of my apt and i told the lady who answered i needed an equivilent to the 2 alieve because i cant take that and it is in my file that i cant and she put me on hold went and talked with the doc and said ya thats what u take , when i repeated my question on what else can i take i got placed on hold came back and was told just take the vicoprophen. well when i got my biopsy done i asked the doc about it and she goes oh u could have had 2 vicoprophen and she wouldnt confirm if 800 ml ibiprophen was stronger then 1 vicoprophen which leads me to believe it is less than the 800 ml ibiprophen and she assured me it wouldnt be that bad and said the nurse just misunderstood me. well i wanted to leave and reschedule but i knew i would never come back so i just said wuteva and got on with it. holly crap that lady didnt walk me through anything i kept having to ask questions about everything and she then said we have to clamp ur cervix well i read all these posts and i knew that meant serious pain and NO to numbing gel does not work i dont care wut they say it made me cry and then the lady left the clamp hanging throughout the whole procedure and it gave such bad cramps when she actually started doing the biopsy i couldnt decide which was worse the clamp or the biopsy but when she pulled out the tissue i said i dont care if that isnt enough ur not getting more take the clamp off now and she did then really bad cramps started and i cried more. i totally was mad at the doc she was so insensitive and clearly never had that procedure done. She said srry like it was wrong i was mad that i could have taken more meds before but she was to lazy to come to the phone to talk with me and had a message relay going on. all i can say is i have never had a kid but that was the worst pain i have ever felt and cramps afetr sooo bad. not to much spotting but damn that hurt and now i have to wait 3 weeks to get my results because thats the next avil apt. so crapy. if you can find an alternative and avoid this test do so!!!!

192 Anonymous { 01.14.09 at 12:51 pm }

I was supposed to have a biopsy this morning. I’ve never had one before and when I saw the doctor he said I could take a couple of Advil and wait half an hour. Not knowing what it would be like, I said no and we started the procedure. Well, as soon as he was clamping my cervix (or whatever he was doing) the pain was extreme, burning and searing. He stopped the procedure (but I was still shaking from the pain after 20 minutes)and I’m going back in a couple of weeks. He’s prescribed misoprostal to soften my cervix and naprosyn and tylenol prior to pain. Hope that works. I appreciate him stopping but I wish he had explained what it would be like and talked to me about pain control. I thought it would be like a pap smear. I’ve been trying to google health conditions less so I didn’t do any research prior. If I had seen this site, I would have asked about pain killers but I have to admit now after reading these posts I’m more nervous. I’m scheduled the day before a big party and now I’m wondering if I should rechedule.

193 Anonymous { 01.14.09 at 1:41 pm }

you know what really upsets me? The biopsy misses most cancers… why torture us with this painful, infection inducing test when it misses so many? D&C's are the best way to get enough tissue to find the cancer. Most of the time, the biopsy misses it anyway. How many times does the biopsy catch it? I bet not many….

194 Anonymous { 01.14.09 at 2:30 pm }

as far as resched before that big party i would do if i were you because u have a 50/50 chance of feeling so crap the next day. i was feeling like crap and stayed in bed. my friend on the other hand was fine. so mayb you should resched because if they clamped ur cervix once they will prob do it the second time and that plus the biposy doent feel so good. but atleast you will have meds.

195 Susan { 01.14.09 at 10:56 pm }

Hi all, I am so glad I found this blog. I am 55 year old woman post menopausal for 2 1/2 years and somewhat incontinent for 10…always wear pads. I don’t recall seeing any blood in them. Last November, I was sitting on the bed when I spontaneously gushed a LOT of blood. Exactly the type of spontaneous heavy periods I had during perimenopause. It was over in a few days and I just thought I had some kind of peculiar estrogen spike. Then it happened again five days later. Scared the living daylights out of me. It tapered off in a few days but was followed by two weeks of spotting until early December when it all stopped.

On Jan 7 the doc tried to do the endometrial biopsy but it was too painful and apparently I started to pass out. They pulled out the instruments and I got dressed thinking they had gotten a sample. I can’t tell you how upset I was when she came in and they would have repeat the procedure in three weeks.

Since then I have constant cramping, and go through two pads a day with bleeding. I wasn’t bleeding before the procedure and when I phoned the nurse to tell her, she said that the biopsy procedure DID NOT cause all the pain and bleeding that I am now undergoing.

Did anyone else have continual cramping and bleed afterwards?

I must say we are brave souls to undergo this…of course I am worried that I might have cancer so I should see undergoing this procedure as a way of saving my life…but it will be difficult, indeed, to walk in there on Jan 30th and park my feet in those stirrups again, even with drugs.

After reading stories of similiar experiences, I feel as close to you guys as my own family!

Sue

196 Susan { 01.14.09 at 11:02 pm }

OOps! Sorry to be a blog hog today, but I wonder if anyone could tell me how long it took for the biopsy results to get back?
Thanks!

Sue

197 Anonymous { 01.15.09 at 8:10 pm }

I stumbled upon this website last night when I was googling some tests my mother needs to have, and I am so glad I found it! On the other hand, it made me absolutely furious, because it really validated how badly my doctor mishandled my situation!

I had an endometial biopsy 13 months ago and I am still having difficulty dealing with the memories that just won’t go away. After a pelvic exam and the ever-popular wand ultrasound, my doctor sent a nurse in to tell me I needed a biopsy. She was actaully smiling ear to ear and using this really jovial voice when she told me. I never imagined that when someone told me I might have cancer, she would be so perky and happy about it! So I asked to talk to the doctor about why he wanted a biopsy, and apparently that made them mad, because when he came in he was clearly angry, slammed his clipboard down, and shouted at me that he was assuming I had cancer and if I refused the biopsy I would leave HIM with liability issues. I seriously think I went into shock at that point. I tried to difuse it by asking some questions, but he seemed to think I was questioning his judgement so that made it worse. Finally I just said I would think about it and I got up and walked out.

By the time I got home I was seriously freaked out, and had about decided to get a second opinion. My husband, however, was really scared and upset about the cancer thing, totally did not understand how upset I was with the doctor and his wife/nurse, and really pushed me to go ahead and ‘get it over with’. An early diagnosis saves lives after all. So I called and scheduled. BIG MISTAKE!

The nurse told me to take 4 advil an hour before the test. No one told me a single thing about what to expect for afterwards. I (trustingly, stupidly) assumed that they were telling the truth when they said there was nothing to worry about, and scheduled at the time they suggested. Since they did not say anything about the next day, I didn’t clear my schedule. I had about a 14 hour day planned, with important meetings at work and then pushing my elderly father around the hospital in a wheel chair for medical things he needed to have. The day after that, I had company flying in from out of state. It was a nightmare.

So I took Advil and had the test. Letting them biopsy me with nothing in my system for pain but advil was another big mistake. But the worst part was the cramps and burning sensation afterwards, which went on for about 48 hours. I had nothing for pain or relaxation, and it was a miserable, sleepless night. Followed of course by my alarm going of at 5 A.M. so I could hit the ground running for the day I described above.

When I left the doctor’s office after the biopsy, I seriously think I was in shock. I felt like something terrible and indescribable had happened to me. The doctor was very jovial. He kept saying, “Now, see, the worst part of the test is the anxiety before the test, isn’t it?” Which made me feel like I was about 2 years old and increased my sense of alienation, since I was in fact experiencing some pretty significant pain and burning at that point. The only aftercare instructions that he gave me was that I should go out to eat to celebrate that the test was over. He seemed to miss the concept that I was being tested for cancer, and didn’t feel celebratory. I was also in enough pain that I was feeling pretty nauseous and just the thought of restaurants and people and food was more than I could manage. Plus I couldn’t figure out what had just happened to me; I was so confused I couldn’t figure out what to say or how to say it.

It was a horrible experience. The severe cramping went on for about 48 hours but I continued to be pretty uncomfortable for over a week with the cramping and still some burning, high in the uterus where the biopsy was taken. The worst part was once I stopped feeling so shocked I went straight into rage. I was so unused to having to deal with that level of anger that I felt I didn’t even know myself any more. And I just couldn’t calm down. Plus I was having these horrible nightmares about my doctor going up in me with a bic lighter while his wife laughed and taunted me, and so on. Also I had some flash-backs when I unexpectedly heard someone speaking that sounded like one of them, and I would be overcome with rage and painful memories.

About six months later, I finally admitted to a friend who is a clinical social worker how much trouble I was having blowing this whole thing off. She thinks I have post-traumatic stress syndrome. About eight months later I had a panic attack – first one ever – in a different doctor’s office when he mentioned the word “test”. That lead to antianxiety medication – another first for me. I really feel like this doctor did me some very significant harm.

As for the biopsy, I believe this is a test that would have been a blip on the screen if my doctor and staff had handled it appropriately. If you need to have one, then do it. Endometrial cancer is nothing to play around with. (However, I suspect doctors are doing way too many biopsies – it doesn’t take much time and they get paid well for a few minutes work. Oops, off-topic.) If you need to have a biopsy, make sure it is a doctor that you trust, or get a second opinion. If they don’t offer you medication for before AND after, ask for it. If they don’t want to give it, get a second opinion. Clear your calendar for the next day, just in case, so you can sleep in if you do take pain meds. Don’t do anything heavy (like push wheel chairs.) Treat yourself to something you enjoy, like a good book or movie or meal. But don’t do the biopsy unless the doctor is willing to medicate you appropriately, and is interacting with you with kindness, compassion and respect. If he’s acting like a jerk, get out of there. There are good doctors out there.

As for cancer, I don’t have it. False alarm, much ado about nothing. And somehow I was too angry and upset to ever celebrate that fact. Mostly, I feel like I got exploited, dehumanized, and degraded, and there is nothing there to celebrate. By the way, I fired that doctor. My primary care female doctor will be doing all my pap smears and ordering my mammograms from now on!

Thanks for this website!

198 Anonymous { 01.16.09 at 10:09 pm }

It has been two days since my doctor ambushed me … performing this procedure without pain killers or any notice whatsoever. She had just finished doing a pap smear, still had me in the stirrups and was in a hurry, as she was late for a meeting … She didn’t even have time to explain what she was about to do. I was already lying back when she announced “Sorry, this is going to hurt REALLY BAD.” Next thing I knew she had forced something up through my cervix (I’ve always called it the ‘do not pass go’ place) and into my uterus. The pain was excruciating and I began to try to get away and she came at me for yet a second pass. I felt like I was going to pass out as she said “Get back down here,” pulling my legs back into the stirrups. I do not understand why any doctor, especially a female doctor would not have the compassion to reschedule such a procedure, allowing her patient to take something for the pain ahead of time. Truly, doing it a la naturale was torture. I should have accidentally kicked her in the face! Afterwards, as I was paying at the front desk, the doctor came out, apologized again and said “I know that hurts like a MOTHER. If it’s any consolation, you look beautiful today.” WTF!!! The receptionist who took my check said “Wow! You must be brave! I didn’t hear you scream. Most women do.” As a side note, this OB/GYN told me that I need to come back in three weeks for a more thorough visit, since she was rushed for time. I don’t freakin’ think so. Still cramping … feels like the onset of labor pains.

199 Anonymous { 01.16.09 at 10:49 pm }

First thing, make sure you have a good doctor, preferably female. I just had this done today and she wasn’t even a doctor but a nurse midwife. She has also had this procedure done herself. I had no pain and I am usually a big baby who faints at blood tests. I took 1 mg of klonopin 40 minutes before for anxiety which is a life saver. She explained that she would put some kind of novacaine gel on my cervix and give me a couple of shots (yikes) on my cervix too. I don’t like shots at all but, I know it would be painful otherwise. All I felt was some pressure and some slight pain and that was it. I bled slightly for a couple hours and stopped. I slept for two hours and no pain or cramps. Please don’t be freaked out by these posts. Take something for anxiety and make them tell you exactly what they plan to do. You have a right to know. Make sure you call the shots and you have the right to say no if you are uncomfortable.

200 Anonymous { 01.21.09 at 12:14 pm }

I had this procedure done today. I was scared to death after reading this site.

For me, this procedure was painless and felt very similar to a pap smear.

My doctor said that it didn’t hurt because she had no problem getting the straw into my cervix – partly because I was spotting a bit which means the cervix would have been slightly open (I think.)

She did say that when they have problems getting a sample, they will sometimes need to use the clamp and other methods – which DO hurt.

I took 4 motrin before leaving home.

201 Anonymous { 01.23.09 at 11:23 am }

Hi, I just had my biopsy done today 1/23/09. It really wasn’t as bad as i thought it would be. There was a sharp cramp and then nothing and then a few lighter cramps as he moved the instrument around. It was very quick. I took 3 ibuprofens about 30 minutes before I went. I am on my period which he said helps ALOT!! Just thought I might make somone feel a little better about having this done. I am cramping now off and on but its not intolerable.

202 Anonymous { 01.24.09 at 6:43 pm }

LADIES…..it’s not bad at all!!! I had this procedure done yesterday, and was nervous as I didn’t know I was getting it. I gave birth 7 months ago. I bled for 2 months strait after birth. I cramped like i was having contractions through these 2 months and now my periods are very clotty, and heavy so doc decided to do this procedure. I did not take ANY pain meds before or after. You do get some cramping but for me is was nothing!!!!I do mean that. I am passing some tissue today that looks like broken up grapes and that is why i am here searching to see if thats normal but I truly believe this test should be based on your pain tolerance. Don’t be scared…just do it so you can have piece of mind!!!

203 Anonymous { 01.27.09 at 3:42 pm }

I just had my repeat biposy this morning and it ranks up there with kidney stone pain. I took 800 mg Ibuprofen afterwards and I am crampy and bleeding some now and like all of you, I'll have to wait about 5 – 7 days for my results.
My first bopsy was done during a D&C in June and it showed mild hyperplasia.
My doc had a hard time because my "Cervix" would not cooperate and he told me that he would send what he got and we may have to repeat a hysteroscopy/D&C to get a better sampple!
I'm dreading the rest of the week.

204 Anonymous { 01.28.09 at 6:17 pm }

I had a biopsy done a few weeks ago. It was definitely uncomfortable but not as bad as some of the stories I have read here. I was not expecting to have the procedure done when I went in for the appointment so I had no pain medicine before hand. There was discomfort in when the tube was inserted and during the procedure it felt like bad cramping. I was lucky I had someone to drive me home because I was feeling quite faint afterward. I had mild spotting and cramping for about 3 days after.

Remember that everyone tolerates pain differently so don’t be frightened by the things you read here. Expect some discomfort and take someone with you in case you feel you can’t drive home. Do not cancel your appointment because if a doctor thinks you need this done there is a reason for that.

205 Anonymous { 01.28.09 at 8:56 pm }

I just saw an on-line article from a medical journal that says endometrial biopsy is more painful than most doctors and nurses realize and that some patients are “lost from follow-up” because of this.

WELL,DUH!!!!!

Writing this comment made me feel happier about the whole thing!

206 Anonymous { 01.30.09 at 7:17 pm }

I had an endometrial biopsy today and it wasn’t bad. Now I put this comment in context. The delivery of my first child was probably the worst pain i’ve ever experienced. I had an epideral, but it had worn off by the time the OB did an emergency procedure… forcept delivery, huge episiotome without any pain killer.
So, my point…yes, there was some discomfort, but I had taken Advil beforehand. I had bleeding and cramping in the afternoon, in fact I still have some lower back pain…like back labor.
I would tell anyone who asks, go ahead,have the procedure and pray that the results only indicate a hormonal imbalance. I won’t know for about 5 days what is causing my ‘marathon’ periods every 10 days (i’m 48 and perimenopausal).

207 Wildflower { 01.31.09 at 6:42 pm }

I am 71 years old and I had endometrial biopsy on Jan. 27. I took 2 asprin an hour before. It wasn’t too bad, pain that felt like 2 pinches. I had a tiny bit of pinkish discharge that night. Now 4 days later I have a little bleeding.

The reason I had the biopsy is that I have had a heavy than normal discharge that is lite yellow in color and I use a small pad every day. They have treated me for yeast infection and given me antibiotics that would be for other infections. They have never found an actual infection of any sort however.

Has anyone ever had an increase of vaginal discharge as they age? If so what was the cause? I would apprecite hearing from anyone with a similar problem.

208 Rowena { 02.02.09 at 4:17 pm }

Just had my endometrial biopsy this morning – it was really not bad at all! I’m 52, postmenopausal for three years now, never had kids (freedom!!!), and was getting the biopsy because my latest ultrasound showed suspicious thickening of the endometrial lining. My doctor (older male) told me to expect some cramping, gave me a Cytotex (sp.?) tablet to insert vaginally the night before (and told me to expect some cramping and possible bleeding just from that tablet — which indeed happened…), and advised me to take a couple of Advil or Tylenol the morning of the procedure. I did all that. Woke up with slight cramping and spotting from the tablet. Drove myself to the doctor’s office, and had the biopsy. It really was NOT that bad — he told me it would last “about 10 minutes” — I gasped and said, “Ten minutes? What the heck will you do in there for 10 minutes??” He laughed and said that was the time it usually took for all the prep work — numbing the cervix with a lydocaine spray and actually getting into the cervix (mine is slightly angled and apparently hard to access). I felt the anesthetic spray as a slight cool sensation followed by a weird warm sensation down both thighs…then he started trying to get in. He asked the nurse for several different instruments as he attempted to enter the cervix — and that, honestly, was the most uncomfortable part. It felt like a nasty menstrual cramp, nothing more. It kept cramping as he rooted around in there, and he was finally able to get in. I felt a slight twinge and cramp when he applied suction to the pipette, and then as he twirled it around to grab some lining material. He kept asking if I was OK, and I said, well, I can feel it but it’s not too bad. Then he said “All done” and withdrew everything — I think he swabbed inside with some kind of med. And that was that — really no big deal. It’s now a few hours later and I’m definitely still feeling mildly crampy and having some bleeding, but it’s not bad; I’m at work and happy. So if you are reading some of the posts here that scare you with their accounts of pain and agony, rest assured that not everyone feels so much pain! I think taking the Tylenol a couple of hours beforehand really does help, so definitely do that. Ask your doctor for numbing spray for the cervix before he or she uses the clamp or starts rummaging around in there. All in all, I would rate it slightly uncomfortable, but you can get through it. Relax and think of England (I’m from California, so that has a slightly romantic notion to it) and it will all be over before you know it. Above all, if you need this biopsy, be sure to get it done — don’t be scared off by reports of pain. I think waiting a week for the results is going to end up being worse than the procedure…

209 Anonymous { 02.03.09 at 6:46 pm }

I had this test done. The cramping during the procedure was very bad, like the worst sort of period cramps, and I wasn’t expecting that intense a pain. They had told me take motrin an hour beforehand, and I had – 800mg – and the cramping went away as soon as the procedure was over, but during was very nasty. It was not a very long time, but it felt very long. And apart from the pain, which didn’t last the entire time, I experienced pretty intense nausea and fear. I’ve never had such a visceral flight response as for this test. I had to consciously force myself not to try to get away. I could not wait for her to get done.

The pain and nausea stopped pretty much immediately after the test ended, though it took an hour or two to feel better mentally. I think the fact that I was, at the time, taking regular doses of motrin for a dental surgery I’d had probably prevented any post-procedure cramping.

210 Anonymous { 02.05.09 at 11:11 pm }

There has been a pattern to everyone who hurts and everyone who don’t experience much pain.So,everyone may have guessed I have a story of really,really bad pain.I know I am not a wuss.I have giving birt seven times vaginally,with no pain medicine,not even I.V meds and it didn’t hurt like this biopsy,
I recently gave birth and have had very heavy bleeding that had lasted about two months.I stopped bleeding about four weeks after my baby was born.The bleeding stopped for about four days then I had a heavy flow again for like six weeks. This was the first time I experienced this kind of bleeding after giving birth.
I was scheduled for a visit to discuss birth control.I mentioned to my Dr. I was having this bleeding. So she said she would do a Pap and Pelvic Exam.Then she told me she was going to do the Biopsy because of the bleeding.I asked would it hurt,she replied,it shouldn’t too bad,you have seven kids.I should have known it was a lie. Because the nurse that was standing behind her streched her eyes and shook her head yes very hard.So I felt like me and my big mouth.
She did tell me what she was going to do before she did it,but that did not ease the pain.I felt the two pinches,but she warned I would feel labor for the suctioning part.I promise for me it hurt a hell of alot more than labor.I was advised not to get right up.I didn’t,but I was ready to get the hell out of there.My husband who accompanied me to the doctor knew something was wrong.I couldn’t even answer him when he asked what was wrong.I pointed towards the Exit.I wish he would have been their holding my hand,but he sat in the waiting room with three of our children.
After I bleed for like a week and experienced what felt like the after pains after giving birth.Which those pains do hurt bad especially sind I’ve seven children.The Dr. says the more children,the worsier your after pains.
It has been like three weeks since the test.I haven’t had any bleeding,but have been having bad dreams hoping I will never have to go through that again.When I Think about this procedure I feel panicky.I hope things get better with time.I was giving this procedure with out warning therefore I had no meds.
I don’t want to scare noone,but like I said I have seven children and had no type of meds while givig birth.I would rather have number eight before I go through this procedure again.

211 Pattie { 02.06.09 at 6:26 pm }

After reading these comments last night prior to my test today, I was completely freaked out and terrified. I did take ibuprofen and a Xanax prior to the test, but really, although it was somewhat uncomfortable, it was not bad at all. The worst part was when the dr. actually suctioned the cells, and that just felt like bad cramps. I still feel a little crampy (four hours later) but went shopping after leaving the dr’s office.

No big deal!!!

212 invitroveritas { 02.07.09 at 8:54 am }

After reading these comments I was terrified. My RE did the procedure after my mock transfer and it really wasn’t that bad. It wasn’t a wonderful time, but no worse than a crampy IUI. I was a bit sore later in the day – again, no worse than a crampy IUI. And it only took 2 min.

213 Anonymous { 02.14.09 at 12:50 pm }

MISERABLE IN MASSACHUSETTS…

Had the Endo biopsy this week and feel like many who wrote here. It is therapy for me to hear the stories so thank you!

I have had 4 CHILDREN NO EPIDURALS, A KIDNEY STONE WITH WITH NO PAIN MEDS, AND ALSO A PREVIOUS BIOPSY ABOUT 2 YRS. AGO WITHOUT A PROBLEM, JUST SOME PINCHING…YET I FEEL SO SICK AND MY PAIN IS STILL HERE 5 DAYS LATER FROM THIS ONE.

Never have I felt so much of an awkward pain and feel violated from that suction thing, which I do not recall at all from previous biopsy.

I believe it has to do with the doctor, not the procedure. How rude some of them sound…and mine was not very caring either. The brutality of the way he proceeded was harsh. New to area and had limited choices. Had to get it done.

Perhaps if I have to have it done again someday… I will first ask if the Doctor is aware of patients with complications other than a punctured uterus. That would give me insight of how the doc operates.

Hope you check doc out more than I did before your procedure…

214 Anonymous { 02.14.09 at 1:00 pm }

MISERABLE IN MASSACHUSETTS..
ONE MORE THING Forgot to mention…I ENDED UP IN the ER from the pain and mostly the pain radiating upward into my abdomen. I was told they could not find anything absolute, but doc agreed there was something hurtful there as she examined me and I was kind of bloated. Recommended I return if it worsens etc.

215 Anonymous { 02.17.09 at 10:43 pm }

I wish I’d seen this site BEFORE I had this test done today. I’m here looking for information on how to PROPERLY do this test, because I was SURE that there must be a better way than I experienced. I was told that there would be “cramping” feelings-take 3 ibuprofen to prepare for it. Hell, I took 4 and it felt like I was being STABBED with a knife-seriously, I YELLED out and tried to relax-yeah, right! I’ve been told I have a high pain tolerance-apparently not! OMG-the first pain was the clamp on the cervix, the next stab was the tool into the lining-I almost launched myself off of the table backwards out of reaction to the pain. This INTENSE pain was completely unexpected. I was crying-sobbing. Ladies, I am not exaggerating a bit. Yes, we’re all different-I had my one child by c-section, so my cervix has never been dialated, did this make a difference? I don’t know. What I do know is that no doctor has ever hurt me so much, so badly and the fact that it only took minutes doesn’t really matter-I was traumatized-in disbelief that they don’t warn you. Why take the chance that you’ll be one of the lucky ones-get the meds and get a ride. I told the doctor they better not lose the specimen because they weren’t going to get another one. There is NO REASON in today’s world of modern medicine that a woman should have to suffer excruciating pain because a doctor is either in a hurry or doesn’t have a clue of the pain they may inflict on an unsuspecting woman. And the few websites that talk about the procedure don’t warn us either-obviously NONE of them have had the procedure. After I stopped sobbing and the bleeding slowed down-he said it was from where he grabbed the cervix. THERE MUST BE A BETTER WAY THAN THIS FRICKIN TORTURE-I hope your experience is much better.

216 carmen { 02.17.09 at 11:05 pm }

After reading all these stories I was so scared I made myself sick. I should know better. I had a friend go with me in case I passed out. I took 800mg. of motrin an hour before I went and that helped.
The doctor told me what she was doing and I could feel the cramps up higher than my regular period.

I have a pretty high tolerance for pain but was anticipating the worst case scenario after being here.
My doctor reassured me about the cramping.

It just felt like a really bad period but only for about 20 seconds. THAT WAS IT.

So if you are reading all these, talk to your doctor first and ask about it. They should be able to reassure you so you aren’t hysterical, like I was making myself.

I hope we all have good results.
Sometimes it just sucks being a woman!!

217 Anonymous { 02.23.09 at 12:55 pm }

I have decided that most GYN’s hate women, could care less about them and their bodies by the way they torture us with these horrible “procedures”! Look in the med text books, you won’t believe the things they think they should do to us. It’s unbelievable! goes to show they think and feel we are all pieces of meat.. if they hurt us or infect us, they think it’s great, more money honey.. Think twice when they say you should have a ‘procedure’ and scare you with it. Check statistics for whatever it is they are scaring you with… most times these tests are just more money in their pocket and more trauma to us. I will bet you ALL 10 bux if this were a man creature they would NEVER subject them to such horrid tests.

218 Sky { 02.23.09 at 7:08 pm }

First of all, the chick who wrote about having passed out with the cup of water the nurse had given her clear across the room and she was soaked just had me in stitches, truly. But….

I promised that after my own endo biopsy (to check for beta 3 integrin), I would shout it from the rooftops if it wasn’t bad.

It was better than that. I can honestly say, it was a piece of cake. I wouldn’t volunteer for a daily one but I would do it again if I had to in a jiffy.

For me, the tricks were these:

4 Advils
2 Midols
1 Xanax (or Ativan)
(all on empty stomach so I didn’t get queasy)

And, most importantly, a skilled GYN (mine specializes only in GYN patients and GYN surgery) who is a fan of talking you through every single step of the way so nothing comes as a surprise and, oh, what I think must have helped tremendously – he shot some Novocaine into my cervix (sounds like it would hurt – nope!). I believe that probably made an enormous difference vs. no numbing and going in cold. After that it took 15 more seconds and it was done. I used deep breathing exercises and focused on something with my eyes.

It was honestly easier than either of my saline sonograms (especially my last one where the balloon slipped out and water came out and my uterus went into a wild cramping session when another balloon was put back in – I actually CRIED like a little girl and bled all the way home during that one!).

So…go prepared to the endo biopsy and you should be good.

Now, if you’re like my cousin who swears a pap is painful, umm…well, then I feel for ya.

219 Anonymous { 02.24.09 at 6:07 pm }

OMG everything I read on here is making me so nervous. My doctor wants me to schedule this ASAP, but I am so scared. I honestly don’t think I will be able to lay on the table and be still without freaking out.

220 Anonymous { 02.26.09 at 7:29 am }

Another vote for taking ibuprofen an hour before the procedure.

I had this done yesterday, and while it wasn’t pleasant, (very crampy)I would say it was not terrible. I’m sure the meds helped a good deal.

221 Anonymous { 02.26.09 at 4:21 pm }

I researched this procedure on the web and was terrified after reading all the comments – so scared that I actually put off the appointment for months. My doctor says that I need to get this biopsy prior to Novasure (which I really want to do) so I finally went today. I took 800mg of Advil and was sooo nervous all day. I do not like pain but thought I can endure anything for 5 minutes.

It was not bad. The doc was not able to put the tube through my cervix at first so she had to clamp it (I read this part was supposed to be awful) and there was some pressure but no real pain. Then very quickly she said you are done. I worked procedure up in my headto be so awful and it was not bad – slighly uncomfortable but not something I would go out of my way to avoid. I think the Advil helped but my doc said it all depends on the person and nerve endings in the cervix.

Do not let all the comments you read scare you. Take Advil and tell your doc to walk you through it. It literally took less then 30seconds.

222 Anonymous { 02.26.09 at 5:59 pm }

I just read a posting that bothers me. Everyone’s experience is different. Maybe someone has an endometrial biopsy that was easy. Great. But, that is the minority experience. I believe it is callous and dangerous to post that this procedure is relatively painless and nothing to worry about. What we want and need to do is provide enough information to each woman so she can make an informed decision. Women have gone for too many years having (usually male) doctors tell us to buck up, grin and bear it…when the procedure can be unbearably painful. Just because it is possible for a person to have a tooth filled without novacaine, it would be cruel to demand that each person forego pain meds.

223 Anonymous { 02.27.09 at 8:38 am }

I was one of the people with a relatively easy biospy. I think the pain is different for everybody but I think the comments on the web are enough to scare people into not doing this procedure out of fear…which should not be the intent of the forum. I also think more people write posts after bad experiences so they need to be evened out with good.

If pap smears hurt you (not uncomfortable but hurt) I think this procedure might be worse for you then others. Many people take advil and that seems to be a common theme amongst those that had little pain.

Some of the posts I read had screaming woman with evil doctors that forced them to endure this procedure without meds (when they obviuosly needed them). If you have a good doctor, they will stop if you ask them too.

Also – do not see many posts on this but my doc asked me to cough and that apparently helps with the pain.

Last thing – its so fast…and over before you know it. This was the best advice I heard and got me to have this procedure even though I worried the pain would be worse then childbirth.

224 Anonymous { 02.28.09 at 6:18 pm }

I had this test done yesterday. Like many, I was not expecting it so I had no pain meds on board. My advice is to eat before you go so your blood sugar level isn’t low and to take some pain meds if you can (although these types of meds can increase bleeding tendencies -so ask your MD first).
Concentrate on your breathing!!
I totally almost passed out and thought I was going to vomit. I felt queasy the rest of the day.
Have someone come with you if you can to drive you home. i forgot to ask how long it will take to get the report back from pathology -you might want to ask this!! Good luck!

225 Anonymous { 03.01.09 at 4:52 pm }

Good Lord; thank god I didn’t read this post before I had this test performed! I went to an appointment to discuss my pre-menopause symptom of bleeding every 15 days so I was surprised when she told me she wanted to perform this test right then and explained what she would be doing. I just had a colonscopy a week before where they removed a pretty good size polyp so I had been told no pain medication (that could promote bleeding) for a week. So I had this procedure cold turkey. I did the labor-breathing thing while it was being performed and I was fine. Just a little more uncomfortable than a regular pap smear. I had the option of coming back to the office to have it done, but I am really glad she talked me into it at that time. Its really not that bad

226 Anonymous { 03.03.09 at 3:28 pm }

I am going back for a second attempt at an endometrial biopsy. My nurse practioner was unable to access my cervix yesterday as it had become “stenotic” or tight and somewhat hardened.

Tonight I am to insert some tablets into my vagina that the nurse gave my to help dilate and soften the cervix so she can enter and take the tissue sample, she also gave me a valium to take beforehand.

The thing I am most afraid of is, of course finding that there is cancer, but thankfully, I have Jesus Christ to rely on to calm my fear and give hope for the future.

227 Anonymous { 03.04.09 at 4:22 am }

My doctor ordered an ultrasound and endo biopsy after I had some abnormally heavy bleeding.
I'm probably peri-menopausal and I have several chronic health problems: CFS/ME/FMS, hypothyroid, POTS, and problems with a fast heart rate.

I read the comments, and felt the worst ones had no pain meds. I take ultracet every morning, and I also took a hydrocodone an hour before my appointment. My husband drove me, and he was in the room for the procedure. I've had other in-office procedures and I wasn't nervous or worried about pain. I was concerned it might cause my other symptoms to flare up. It was very short. I was on day 5 of my period so there were no problems opening my cervix. I recommend scheduling that way – my dr. said he tries to do all of these procedures when the cervix is open. In the first minute or so, there was very mild cramping as the tools went in. My doctor said it will hurt, but only for 5 seconds. He and the nurse counted to 5 and then it was over. It was quite painful for those seconds – it felt like an extremely bad cramp and also a sharp pain. The pain stopped after the 5 seconds. The nurse said for me to lie still until she gets me up. I was lying down another 15 or 20 minutes & that was a big help. After I left, the natural adrenaline wore off, and I was tired and started cramping more. I used a heat wrap for the cramps and went to bed. They hurt but I've had worse. They lasted 2 hours. The next day, because of CFS, I felt a little like I'd been hit by a truck. I rested all that day, and by the next day I was back to normal. That seemed like the best I could have hoped for. I had very light bleeding (spotting) for a few days, and then it stopped. Thank you for this site – it helped to read the comments before the procedure instead of not knowing anything about what it might feel like.

228 Anonymous { 03.05.09 at 3:27 pm }

Well, I had my biopsy yesterday, and although it was painful not as bad as I had feared. We had attempted it previously with no meds and had to stop as the pain was so bad. This time I took a strong anti-inflamatory, 2 extra strength tylenol, and was given pills to insert to soften my cervix. On top of that, my doctor froze my cervix. The biopsy was still uncomfortabe but mercifully quick. Afterwards I was shaky and tired and had cramping and bleeding. I just went home and took it easy for the rest of the day, which I would recommend. Today I went back to work, feeling pretty much fine, just some occasional cramping and light bleeding, and a bit of weakness. It’s not something I would do without proper meds – don’t do it cold. All in all, it’s preferable to having any other kinds of tests that have to be done in a hospital. I was just surprised the first time, my doctor had not explained it to me and didn’t advise pain meds. I’m glad I found this site. Now I just have to wait for the results – crossing my fingers.

229 Anonymous { 03.08.09 at 10:25 am }

Just had my biopsy on Friday. It was alot more painful than I thought. Luckily it was quick but she took four biopsy that felt like a knife stabbing each time. Tried to relax with deep breathing. Took 800 mg ibuprofen before wish I ould have taken stronger meds. Cramping was strong and bleeding average but still have a little two days later guess that is normal. I am 51 years old and have had very heavy periods for a number of years and a period that wouldn’t stop without med in January. My sister had ovarian cancer at age 39 so my Dr. doesn’t want to take any chances. Wish me luck

230 Anonymous { 03.09.09 at 1:27 pm }

Ladies I just had this procedure done about 1 hour ago. It was a BREEZE! I did have a female midwife that did the biopsy and talked me through what she was doing. The entire thing lasted less than 10 minutes. I was very concerned about the clamping of the cervix and it was not a problem at all. The anxiety for the two weeks before the procedure was far worse than the procedure itself. I did take 1 xanax and 3 Advil 1 hour before the biopsy, but had no pain killer applied to the cervix. Don’t loose sleep, and if you are a nervous nelly like me, just ask for some anti-anxiety medication to survive getting to the office. I would have this done again with out a second thought about it – if I needed to. Now the week wait for the results. By the way I didn’t and still have not had any cramping caused from this. Best wishes!

231 Anonymous { 03.11.09 at 12:42 pm }

Just wanted to give some encouragement. I had the endometrial biopsy done yesterday and was extremely anxious about the procedure. I took 600 mg of motrin approx. 1 hour prior and sat there worrying until it was my turn to be seen.

It ended up being a breeze!!! There was one 2 second cramp. Think about how a small pinch on your arm would feel. The procedure was not painful for me at all and I was shocked when she told me that it was over.

My doctor made a comment that women who have had vaginal births tend to think it’s pretty easy whereas those who have not had children yet or who only did C-sections feel more pain.

I felt a little sore yesterday, took another motrin late in the evening and am completely fine today.

232 Anonymous { 03.14.09 at 7:22 am }

After reading some of the comments here, I was so freaked that I told my doctor I was more afraid of the test than of cancer, and to just forget about it. Pretty dumb. She called my house–the evening–THREE different times, trying to talk me down from my anxiety. She was so patient and reassuring, and was willing to work around my schedule so that I could come in ASAP and not have to miss work.
Long and short: she said take three ibuprofin and a lortab one hour before, which I did. I braced myself for shock and pain, but I never felt anything but a little pressure.
Everyone’s different, but I am the wimp queen, believe me. Take the drugs and do the test. And if you’ve got an a-hole for a doctor, find a new one if you can. I did four years ago, and it’s changed my life.

233 Anonymous { 03.21.09 at 9:06 pm }

I had a biopsy done about a week ago, and it hurted!!!! The pain pill I took beforehand did absolutely nothing for me. My problem is that since I had it, my back hurts sssoooo bad. I am wondering if anyone else suffers with their back after the biopsy.

234 Anonymous { 03.24.09 at 11:34 am }

I just had one done yesterday morning and it was quite painful. Like labor pain. And yes, the blessing was that it was quick. I’ve been bleeding for 18 days, I’m 41 (one month away from 42) and my doctor did it on the fly – I didn’t know it was going to happen – to rule out precancerous or cancer cells because of my long period. The cervical clamp didn’t hurt — just a pinch. The only real pain was when she put that little plastic tube up me, and I swore at her. I swore big. She told me to count to 40 and she’d be done. I got up to 20 and swore again (I never swear). The cramping was horrible, worse than child birth. Then I put my hands over my mouth and bit my finger — which worked, but be careful not too bite too hard. She was quick but her comment at the end was, “I hope we got enough for them to work with.” All I thought was, Oh my God, in a week she’s going to call me and tell me we have to do it all over again. I’m going to ask for a prescription pain killer for that, if she does. I had minimal cramping afterwords and I drove myself home. And, I’m still bleeding lightly. But, strangely, lighter than I have over the past 18 days.

The week long wait for biopsy results has me in a daze, and that’s probably worse than the pain.

235 Kittyhat { 03.25.09 at 10:51 pm }

I had my endometrial biopsy yesterday, ALONG with a colposcopy and 3 cervical biopsies! This website totally freaked me out so I was very afraid of the possible pain involved and since my original ob/gyn was not willing to give me drugs for pain and anxiety I had to find a new doctor! Well I’m glad I did. She told me to take 4 advil before the procedure as well as giving me a prescription for valium, vicodin and the cervix softening pills. I was well prepared. :-)
But I think the most important preparation for me was to release the fear and resistance to the procedure. Instead of hating and pushing against it I decided to allow, release and go with the flow. As a result and with the combination of all the drugs (except the vicodin which I didn’t take before the test) I had very little discomfort, only a small amount of cramping, almost no bleeding and the following day I feel as good as new! What an enormous relief.
Good luck to all of you who need this test and know that it doesn’t have to be that bad.

236 Anonymous { 03.28.09 at 6:26 am }

Iam 51 years old and post menapausal after two years of no periods I had very slight spotting for “just a minute” it was so slight that it honestly did seem to last only a minute but it was there so……

being that I have not had a female exam for several years I decided I had better go…

the dr I chose I throughly checked out and she comes very highly recommended….the day of my exam the intake nurse told me that having some post menopausal bleeding is VERY commmon but that the dr would probably want to do a emb ( endo biopsy ) sure enouh the dr askeed me if I wanted to do it right then and there…as I did have my husband with me…but something inside me said “NO” si U told her I would re-schedule…

I had to do several other tests since it has been so long since I’ve had an exam to this point I have had an internal/external ultrasound, digital mammogram, pap smear/ pelvic, and blood work!

My pap smear and ultrasounds both came back perfect with no problems but they did find a spot on my right breast………when the dr called me to tell me I would need to have a magnaview of my right breast with the spot on it she also said I needed to get the biopsy scheduled..so ,……..

the girl from her office calls me up and says we need to schedule my biopsy and I say to her ” I have been doing a lot of research and the most common complaint is that this procedure is very paiful” her reply to me was “it can be very uncomfortable” and she was short and in a big hurry to get it scheduled and get off the phone…which ticked me off to say the least!

I have a lot of concerns because I have fm/me/ cfs and Iam a pain patient because of the pain these diseases cause me…meaning I already take pain medications daily….so to take pain medication the day of the procedure would most likely not do any good anyway for the pain this is likely to cause anyway!

I wanted to ask to be sedated for the procedure because of my history of my disease and intolerance to pain but the nurse/assistant did not want to hear anything I had to say!

Since that time I have read each and every single one of the posts here and i have as a result made a decision!

If my dr cannot do this as an outpatient and sedate me then I refuse to have it done!

Iam so beyond angry that it is not funny and this is why!………people can go to the dentist and be put out for simple fillings to be filled! which does not take but a few minutes… “but”when it comes to a procedure that ins wll not pay for we are FORCED to suffer with a female procedure that in most cases causes excrutiating pain!

This really has to change! I really am not interested in the fact that some people just slipped in and slipped out with little to no pain that is not the point the point is that we SHOULD HAVE THE CHOICE! IT IS OUR BODIES AND IF WE ARE TROUBLESOME WITH HANDLING PAIN THEN WE SHOULD HAVE THE OPT TO BE PUT OUT!

and here is another thing that makes me livid….most of these dr’s and dr staff just have the attitude that it is nothing and if we are scared or nervous we are labled wusses! this infuriates me to no end….

NO woman including myself is a wuss because they would rather not take the chance of having something hurt so bad or not….

IMHO it is 100% inhumane to force any woman to lay on a table in stirrups and allow their bodies to be violated and forced to indure excruating pain!

I do not want to have cancer and I know that this test is important but if my dr really cares and it is that important to her then she will do whatever it takes to help me to have it completed in a comfortable manner PERIOD!

Iam the most angry and ANY PERSON who makes light of this procedure or belittles or humiliates anyone who should choose to be sedated….the ONLY reason I can see that dr’s will not sedate is because it is an inconvience for them to have to go to a outpatient surgery center when it would be so much easier for “THEM” to just do it in office! well, screw convienience this is about the patient and it seems to me that patients do have rights I am going to be looking into just that after I finish posting here…

but I’d like to offer my sincere empathy and support because I believe it is like i said INHUMANE to expect all women to just suck it up and deal with it!

That is just wrong!

237 Julie { 03.30.09 at 9:49 pm }

I’m a healthy 51 year old, nulliparious, and post-menopausal for 4 years. Also, I’m in nursing school right now too.

I had a bit of spotting the other day and so when I met with my nurse practitioner (who I love) she wanted to do the biopsy right then and there. I agreed, as she said it would be over in 10 seconds. Those ladies who only experience mild discomfort are LUCKY.

Apparently, I had cervical stenosis, and she couldn’t get the pipette through the cervical os, even with the use of tenaculum. She kept trying over and over, and I was literally screaming, until I could take it no longer and made her stop. The pain was unbearable.

Those folks in the waiting area outside must have thought a torture session was going on, which by all accounts was correct. When she finally stopped, I doubled over in pain with severe uterine spasm, and thought I was going to pass out. When the cramping subsided, I broke out in a big sweat. The rest of the day I’ve felt stunned by the ordeal.

I’m going to have an intravaginal ultrasound next week, and then may have succumb to another attempt at the biopsy.

However, there is NO WAY I’ll ever go into it again without being premedicated for pain, receiving something for anxiety, and requesting a local anesthetic and some cervical dilating agent.

I’d like to think I’m not a wimp, but this experience brought me to the ‘come to Jesus’ point. So my advice is before you agree to the procedure on the spot, you might want to consider taking the time to be prepared and proactive about premeds.

238 Sharon { 04.02.09 at 11:33 am }

I had this procedure done yesterday, and although it was more painful than I expected, it wasn’t excruciating. It starts out like a pap with the doctor inserting the speculum. A thin tube is placed into the cervix which causes some cramping, like menstrual cramps. The most painful part for me was the insertion of the implement that takes the collection. It was a sharp pain, but if you do the type of breathing excercises that they teach in childbirth class, it makes it a bit easier.
My doctor had to put it in and out about 4 times to insure that enough of a sample was collected, and then it was all over.
If you need this procedure, definitely take some kind of pain med, but the key is to be relaxed. A tense body will make it worse, so breath through it and you’ll be fine.
I had the test because I’m a 52 year old post menapausal women who had experienced some spotting, which can be a sign of uterine cancer. I’d rather undergo this procedure, than have cancer. That’s for sure! You’ll get through it fine. After the procedure I had some mild cramping and light spotting, but today I feel great! Hang in there, and don’t be nervous or scared.

239 Anonymous { 04.03.09 at 12:09 pm }

I am post menopausal, 56 yr. old, with a mother who died from endometrial cancer and a grandmother that also had uterine cancer. A vaginal sonogram showed thickening in the uterus, so the next step was the endometrial biopsy.
I took no pain meds previous although I was given a valium to relax me.I have had one other biopsy like this when I was still having periods regularly and I do not remember it to be so painful.
This time was very painful and the Dr. was not able to get the long tissue sample that usually accompanies this biopsy.
The cramping is tolerable, however, I would not do this again without a pain medication BEFORE the procedure. I did not think to take something before but I wish
I had asked for something now.
BUT BELIEVE me when I say that if your Dr. asked you to do this test do it. The alternative, Endometrial cancer is not anything you want to deal with later. I took care of my Mother until her death and the chance to catch any problem early is the way you need to view the biopsy.

240 Anonymous { 04.09.09 at 10:26 am }

I am so glad I found this site! I have to have my biopsy in a couple of hours. I have a valium to take, Ibuprofen, a pain killer: Percocet 10mg, and a friend to drive me home. The NP who called me three weeks ago to schedule the appt., only told me to take 2 Advils before the procedure—yea, right!
I am 39 years old, with 1 child (c-section), and I have been having very heavy bleeding w/ clotting for 5 months now and they did a u/s and a vaginal u/s that showed I have a thick uterine wall.
So, even though I am prepared for this test, I am still terrified! I will post a little later after my biopsy and let you lovely ladies know how it went. I am scared out of mind, about the test, AND about having cancer. Cause you know what they want to do to you if you have this kind of cancer? Take everything out! Ughh! Please pray for me, or have me in your thoughts.
By the way, how did everyone else’s results go? I pray that everyone be cancer free!
Also, the NP told me that they could not do this biopsy if I was bleeding. Is that correct?
Take care girls! -Wendy

241 Anonymous { 04.15.09 at 5:00 pm }

I just had my biopsy today. Never had one before and was kinda FREAKED by reading some of these posts!!!

I took 800 mg of Motrin an hour before appt and TWO valium – my boyfriend drove me. I got through it just fine…a little cramping – pinching – and then she was done! She did use lydocain spray to numb the cervix first, but I never felt her do that.

I barely remember the visit now and the ride home – I was very ‘relaxed’ by then from the valium… but it was a breeze. No pain or bleeding afterwards. I even mowed my lawn! I took the day off from work just to ‘recoup’.

So I would suggest the motrin before and Valium for sure. :)

242 Anonymous { 04.15.09 at 10:44 pm }

I had this procedure done last month because I am postmenopausal and had a small amount of spotting after not having had a period in nearly 2 years. I made an appt. with my GYN, knowing that I would probably have to have this procedure. Having had this done once before 10 years earlier and not remembering it as particularly painful, I didn’t see the need for any pain meds. I wish now that I had. All was well until she took the tissue sample, at which time it was all I could do to keep from rolling off the table. It is very difficult to lie completely still when every fiber of your body is in the flight mode. If I hadn’t been so afraid of possible damage to my womb if I didn’t lay still, I don’t think I could have stood it. I’m sure they could hear me groaning back in the waiting room. I had light bleeding and some cramping for 5 days afterward. As bad as it was, the waiting for the results was worse. Over a week later I finally called the dr’s office and then had to wait for the doctor to call me back. Thank goodness all was well with the report, and I am very grateful to have peace of mind at last. However, if I should have to undergo this procedure again, I will be sure to take some pain meds beforehand.

243 Anonymous { 04.16.09 at 10:04 am }

Wendy! Run and don’t look back, this nurse was WRONG. If you are bleeding its’ just fine to do this test. THAT’S what they are collecting, the tissue in the endometrium, which is what you expel during menstruation! I’m sickened so many people/women especially don’t get this stuff. It’s the doc’s fault, they would rather we don’t know anything so they can scare us into doing these expensive and most times unnecessary and dangerous tests to make them mo money honey. You most likely are one who’s chances of cancer are pretty much nill. Think of how many women are in the world with less then 0.048% at risk!

these tests are VERY painful and unnecessary for most women.

think about it first, don’t let them scare you into this stuff. They LOVE to do that. Then, you’ll be back for more because you are so scared, you’ll even ASK for testing that is dangerous!

They don’t care about YOU, don’t forget that. You are the only one in those buildings that care about you. They care about one thing only and that is money

244 Anonymous { 04.17.09 at 11:09 am }

Hey there, it is Wendy from last week. Well, I have to say that I am so glad I was prepared for the test. It did hurt a little, the Dr. numbed my cervix, she distracted me, and collected her sample. She said “I was a pro!” But of course I never told her what I took before the test (she is so Anti-meds-it’s awful, she would have lectured me to no end!)
I felt pinching and poking, but that was it. It took maybe 5 minutes for the test. I had some cramping afterwards, and just a tiny bit of spotting. I got my test results yesterday, and the NP said that it was negative…..GOOD NEWS! But I still dont know why I have severe bleeding and cramping w/ clots the size of a golfball or larger that lasts for 5 weeks! What is going on?!! The Dr. said I have a small fibroid but she said there is NO WAY such a small thing could make me bleed so much. I just need answers! Thank God- one of them was negative! How did everyone else do? I hope you girls are all ok! Oh, BTW- I started my “period” again today!!! Let’s see how long this lasts….it’s already VERY painful!
-Wendy

245 Anonymous { 04.21.09 at 7:32 pm }

OK…anyone experience this one??? I am 48…still have reg periods lasting one week-than bleeding is lighter and SMELLS TERRIBLE for an additional 2 weeks or so! Then I have a week or so clean (finally) with normal vaginal dischrge untill my period starts again. I went to a doc who did an US ( I do have fibroids)No infection found- he stated he will schedual me for a complete hysterectomy ( ovaries included) reguardless of what they find because I am having these issues????? I did not go back!!! No hx of CA of the uterus or ovarys in my family- dont want to lose my ovarys at this point!!

246 Pamela { 04.22.09 at 11:13 am }

I had this procedure done yesterday and I had no idea what to expect. Thankfully, for me, the experience was not that bad overall. Maybe it was better not knowing what to expect… no chance to get freaked out about it!

I am 35, have 3 kids, and have had irregular bleeding for several months. I have had one surgery to remove an ovarian cyst, and currently have another ovarian cyst. I also have fairly severe pain in my back and side, but on the side opposite the one with the cyst. I’ve had ultrasounds, a ct scan, blood and lab work but still no answers to what could be causing these issues.

I had no pain medication prior to the procedure, but did take a xanax (which I do before most doctor visits due to doctor-induced anxiety). I experienced some sharp, stabbing pains that were reminiscent of childbirth — they took my breath away and brought tears to my eyes — but it was super-quick and completely manageable even without pain medication. The whole procedure took about 15 minutes.

I have had cramping and back pain ever since… a little more painful than those I would experience with a period, but I went to work afterward without any problem.

I think the bottom line is that everyone is different and the experiences will vary. I just wanted to share that, for me, it wasn’t all that bad.

I do wish that I had been advised to take pain medication beforehand, but I’m sure that the xanax I took helped to reduce the pain by helping me to relax. I also wish that the doctor would have explained what he was doing, step by step. Knowing what is going on makes it easier for me.

247 Anonymous { 04.29.09 at 12:03 pm }

I had the procedure done just a few hours ago. I didn’t know it was going to be done so hadn’t taken anything. My doctor gave me a Motrin right before which is helping now but not during the procedure. Actually, I am so glad I didn’t know about the pain beforehand, or I would have been a nervous wreck.The pain was pretty intense (I actually yelled outloud which surprised even me, but I couldn’t help it). But it didn’t last long. I drove myself so sat in the lobby for 20 minutes or so until I was ready to drive home. Testing for cancer is important, and I am so glad it’s over! I hope anyone else that has to have this, has the lesser version of pain.

248 Anonymous { 05.07.09 at 2:46 pm }

I just had this procedure done yesterday. Now from reading all the posts here I really prepared for the worst. My Doctor (she) even told me that since I never had children, I may not be able to tolerate the procedure – oh great!! I think the key is positive and calm attitude and the 4 advils an hour before. Also, I was still bleeding from my overtime(24 day) period and apparently that helps in the procedure. I did feel discomfort/cramping for a bit but not overly bad. I bled a little afterwards (probably from my overdrive period) but no other issues or pain. I brought my sister with me just in case I had an adverse reaction and for support. I had no idea what to expect. So, anyone out there – just hang in – stay calm, breath and take those drugs beforehand. My results come in next week. Hopefully all is well. Peace. MC

249 Anonymous { 05.08.09 at 1:16 pm }

I am 53 years old and have just been scheduled for a biopsy.

Actually, I was scheduled for an ultrasound on June 5th, but the doctor’s assistant called me this morning and changed my appointment for May 12th, so there must be something wrong in the pap smear I had done a week ago.

She told me is was just that there was a cancellation, so the doctor wanted to fit ME in that space, and oh, as a side not, he wants to do a endo biopsy on you right after your ultrasound.

Well, my first instinct was to say “Ok, that’s fine.” I did as the assistant if they had found something wrong on my Pap Smear, but she said she didn’t know and she is just following the Dr.’s instructions.

Well, after reading the all the posts from you wonderful, brave ladies, I have decided not to have the test until the dr. calls me himself and explains WHY he suddenly scheduled it.

Here is it Friday, and my granddaughter’s birthday party is on Saturday and Mother’s Day on Sunday, and they call me out of the blue to tell me I need another test with NO explanation of WHY I need this other NASTY test.

OH, and one more thing…any of you ladies ever have a drink or two before going in for one of these tests?

I had 3 glasses of wine before going to the gyno for a Pap Smear, after going without for 15 years, and it helped a lot. Hey, it’s no different that taking a Valium or other relaxers.

Just wondering…

250 Anonymous { 05.09.09 at 8:55 am }

Thank you all for your posts, your experiences have helped me come to terms with mine. I had a biopsy 2 days ago.

My test was very similar to the majority of posts. It hurt–cramps and an odd, unpleasant sensation when the suction device was moved around. Had nausea and light-headedness for a bit after the test. Slightly achey since then.

What I wasn’t prepared for was the emotional response I’ve had. I felt like crying immediately after the test and I still have moments when I’m on the verge of tears. And I should say, I’m not usually a “cryer”.

I suspect it’s a combination of pain, lack of control of the situation, and stress, but whatever it is, I wasn’t expecting it. Several other women said they cried after the test so I know I’m not alone.

If you’re reading this pre-test, take the recommended meds before hand, expect some pain and discomfort, and you’ll be okay. It’s not fun, but it’s fast and pretty risk-free. All the best!

251 Anonymous { 05.13.09 at 2:12 pm }

I want to thank everyone for their posts. I just had this procedure done a few hours ago, and I can honestly say I was (am) in shock. I have had cervical biopsies before, and while those are uncomfortable, it was nothing like this. I took a Xanax and Ibprofen beforehand, but even that did very little to dull the acute sensation of the test. It definitely brought tears to my eyes, and was far, far different from the “slight pinch” that my doctor indicated I would feel. When she said she had to take another sample I was really afraid of losing it on the table, my thoughts for awhile were very hysterical (whimpering/crying) and I wasn’t sure I could handle another pass. Afterwards I was worried I was just being a “baby” over the pain (and cramping) because my doctor said many woman describe it as “a strong menstrual cramp” (which was not the experience I had), but I see now that I am not alone and it helps some.

252 Anonymous { 05.13.09 at 6:43 pm }

Hi All, I had this procedure done this afternoon. I was a bit nervous after reading these posts last night. I worried for nothing. The procedure was a piece of cake. It took about 5 minutes and I had no pain at all. Now 5 hours afterward I am having very mild bleeding and a few (2-3) mild cramps. I took no pain reliever before or after, none needed. Hopefully this will help someone else feel more at ease about this procedure.

253 Anonymous { 05.18.09 at 9:50 am }

I am having this procedure done tomorrow and now I am scared to death. It is comforting to know that some didn’t have such a bad experience but my luck, it will not be like that. My female doctor did tell me to take Advil prior to the biopsy. I am still scared to death!

254 Anonymous { 05.18.09 at 2:09 pm }

I had this procedure done May 13th under twilight sleep. It was great! I didn’t feel a thing. I was out about 30 minutes and didn’t have any problem waking up. I don’t remember everything the doctor told me, but my husband was there and told me later what the doctor said. I had bleeding for a few days and slight cramping. I got some paid meds but didn’t need them. Now, 5 days later, I have a slight discharge, burning and some abdominal pain. I have a follow-up appt. on May 22nd, but I may have to call before that. I probably should not have been carrying my 26 pound grandbaby around. Anyone else have this problem?

255 Anonymous { 05.20.09 at 9:45 pm }

I had this procedure done a week ago. I had mild cramping off and on for a few days. Then on the 5th day I had moderate cramps. Now I’m back to mild cramps and I’m on the 8th day. My Dr. says this is unusual and suggested a sonogram as she thinks it is unrelated to the biopsy. I don’t want to go through an expensive procedure if this might just go away with time. Has anyone experienced this?

256 Anonymous { 05.23.09 at 6:58 am }

hi l have had a procedure done just 10 days ago i had don a haitis hernia in the higher stomach thats like my muscle has become very weak and a have had lots of prblems from that so the dr done a lab and it was with 5 holes it wasnt painful but the gas killed me l stayed in hospital for 5 days because of the gas in my shoulder its the worst l was told it can last from 2 to 5 weeks the pain in the shoulder but nothing helps also with the pain l use painkillers every 4 hours and deepheat and it keeps me awake and stressed has anyone gone throgh what l have and what did u do to prevent the pain its killing me

257 Anonymous { 05.24.09 at 5:28 pm }

My doc has requested that I have an ultrasound and an endometrial biopsy because of sudden post- menstrual bleeding. I’m 52, no kids, childhood abuse. I’m having the ultrasound next week, not expecting this to be even the slightest distressing. But the biopsy? Not so sure. I had my life’s first and last PAP smear 15 years ago. I was on pain meds for 4 (four) weeks after. Not having one of those again! So I’ve spend a considerable amount of time researching and have reached the conclusion that I’m going to take my chances and refuse the biopsy. I believe my bleeding to be but one last menstrual gasp – a hormonal hick-up. I can’t justify the distress of a biopsy. Even if I by some miracle (and a lot of morphine) would get through it, the experience would the so traumatic that I’d never be able to force myself to see an OB/GYN again. And I might just need that further along the road – so I’m passing on that one for now. My life. My responsibility.
I wish all you brave ladies loads of luck – I hope your tests all came back negative.

258 Anonymous { 05.31.09 at 6:43 am }

This past Friday, I had three procedures done–vaginal and uterine ultrasounds and the endometrial biopsy as the final test. The ultersounds were fine, no issues with those. The biopsy was a pain like I have never experienced before! I’m a 37-year old, childless petite female. While I did take 3 200 MCG Misoprostol pills beginning the night before, I did not take any sort of pain killer before the procedures. I was forewarned that it’d feel like bad menstrual cramps, the like of which I’ve been fortunate enough to never have experienced, but yes, the cramps were sharp and borderline intolerable (and I tend to have a very high tolerance to pain), but it was over quickly and the pain subsided quickly after the tools were removed.

The day of (had the tests early in the morning) I had cramping and spotting. Now, I still have a little discomfort (I can’t really call it cramping. It doesn’t feel that bad, but it still doesn’t exactly feel ‘normal’ either) and I’m still lightly spotting.

If I ever have to do it again, I will take pain kilers before the tests. That pain was not something I want to go through ‘cold turkey’ again. But the tests are necessary at times. Not something to put off or run away from. Now the other hard part…the 2 week wait for my follow up appt. for results.

259 Anonymous { 06.02.09 at 8:37 pm }

I got home from one about four hours ago. I thought it was not going to be too bad, the nurse and male doctor said it would be accompanied by cramping which I thought was no big deal. At first, it was only uncomfortable and it felt like he stuck a needle in there a couple of times. It was bearable. Then, it got real, real bad and I began yelling and then I begged him to stop. It probably took ten minutes, but they were a very long ten minutes for me. I ended up crying for a good ten minutes afterward and they gave me some big yellow pills with a green stripe. I had what I now know is a vasovagal (sp?) reaction and almost passed out twice. It was traumatic, but it saved me money doing it in office instead of doing a D & C. The doctor was very apologetic as well. I would have to say he did a good job otherwise, but it was highly painful. It felt similar to my miscarriage that I had a couple of months ago.

260 ktwray3 { 06.03.09 at 10:05 pm }

My fact pattern is unusual so maybe this will help someone.
• YOU MUST ASK YOUR DR.:
o Has he offered you drugs to make this easy on you? You have absolutely no idea where on the pain spectrum you might land. Some women experience it the way I did the first time, others the second. No downside to pre-medicating.
o Why are we doing this?? If you aren’t positively gripped by the answer, kick your doctor out of the room and give yourself 5 minutes to think.
• Age 48, 3 kids, vaginal births, endurance athlete.
• Not menopausal.
• 2004 ablation to remove endometrial lining for heavy periods.
• No periods for several years, then light periods every few months for a couple of years.
• 9/08 — first Big Bad Clotty Horrible Awful Excruciating Period (BBCHAEP). Blew it off. Again in 1/09 & 4/09.
• Annual exam early May. Told physicians assistant about weird periods. She did the endometrial biopsy on the spot. No walk in the park, but not nighmarish. Follow up sonogram for today.
• Biopsy sample not enough to test so when I came in for the sonogram, they would have another go at it. Not surprised since I am actually not supposed to have an endometrial lining anymore.
• Started light bleeding two days ago.
• Sonogram today showed 4 fibroids — on to the second biopsy.
• Given no drugs, nor was it suggested that I take something before going in. Have vials of Percocet and Xanax set aside for just such an occasion.
• When my Dr. walked in I asked “now why, exactly, are we doing this again?” I was a trial lawyer for many years and both of my brothers are doctors, and I am just now asking this question???
• Looking for pre-cancerous cells, to which I responded she should feel free to take the lot of it out as I have no further use for it She laughed and said that was certainly something we should talk about because of the fibroids.
• At that moment, I had all of the information needed to make a decision on a hysterectomy:
o Oct. ’08 MRI –bulging disc in my lower spine – likely from running too many miles. Fibroids explain the random bouts of horrible back pain over the last several years so severe I have trouble getting out of bed, then “poof” – pain gone. Pain appeared unrelated to anything external as ablation stopped periods.
• Because I am a compliant woman who wants everyone to like me, and an independent woman who would vastly prefer experiencing a little “discomfort”, a “pinch”, some “pressure”, to disappointing someone, I meekly spread my legs.
• There are no words. The pain was beyond the beyond. I almost passed out but they roused me with smelling salts to finish. I should not have been allowed to leave the office but all I could think of was “I have to get out of here.” Put my head down in my car in the parking lot and passed out for some indeterminate period of time. Made my way home on the back roads, pulling over several times.
• No post procedure cramping and very little bleeding. But emotionally I feel raw – very quiet and find myself staring into space a lot.
• I can’t say that I much care what the test shows – it wasn’t worth it. I know I should feel differently, but I don’t. There are places my brain is not meant to go, and that level of pain is one of them. I hate knowing that I can hurt that much. It makes me feel scared that I might ever be in that much pain again. And I can’t. I seriously can’t.

261 Anonymous { 06.09.09 at 9:25 am }

Good morning all:
I had an endometrial biopsy for the first time today and can say that as relaxed as I tried to be, it really hurt like hell. (Even more uncomfortable than a sigmoidoscopy but, thankfully, it didn't last nearly as long). In hindsight, I guess I'm glad I did not know what to expect other than "some cramping" as I would have been even more nervous. (I am small, have had no kids, and am post-menopausal, so maybe this all added to my own discomfort.) It would have been helpful to have a reiki practitioner in the room to assist with breathing through the process. This did occur when I had the sig, and I will suggest this to the healthcare practice. (But budget cuts and all, you know.) Anyway, I almost fainted afterward, and stayed in the room for some time before getting dressed to leave. My advice to anyone who does feel faint: ask the doc to have someone come in and check on you after five minutes, just to make sure you are okay. This did not happen to me and would have been a comfort. I was still pretty shaky when I finally got ready and left the office. The cramping has already subsided and the test was done 2 hours ago. So that's a good thing!

Do not let any of this info stop you from getting a biopsy if you need it. Just know that you have the positive energy from many, many stirrup queens to get you through the procedure. Best to all.

262 Anonymous { 06.10.09 at 9:29 pm }

I had an endometrial biopsy this afternoon. The bad news is that it hurt. I did take both ibuprofen and some low dose Valium beforehand. However I also have a pelvic floor dysfunction and have mild pain with sex. I have never had children so the doctor had to dilate my cervix. I think I had more trouble with it than most of her patients because she asked me if I had taken ibuprofen beforehand, and if I was O.K. afterwards.

The good news is that it is a pretty short procedure. Take whatever pain meds they'll let you beforehand, and if you can get someone to talk to you during the procedure and distract you that would help. For me it hurt at the time, but once it was over I felt totally O.K., just a little woozy. I'm assuming I'll be fine for work tomorrow.

263 Anonymous { 06.11.09 at 3:28 pm }

I just had this biopsy done today. I won't sugar coat anything. It was bad. On a scale of 1-10 I would say it was an 8 or 9 and I had taken Advil before I went. The good news is it is very quick and as soon as it was done I felt a thousand times better and about an hour later felt perfectly fine. Dr. said mine was probably worse because my cervix was moving and he had to clamp it and because I have not had children yet so my uterus is still "new". Good luck to anyone having this. It hurts but you will get through it.

264 Anonymous { 06.15.09 at 2:20 pm }

I had this procedure today. I, too, had anxiety after reading the horror stories. I did not take any pain medication prior. The procedure was uncomfortable. At the point when I had enough of the discomfort, I asked the doctor if she was almost done. She said she was and momentarily after saying that, she was finished. Knowing that I sometimes become faint, I stayed on the table for a few minutes afterward to get my bearings and had the doctor bring me a cup of cold water to drink. I was fine when I got up. I'm not having post procedure cramping that requires medication.

265 Edina { 06.16.09 at 2:39 pm }

I had this endometrial biopsy few weeks ago. When I made the appointment the nurse told me some discomfort or mild cramping expected while this procedure. They didn't suggested but I was thinking to take some painkiller like couple of advils before the biopsy. Thanks got I checked out couple of web sites like this and I realized I need something stronger than the advil. I took one Oxycodone and I can suggest anybody take something strong one hour before the biopsy. It's painful I didn't feel cramping, but the pain was pretty sharp specially at the beginning, the biopsy part was more bearable. As soon it was over I could get up no pain at all I walked to the counter and paid. No bleeding just a little spotting for a few days afterward. About myself I am 52 years old I went thru the menopause long time ago one childbirth…and abortion. I was send to this test because uterine spotting tiny bit pinkies. The result came back yesterday everything is normal! Go get checked out it's worth it, the pain was forgotten long time ago!

266 Anonymous { 06.20.09 at 9:28 am }

I had an endometrial biopsy 1 year ago. I had gone for my annual PAP and check up and after explaining to my Dr. that I have been skipping periods now and then, she suggested that I have an internal ultra sound and then unexpectedly she said I should have the biopsy. I agreed, but after several tries, she could not get the correct position to get the biopsy (very painful!!!). Then, I was told to come back in a month and try again. I really didn't want to, but for fear of cancer I forced myself to go. The second time was successful, but also very painful. I have 4 children all by natural childbirth (no meds) and I felt this was just as painful only shorter time.

I just went for my annual check up again about a week ago and again I was told that I should have the biopsy again. Why???? I do not want to have this procedure every year. I am 47 years old and I feel I am just going through the natural process of peri-menopause. Why do the doctors make such a big deal about this all of a sudden. I know my mother or aunts did not have this procedure. I expressed my unwillingness to have the test again and she totally understood. We came up with a plan that I can deal with. I am going back in 2 months with a detailed calendar of my periods. She will do another ultra-sound and if necessary I will have a D&C. She told me that she can get the same information from a D&C and I will be put uner anesthesia. I know this might sound crazy to some of you, but that is how painful the procedure was for me. Good luck to all!!!

267 Anonymous { 06.22.09 at 5:51 pm }

Just wanted to give my experience– I had my biopsy today and it was very easy. I took 4 advil avout an hour beforehand, and doctor also gave me one valium. The only thing that sort of hurt was the novacaine on my cervix- but it was so quick/fleeting. I was surprised when my RE was finished– I barely felt a thing. Perhaps the combination of advil, valium, and novacaine did it– or perhaps my RE is just really gentle. I am spotting a bit, and have a tiny, tiny bit of cramping, but it's very manageable and I am doing regular activities.

268 Moon { 06.26.09 at 12:26 am }

I had the procedure done this morning. I was terrified because my doctor didn't give me any painkillers beforehand. I am 36 and have never had children. He only told me to take Motrin. I took about 4 and I took some Xanax because I suffer from anxiety. I did deep breathing exercises during it and the biopsy didn't really hurt at all except for one moment and the doctor warned me that it would. It was very brief, though. I had very little bleeding afterward and very slight cramping. I didn't even need to take any painkillers afterward. I think it's important to find an experienced doctor. I'm sorry for those women that suffered so much, but I think the keys are to find an experienced doctor and to remain relaxed throughout. Hope this helps calm women who are about to have this procedure.

269 cb { 07.02.09 at 4:39 pm }

Had the procedure this afternoon. Wasn't that bad and I have had no need for any subsequent pain meds..not even ibuprofen. My doc explained the procedure before she started. There was a small amount of cramping when she extracted the tissue samples from the uterus but that only lasted a few seconds. It wasn't fun, but not unbearable. Most of the procedure was just like a regular old PAP smear. I am bleeding a little bit now but that is expected. I'm really sorry that many of you had a difficult reaction to this test.

270 Anonymous { 07.05.09 at 10:03 pm }

Had this procedure done last week. Took 4 Motrin about an hour prior and had some moderate cramping during the procedure, which lasted about 3 minutes, a bit of bleeding afterwards. The whole thing took about 5 minutes. Got dressed, drove home, no worries. No cramps at all afterwards.

271 Anonymous { 07.06.09 at 6:41 pm }

I had my first abnormal PAP smear, 48 years old, no kids. GYN wanted to do endocervical and endometrial biopsies, offered me no pain meds. I totally freaked out. BTW, I'm an RN, so that may be why I feel more comfortable being very assertive with MD's. I absolutely refused to have the procedures done in the office, which really annoyed the GYN, but I really didn't care. I know myself, and I knew I would not be able to stay on the table. It was a major PIA, took all day and cost my insurance more money, but I had it done in same-day surgery with IV sedation, and I remember nothing. I had no real pain afterwards either, some spotting, but had been having that anyway. If you can, if your insurance will pay for it, INSIST on having IV sedation. I think one of the reasons that option isn't offered is that the insurance companies naturally want to keep cost as low as possible, and the procedure is relatively quick, but if you are seriously anxious about it (as I was), don't let them pressure you into doing it without adequate pain control. My biopsies were fine, but it's time for a repeat PAP and I'm a little nervous the same abnormality will show up and require a repeat of the biopsies, but if it does, I will not hesitate to tell my GYN, "Better schedule the OR". Good luck to all.

272 Anonymous { 07.08.09 at 2:13 pm }

I had this procedure along with an SIS done. The doctor told me to take an 800 mg motrin b/c there would be some cramping. I am 35, never had children, and am still a virgin. Procedure was very uncomfortable to say the least and painful. I have a closed cervix, which is tilted. Doctor was unable to get the sample. Said my edometrial lining was thick, which was indicative of precancerous, but didn't want me to worry. Excuse me, when you say anything with the word cancer, I'm going to worry. Well, needless to say, I have to REPEAT this procedure. The nurse wants me to call her when my cycle has begun, and she will try to schedule the test again during that time. Should I repeat this process, or just leave it alone?

273 Anonymous { 07.08.09 at 6:26 pm }

I had an endo biopsy today with no pain meds before and it was horribly painful! I had no idea they were going to do this procedure, i thought i was going to get the results from my pelvic ultrasound. I suggest any one who knows this procedure will be taking place to ask for pain meds before….and after, my cervix cramps and of course im still bleeding. Lot's of luck to all of you having this procedure and please keep me in your prayers that mine returns negative.

274 Misty { 07.09.09 at 12:53 pm }

I had my biopsy done on Monday, and to me, it was one of the most painful things I've ever been though – and I deal well with pain. I'm 23 years old and have had bleeding for quite some time now so my doctor felt I needed the biopsy done. I was told to take motrin before the procedure but I had been having issues with extremely heavy bleeding the night before, and day of procedure, and had to be rushed in to have it done early. NOT taking the motrin was a very silly thing. The procedure is quick but quite painful. I felt a sharp pain and lots of cramps. I ended up passing out on my way out of the Dr's office. Not fun. Good luck to anyone having this done and make sure to take something before you go in!

275 Anonymous { 07.10.09 at 2:36 am }

To anonymous from July 6th at 8:41 PM, asking if you should repeat the attempt…..I think you should….just for the peace of mind. Wile endometrial thickening, also called hyperplasia, can indicate cancer or can predispose a woman develop cancer, you probably don't have it, and a biopsy can give you some comfort. Ask your GYN for meds to help soften your cervix, and possibly something to take before hand for anxiety. Good luck.

276 BrokenHeart { 07.11.09 at 6:10 am }

I have PCOS, which has caused a hormonal imbalance and irregular uterine bleeding over the years, and so I've had to have four uterine biopsies during the past 6 years. I was given no anesthesia or pain medication for any of them. The first three were uncomfortable, but nothing that I couldn't live with. The last, which I had a few days ago, was awful! The doctor had to make four attempts to collect the tissue as each time she pulled out the straw-like instrument, there was no sample.

Five days have passed, but I'm still having pain, bleeding, and nausea.

I will never let them do a uterine biopsy on me again unless they give me something for pain. I'd also prefer to have a sonogram first to determine whether the biopsy is justified. I dislike any type of invasive procedures.

I'm not convinced it was necessary this time, and I have to wonder if they sometimes do this test to cover their own rears.

The doctor decided to do a biopsy this time, because I'm 44 and my periods suddenly stopped in March–and I began spotting in July. During the pelvic exam, the doctor found that my uterine lining felt very thick. A sonogram has been scheduled for next week, and I've been put on a 10-day regimen of Provera in hopes it will start a period and make me shed the supposed thick lining.

I don't think it's going to start, because, following a horrid peri that has lasted more than 15 years, I believe the cause for the lack of periods and thickened lining is menopause. Of course, the possibility that it's cancer is scary.

I will keep my fingers crossed and hope for the best.

277 Anonymous { 07.17.09 at 7:09 pm }

I had this done unexpectedly today. It was my first time actually seeing a gynecologist as I've always just seen my family practice doctor. I am 28, never had children. I will not go back to this (male) gynecologist.
I was having the biopsy after 2 months of pelvic pain and bleeding.
The doctor told me that I might feel a little pressure and maybe some cramping afterwards. First he put in a speculum and that alone was painful enough that I was in tears. I've never had a problem with feeling any discomfort whatsoever with a pap, and my family practice doctor did a pelvic exam less than 2 weeks ago and I felt nothing. And I've never had a doctor not be fully honest with me, so I wasn't nervous or anticipating any problem. (I had also never read anything about the biopsy since I didn't know I was having it done.) Today I was crying and told him it hurt and he said that it couldn't hurt yet because he hadn't started the biopsy. Seriously? I couldn't be in pain? And it just got worse from there. I've had several abdominal surgeries, and none of those even compare with the pain I felt today!
After the biopsy when I had gotten dressed and the doctor came back in, all he had to say was I'm sorry it hurt (and he didn't sound at all sincere, it sounded more like he thought I was being a wuss.) And he told me that his office staff will call me with the results when they are available.
From there I had to go to have lab work done and I was crying the whole time. In the lab they asked me if I was okay and I said no and they called my doctor and he said I was fine and should just go home and rest for a few hours.
Right now I'm bleeding heavily, I'm in horrible pain, and I've managed to stop crying twice, but as soon as I move the pain is severe enough that I am back in tears.

278 Anonymous { 07.20.09 at 3:22 pm }

I'm scheduled to have this biopsy done in 3 weeks due to spotting and a thickened endometrial lining. The doc has written a script for misoprostal (vaginally) 400ug the night before at bedtime. The doc's instruction sheet says that it can cause nausea, vomiting and diarehia.

I'm 53 years old, still considered "peri-menopausal" and have had 1 child (now 27 years old).

Can anyone tell me if they experienced any side effects from the cervix sofening med and whether it helped with the pain or not?

I have a friend who's had 2 of these biopsies and she said that she had very little pain even without pain or cervix softening meds prior…more of a pinching sensation type of thing and a bit of crampiness during and a bit afterwards and that was it. (She was just reaching menopausal state…about 13 months without a period or bleeding but, had a spot of brown at which point her family doc recommended this biopsy)

After reading everyone's account of this biopsy, I'm really scared now!

I know that this blog entry is old but, I'm hoping that someone is still looking! *smile*

279 Auntie Eartha { 07.20.09 at 9:30 pm }

Thank you so much for your sharing your experience. Though I'm not experiencing abnormal bleeding, I had atypical uterine cells that were discovered during my pap July 7, 2009.

At age 50, I wonder if the atypical cells were due to being on the last day of my normal period. Do you know if menstrual cells (obviously from the uterus) can be different on different days of the month?

I go in for the EMB tomorrow, July 21.

280 Anonymous { 07.21.09 at 3:12 pm }

To Auntie Eartha:

I hope that your biopsy went well today. (21st July). I remember having had a pap that came back with atypical cells years ago (I'm 53) and I remember the doc saying at the time that paps should NEVER be done while on a period or, even just finishing up on one. It should ideally be done about a week after your period completely finshes but….for most women that timing is impossible. However, she will never do a pap during a period.

I also remember the doc saying on another occassion that a pap can show unusual/atypical cells due to a vaginal infection such as yeast or having had intercourse 24 to 48 hours prior to a pap test or just about anything can change cervical cells. Usually, they simply wait a few months (3 to 6), treat a vaginal infection (if one is present) and repeat the pap.

Interesting. I'm wondering if perhaps, your doc having done the pap while you were on your period might have given false results? One doc I saw post partum said, "If you sneeze the wrong way, it can change cervical cells!" *smile*

So, take heart and rest and hopefully, everything is just fine and you are recuperating from this procedure just fine!

281 Anonymous { 07.22.09 at 10:01 am }

I'm wondering a couple of things about the posts here.

It seems to me from reading all 281 posts that women who are younger and have not had children were the most likely to have problems during this procedure with more pain etc.. There are a number of women who have had children and experienced the excrutiating pain. Everyone seems to feel that they have a "high tolerance" for pain and that this was the worst pain that they've ever felt. A few have mentioned that just inserting the speculum put them in pain but, never had pain before during Paps and annual examinations.

I've heard of lots of women having IUD's inserted (which also requires a similar procedure, including cervical dialting and the tenaculum etc.. Yet, lots of women have this done and while they say there's some discomfort, sometimes, momentarily harsh, it's all done the same way). The difference between the two procedures seems to be the sampling portion of the biopsy vs the insertion of an IUD. It seems the suction portion of the biopsy is the "cramping" time and the "horrible pain"/"pinch" part is the cervical dilation portion (which can really hurt for a few seconds)

I guess my question would be, if anyone here who has had a rough experience (which appears to be the majority posting), has had an IUD inserted?

I'm wondering if the idea of taking something out, as opposed to putting something in, and the word "biopsy" may be somehow related to the pain that seems to be felt during this procedure? The same cervical pass is made in putting in an IUD so, what makes the difference in pain between the two? The same instruments are used (tenaculum, speculum etc.) and no one goes through twilight sedation or a general to have an IUD inserted??

Anyone have any ideas?

282 Anonymous { 07.22.09 at 4:13 pm }

In response to your IUD question:

I had two IUDs inserted. In 1980, that IUD insertion was very uncomfortable, and the one I had inserted in 1985 was not too painful at all.

I am now 48 and have three grown children, delivered vaginally. I had an endometrial biopsy last week after an ultrasound revealed a thickened lining of 13mm. My doctor doesn't suspect cancer, but just wants to be sure.

After reading this website, I took one Tylenol with Codeine and four ibuprofens about an hour before the procedure. The doctor explained everything he was about to do. Even so, the procedure was very painful…. much more painful than the IUDs insertions were.

To me, the tenaculum was the most painful part of the procedure, because it was a sudden pinching sensation, which made me buck my hips! When he inserted the catheter, I did my breathing and squeezed my husband's hand for dear life. I was surprised to feel so much pain because I had taken so much medication. (Maybe I was in a state of false-confidence on the effectiveness of the medications.)

I have a telephone appointment with the doctor tomorrow, when he will give me the results. Needless to say, I am very nervous, even though I tell myself all is well.

Would I do it again? YES! It was a VERY quick procedure, and the results – normal or abmormal – will tell me what I need to know to give me peace of mind, or treat whatever disease I may have.

~Judy

283 Anonymous { 07.22.09 at 7:36 pm }

Judy, I'm wishing you well in getting your results! May they be good results and the endometrial thickening, simply due to hormones that have gone out of whack and simply need a dosage of progesterone or something simple to thin it out again.

I'm about to have the biopsy done on Aug. 12th. My doc has given me the cervical dilating med but, I'm not so sure about taking it! I went to have the prescription filled today (just to be sure I had it on hand) and found that the usual side effects are cramping, nausea and very likely a good dose of diarehia for a couple of days! I'm not sure that I want all of this. When I think about the idea that the test is a few minutes by comparison to HOURS of other discomfort, I'm wondering whether I should forego the cervical softening med (cytotek) and just bite my husband's hand instead? *smile*

I had one child and she is 26 years old so, who knows how difficult it would be? I have a uterine prolapse as well (moderate)with an endometrial thickness of 16mm's and have had on and off very light spotting since early April (last full period was in Dec 08). I'm wondering whether given all of that, I might not be better off to simply waive the test and head to surgery for a hysterectomy?

I'm going to see my family doc next Tuesday to discuss this with her. The gynecologist didn't even examine me…just gave me this prep prescription and instruction to take gravol (for the nausea after inserting this pill), Ibuprofen for the cramping (from this pill) and 2 ibuprofen 1 hour prior to the test, put on a pad as the pill will likely cause bleeding and be prepared for more bleeding afterwards. The secretary told me not to count on going anywhere afterwards or going back to work as I "likely won't be feeling well enough"??????

I'm still shaking, just thinking of this procedure, especially after reading all of these horrific experiences. One friend of mine has had it done twice and she said both times, there was very little discomfort with no pain meds and no cervical softening agent prior to the test. She said she felt a pinch, then a cramp or two during the suctioning portion and that was it.

I'm wondering if it is in need of surgical treatment, given my prolapse, whether I'd be better off just heading in for a hysterectomy and bypassing all of this? Apparently, it takes 4 weeks to get the pathology report back after the test, another appointment to get those results and it's nearly 3 weeks just to get to the test itself THEN..if I do need surgery….heaven knows how long after that and I'm still spotting lightly after nearly 3 months!

What a mess.

284 Anonymous { 07.24.09 at 6:41 pm }

To anonymous from July 22….I think it might be a reasonable question to ask the doctor, if you could forgo the biopsy and just go straight for the hysterectomy, if you are planning to have one anyway. It certainly wouldn't hurt to ask.

Bonnie

285 Anonymous { 07.25.09 at 7:02 am }

I had a biopsy yesterday morning and after reading all these comments the night before, I got myself worked up into a frenzy. I was scared to death. I am a 36 year old woman who does not have any children. I was expecting pain like childbirth, so I took 1000mg of Motrin an hour before my appt. To my wonderful surprise, that was not my experience at all. It was uncomfortable when my doc used the tendulum to hold the cervix down (just a pinch). Then when actually removing the cells from my uterus occurred, I had a severe cramp which lasted 10 seconds. The whole procedure lasted about 4 minutes, if that. I didn't have to lay down afterwards and I went straight to work. I experienced very mild cramping about 6 hours later, and took 1 Motrin. Also I had very light spotting which has already stopped. I just want women reading this site to understand that everyone and every doctor is different and don't get worked up by reading everyone's experience. I was so afraid that I almost fainted when I got out of my car at the doctor's office.

286 Anonymous { 07.25.09 at 2:28 pm }

Thank YOU to the previous poster who just had this done! I am due to have one in a couple of weeks and after reading all of these comments, I was just going to call on Monday morning and cancel my test!!! I was so shaken up by all of these accounts that I couldn't sleep in thinking about it.

I'm sure that there are moments of pain and discomfort and some who have tighter cervixes may be more uncomfortable than others because of the cervix tightness but, if the procedure is that bad, I figured it might be worthy of cancelling it and asking to be put under some form of sedation or even general anesthesia to have it done. HUGS to you for posting because it's made me feel that there is hope for us not to have this horrible, frightening, traumatic experience. I'm hoping to be one of the "good experiences" and am sorry for those who have had to go through such horrific pain. I mean that with all sincerity.

(In all honesty, I was thinking that perhaps, the ones who have had the "ok" experiences just don't find the need to do any further searching on the net and therefore, don't post the "good" experiences as much so, it may be lopsided in that aspect???)

I do know that I wish that I hadn't read all nearly 300 posts! LOL I'm glad that I read yours and a few others. There are two sides to this coin and not everyone will have a horrible/traumatic experience! I hope to be like you and a few others that I've known who have said the same thing. Some pain and discomfort during the procedure…but, quick and over with before you know it. :)

I HOPE more who have had experiences like yours will post because in reading the majority of posts thus far, it may do what it did to me….want to phone and cancel it completely!!! :)

287 Anonymous { 07.27.09 at 4:41 pm }

After doing some research, I've learned that there are two different biopsy techniques-the standard Pipelle and a new one called the Tao Brush. My research states that the Tao brush is much more tolerable than the pipelle, with little or no discomfort. I've found a few drs in my area who are using it, but most still use the pipelle. We as consumers need to speak up!

288 Anonymous { 07.28.09 at 9:29 pm }

Has anyone used Misoprostol (Cytotec) vaginally before having the biopsy done? I've seen a few people who have posted about using it but, I'd like to know what the side effects were like. The doc's office sheet says, cramping, bleeding, diarehia, nausea and possible vomiting????

This sounds worse than the test!!!

289 Anonymous { 07.29.09 at 9:31 pm }

To Anonymous who posted Saturday July 425pm in response to my good experience with the biopsy: a previous poster mentioned the brush vs the pipelle. My doctor used the brush. I think that is less uncomfortable. You may want to ask your doctor about that. Good Luck.

290 meg { 07.30.09 at 6:55 am }

My doctor did this biopsy to see if I have ovarian cancer. I had it done Monday, and it was *extremely* painful. I can't lie. I have had 2 kids, 3 cancers, live with chronic pancreatitis (which is one of the most painful diseases you can have), so I know pain. This ranks RIGHT UP THERE. But, it was quick. My gyn told me b/4 she started that we'd count to 15 together, which we did (while she was getting the sample) and those 15 seconds are now seared into my memory as being some of the worst pain I've ever experienced. But – I went to work afterwards……next day I was doubled over with cramps (not normal, but I have a lot of other stuff going on too (just had an ovarian cyst burst, etc)….and I'm running a low grade fever (also not normal – but I also just had a tooth pulled Monday – ya, my life's a BLAST!!!)…..

My advise – take the pain pills before and after (and if a doctor decides to do this without giving you time to research it and/or take pain pills before hand – DON'T let them do it)…..

And, remember that you're a woman, and just by being a woman, that makes you a strong, resilient, brave person who can handle ANYTHING!!!

Keep smiling and here's to good results for everyone!

291 Anonymous { 07.30.09 at 9:50 am }

Oh wow, Meg!!! You have been through the proverbial mill!!! I'm so sorry that you've had to experience all of this.

You had a uterine biopsy AND a tooth pulled on Monday?!!! Holy….WOW! Now that's torture!

And, I know that pancreatic pain can be horrendous. I had a great aunt that had chronic pancreatitis and she was in horrendous pain on a regular basis. It's not at all what anyone would wish on anyone else, even your worst enemy.

HUGS and hope that you start to feel better soon!

BTW…if you have a fever, maybe you want to check in with either your gynecologist or dentist to see if there's infection anywhere that may need an antibiotic? I'm sure that you've thought of that though as you're no stranger to medical problems….sadly. :(

Wishing you well and sending you huge healing energies.

Jamie

292 Anonymous { 08.02.09 at 5:04 am }

I just had this procedure done yesterday. I wasnt given any pain meds, but my doctor did walk me through the procedure beforehand. Said it would feel like menstrual cramps but nothing more…thats a laugh right there. I felt like my insides were being pulled out. I've had 2 kids and this pain was almost as bad as labor pains. My boyfriend came with me, and I think he may have needed some pain meds also after the squeezing I did to his hand. Im still bleeding pretty heavy and the cramps are still pretty bad. Nausea and a killer migraine have set in since the procedure as well. I find out my results in a week or 2. They also prescribed me something called provera, which I looked up on the internet, and its usually used to stop the bleeding, but I was told its going to make me bleed much more. Hopefully all turns out ok. To anyone preparing to go in for this procedure, I strongly suggest you take some strong meds and have someone drive you home after. I have found that laying in the fetal position does ease the pain a bit though as well as 800mg of Motrin. Good luck to you all!

293 Anonymous { 08.02.09 at 8:14 pm }

I saw the doctor last week for a biopsy and was told that most women don't have many problems with it; some cramping would be the worst part. I'm not one of those women. It was excrutiatingly painful and though I told him to continue, he refused and said he couldn't torture me like that. He decided we would do a D&C instead. I was already having extreme pain when I went in and had no pain killers. I don't want to scare anyone who is going to have one. Like I said, the majority of women don't seem to have many problems with it. I have standing medical issues where I'm in pain continuously regardless and it amplifies needles, cuts, bumps, etc. If you attempt it and it's unbearable, don't be afraid to insist on a D&C. Depending on what they find, it would be the next step anyway.

294 New Nana { 08.05.09 at 12:19 am }

I had this procedure done today. I taken a pill the previous night and this morning to thin and dialate my cervix. I had been warned I would have cramps, so I took and Ibuprofin in advance. I was in no way prepared for the horrible pain of the further dialating of my cervix and I thought I would die as I shouted in pain when the actual biopsy was done. Now, I am no wimp I gave birth completely naturally 23 years ago and this was incredibly worse! If it had lasted 2 more seconds I think I would have passed out from the excrutiating pain! I felt like I had been shot or stabbed! I let the doctor know I couldn't believe he didn't give something strong for pain as soon as I showed up at his office so that by the time the procedure was done it would have been in effect. He was apologetic and said he had never had anyone have so pain before. He gave be extended release Tramadol afterwards. I don't think I will need any tomorrow. I have had little discomfort since I left his office and only a little initial bleeding. Maybe being post menopausel made the difference with the pain, I don't know but be prepared ladies, insist on good drugs first.

295 Louellen { 08.06.09 at 11:51 am }

Hey Nanna:

I'm sorry that you had so much pain and that your doc didn't give you anything for it prior to the test. I'm surprised that the cervix softening med didn't make that process at least a little bit easier. I thought that was the entire point of using that med???

Ahhhh….but, wait….you said that you were post menopausal and I have read that Misoprostol (Cytotek) has very little added benefit in post menopausal women vs peri/premenopausal women. Something to do with it working with estrogen levels. And, of course, being post menopausal, your cervix may have been really tightened/closed due to atrophy??? So, perhaps, that is why you were in so much discomfort?

Were there any side effects from the cervical softening pill? I'm due to have one done soon and to use this pill the night before. The office instruction sheet says that it can cause nausea/vomiting, cramping, bleeding and diarehia. Not pleasant sounding in and of itself so, needless to say, I'm quite apprehensive and worried. :)

Can you share what the side effects were for you from the pill? Did you use it vaginally or orally?

Hoping that your results come back with great news!! :)

296 sarah { 08.06.09 at 5:40 pm }

I had this procedure done yesterday without even knowing I was going to the doctor. They called me at work to tell me this had to be done for insurance purposes because I am scheduled for a hysterectomy next week. Apparently, this is a prerequisite test before my insurance will accept the hysterectomy.
Anyways, I had no meds, just tried to relax. I will admit it was uncomfortable, like heavy cramping during a period but nothing more. I bled for 24 hours not very much though after the 1st couple hours. I really think it depends on the doctor performing the test and how much or little experience they have doing it. I was happy to have a woman who was very nice about explaining it and even telling me it would not be pleasant. I was expecting the worst andd was happy I was being over dramatic. I didn't even need anything when I got home. But again let me say I think it depends on who, and the overall condition of your "parts". If you are going in for abnormal bleeding and horrible periods chances are it will be worse than if it is a screening of sorts like my own.

Good Luck everyone and God bless!

297 Anonymous { 08.07.09 at 7:49 am }

If you are reading this website because your doctor has recommended an endometrial biopsy, please DO NOT be scared off by some of the comments posted above.

My mother had endometrial cancer at the age of 32, and my doctor recommended a biopsy because I was experiencing irregular bleeding after menopause.

Rather than wait to schedule an appointment with a gynecologist, I had the biopsy done by my family practitioner in her office. I took 800 mgs of ibuprofen an hour before my appointment. My doctor explained the procedure before she started and told me what she was doing at each step in the process as she went along. She warned me that I might experience cramping, but I had NO PAIN or discomfort whatsoever — not even minor cramping. As a friend of mine also reported, I've had more pain having my teeth cleaned.

Obviously, everyone's experience is different, but many of the women who posted terrible experiences seem to have been dealing with doctors who were insensitive at best and sadistic at worst. Find a doctor you trust, following their advice about pain management, but don't avoid a test that can save your life.

298 Anonymous { 08.07.09 at 9:30 am }

I so hope that my doc is experienced at this. She says that she does them on a daily basis and sees a lot of women for this.

Needless to say, I'm TERRIFIED! I'm sure that reading all of the horrible experiences has not helped this any and I truly feel sorry for those who have had a really bad experience at the hands of someone who was so insensitive.

I hope to be one of the good stories. I have a thickened endomentrium and constant spotting so, this isn't just "screening" but, more to see what's causing this build up. I'm considered perimenopausal because I had 3 period last year then, nothing but on and off spotting this year so, I really have no clue where I really am. :)

I'm grateful to those who have posted their good stories because it gives me hope that I may be one of those stories. If I am, I will share it because no matter what, it's true….it's important to our lives to have done. Having read the horror stories though, it's off-putting to say the least.

I guess we should figure that those who have an easier time of it with no complications, usually just go on with their lives and don't necessarily post their experiences??? I'm grateful to those who have posted their good experiences. It's given me hope that I'll make it through too!

Still really scared though!

299 Anonymous { 08.08.09 at 7:57 am }

I just had this test yesterday myself, I was googling to read more about it and found this page.
It was painful, but more of a cramping and pulling sensation. I've never given birth so I have nothing to compare it to. My doc was very sweet, and I think she really did mean it when she apologized. Unfortunately, I have to have it done again on the first day of my next menstruation, and my cervix was difficult to open.
I didn't cry until several hours afterward, but I had a few whopper cramps and felt emotionally traumatized by the proceedure.
My plan is to take 800mg of Motrin before the next attempt.

300 Anonymous { 08.08.09 at 7:23 pm }

To Annoymous Sat. 28th August:

I'm wondering if perhaps, the fact that your cervix was difficult to open is because you haven't given birth vaginally and perhaps, asking for a cervical softening med that you can insert vaginally the night before the procedure this time, might make it easier?

The name of the medication is Misoprostol (Cytotek). Give your doc a call and ask about using that med prior to the next test. It might make it easier on you and your doc?

The only downside to this is that it creates contractions of the uterus similar to menstrual cramps but, can be relieved by Ibuprofen such as Motrin, Aleve or Advil.

And, DO take Advil (Ibuprofen) prior to the test this time by about an hour. It may cut down on the cramping…or, at least I keep reading anyways. :)

I'm in the same boat. About to have one done this coming week and not too happy about it. Actually, quite scared after reading a lot of posts in this entry. :(

301 Anonymous { 08.10.09 at 5:31 pm }

I have been reading the posts about this, and wanted to share my experience. I went to the gyno last Tuesday for what I thought was my annual check-up. When I told him that I had had a period in March that lasted for 14 days, he said we should do an endometrial biopsy. My mother had uterine cancer, so I guess he was just being careful. Anyway, I asked if it would hurt (because I hadn't had any time to research it), and he said that some women feel nothing, and some women feel pain. I was nervous, but figured I could get through it. The painful part only lasts about 15 seconds or so. It was pretty painful, but I did my breathing from childbirth classes, and it helped. I bled for almost a week, but as soon as the procedure was over, I had absolutely no pain.

To those of you who are facing the procedure, here is just a word of advice from me (for what it's worth)…. it's really not that awful. If you can face pain for about 15 seconds, then you're going to be fine. I wish that I had known about the ibuprofen trick beforehand, but I wasn't aware that I had to have this done. Some suprises just aren't fun…. :)

302 Anonymous { 08.11.09 at 3:18 am }

At age 56 I just had my fifth endometrial biopsy done on last Thursday, August 6, 2009. All the other endo biopsies weren't so bad as this one. My diagnosis in the past has been endometrial hyperplasia. I have yet to see the results this time.

I took 800mg of Advil prior to the procedure and that didn't seem to matter this time. I am still in pain and it's going on five days past the procedure.

The procedure was the most excruciating pain I've ever had in my life. I have an extremely high pain threshold. Even with the 800mg of Advil I had the worst pain and severe cramping after it wore off about six hours later.

It's five days past the procedure and the cramping goes on and on. I'm calling my gynecologist's office tomorrow to ask if this is normal. Sometimes these are sharp stabbing pains too.

Next time, if there is a next time, I'm taking Oxycodone. I won't be able to walk but at least I won't be feeling anything. smirk

303 Anonymous { 08.11.09 at 2:09 pm }

I had the procedure done a couple weeks ago with no prior notification. I was told what to expect just before, which made me a little nervous. I talked and joked with the doctor during the biopsy and before I new it…it was over. What happened to the pain and cramping? Once dressed, I thanked the doctor and turned to leave. Wow, I said, I don't feel any pain at all. Then I walked out and ran right into the wall. I turned to the doctor (beet red)….Now I do….

304 Anonymous { 08.13.09 at 9:21 am }

I had to come back to comment. :)

I had my endometrial biopsy done yesterday. Of course, after reading all of the bad experiences, I was terrified! I was literally shaking with all kinds of horrible things running through my head.

I asked my doc (a female) "how many swear words" she'd heard over the years with this test. She just laughed and shook her head, saying "none".

There was a pinch (slight and totally bearable…I've had worse during a pap), she said, "I'm in"….then, said "I'm going to take the biopsy sample now…a little pressure and a cramp..hang in there, I'll be done in a sec". As she said that, I felt some pressure, then yes, a really good sharp cramp and just as I thought I was going to say "ouch", she said, "done!". That was it. She was removing the speculum and putting something into a jar/package and telling me I could get up and get dressed.

I felt some cramping and a pinching sensation for about an hour afterwards but, the pinching disappeared after that and I had on and off slight cramping the rest of the evening which Ibuprofen took care of. I did take it easy the rest of the day and evening and am bleeding in a light period like way.

The worst for me was NOT the test. It was the fact that she had given me Misoprostol (Cytotec) to take the night before (vaginally). About two hours after insertion, it produces cramping….like heavy menstrual cramping as it contracts the uterus to dilate the cervix. I felt more discomfort from that than I did the test by far.

So, ladies, take your ibuprofen or a pain med an hour before and you'll be fine. If you are given Cytotek to dilate your cervix for the night before, expect to be cramping and bleeding (period like) for several hours and take whatever you'd take for menstrual cramps.

I'm going to take it easy today (no lifting or heavy exercise) as I'm still bleeding like a light period today, but it's all very tolerable and over quickly.

PS: Love the previous poster's humor in walking into the wall!!! ROFL!!!! That would be something I would do! I did walk the wrong way out of the office and ended up beside the secretary! LOL

305 Anonymous { 08.14.09 at 9:57 am }

Have any of you ladies had the biopsy and used Cytotec (Misoprostol)? I'm starting the third day, post biopsy and I'm bleeding still and cramping like a period. I keep reading "spotting" but, not period like bleeding. Of course, my cervix was dilated by the Cytotec but, I didn't expect to have a period like bleed for going towards 3 days now.

Of course, my doc's office is closed today, the weekend is almost here and my family doc is also off today.

Any answer would be appreciated!

306 Anonymous { 08.15.09 at 12:06 pm }

I have to have this done on Wednesday and I am not sure if I am going to get it done. I went for my yearly exam with a nurse practitioner and complained about heavy bleeding with blood clots and cramping for several years now so she had an ultra sound done. I got the results a month later over the phone by her assistant saying I need an endrometrial biopsy can I come in now or next wednesday, I was at work when they called. I was in shock she would not give me any info really and I told her I would call back. I have never met the doctor who is going to do this he is a gyn that is all I know. I talked to his nurse and she told me it will take 2 min and not very painful and I could go back to work. I now don't believe her and I will call my Nurse Pract. and ask some more questions about the results and about sedation. They have not mentioned any medication for pain or anything if anything I felt stupid for asking questions. I may get a second opinion if I am not happy with the answers Monday. Also it is hard to schedule this procedure because I do work and so does my husband. I am 47 and had one child he is 19. I do not do pain well and I am totally freaked out.

307 Anonymous { 08.15.09 at 12:12 pm }

Oh another thing I had to cancel the procedure two weeks ago because I had started my period which I told them I had started and they didn't say anything that it was best to do it at that time because my cervix would be open. So frustrated by this whole thing.No Information on results and going into this thing blind.

308 Anonymous { 08.17.09 at 7:58 pm }

Wow who would realize there was a whole web site devoted to this! I just had it done a few hours ago, and was concerned because I'm experiencing a little bleeding, but apparently that's somewhat normal. Yes, there was some pain, and yes, I felt like I would faint afterward, but my doctor, who was extremely patient and explained everything to me, had me lie on my side for 10 min and I was fine. I do feel a little blah, and will take the advice of not exercising for a couple days. Unfortunately tomorrow I have another procedure called a pressure flow that involves drinking water and catheters and that sounds VERY unpleasant!

309 Anonymous { 08.18.09 at 7:08 am }

To the anonymous poster on August 15: Please don't avoid this test. I was anxious after reading many of the posts on this website, but with my mother's history of endometrial cancer, I decided I couldn't take the risk. I took 800 mg of ibuprofen an hour before my appointment, had NO PAIN whatsoever, and, luckily, received good news.
It sounds like your doctor's office isn't being very responsive to your concerns; you might want to find a different practice, if you can, but in any case you can certainly schedule an appointment justto talk with the doctor who is going to do the procedure (mine spent about 15 minutes with me on the phone, which was enough to make me feel confident). Don't feel silly about asking questions –it's your body and your health, and questions about a medical procedure are never stupid. Get all the information you need; find a doctor you feel confident about; and get it done!

310 Anonymous { 08.18.09 at 1:27 pm }

Hi I am the one who posted on the 15th I am keeping my appointment tomorrow to talk to the doctor if I feel comfortable about things and if he feels strongly on me getting this test I will get the biopsy. I will be taking 800 mg Ibuprofen before I go. I wonder why the dizziness seems to happen alot. Thanks for your comment you made me feel better.

311 Anonymous { 08.19.09 at 12:17 pm }

I'm the one who posted about the Tao brush vs. the pipelle. I had the procedure done this morning with the Tao brush. No big deal, a brief feeling of pressure with mild cramping. A couple of deep breaths and it was over. Mild cramping for 20-30 minutes afterward. This Dr. stated how the Tao brush by Gynecor is superior to the pipelle, not only because it's less painful, but it also collects a better sample. He feels some Drs. may not be offering it because some insurance companies are balking because it costs more. Seriously women, we need to vocalize our preferences to our Drs. Supply will meet demand.

312 Anonymous { 08.19.09 at 10:34 pm }

Hi, it is me again I posted on the 15th and then the 18th. I was not sure if I was going to have this biopsy but I knew I needed to talk to this doctor that I had never met.
I cried while waiting to have my name called, I was so anxious and scared. I told him about this site and how I had to do my own research since no one would explain anything to me and that there were some real horror stories. He apologized and had a picture of what he was going to do and told me there would be some cramping and that he does not clamp the cervix unless he has to and that if I need him to stop he would. So I gave the Ok, luckily I took 1000 mg Ibuprofen hour before just in case. He asked me to promise that if I have an OK experience that I would share it on this website I told him I would even if it was bad. So my experience was not bad at all he told me what he was doing and what I may feel and the nurse was there to hold my hand, I think I squeezed pretty hard just out of reflex. I could hear the little suction and felt some cramping. It was weird feeling cramping when I am not on my period and I really didn't like that part but it is very tolerable he did not have to clamp my cervix which I was really nervous about. He wanted to do another pass but I asked if he had enough he said yes so I asked him not to and he said fine. It was fast and once he took everything out of me the cramping stopped. After he did a short pelvic exam and checked my bladder no biggy.I did not feel dizzy at all and was able to drive myself home.I started spotting about an hour or so after I got home.It has been about 5 hours since my procedure and there has been some very mild cramps and some light spotting. Now the week wait. All in All not bad, just be prepared. Having a real good doctor I think is the key also.

313 Anonymous { 08.20.09 at 3:03 pm }

My appt is in one hour…I was not nervous until I saw this site, YIKES!! I'll take some ibuprofen now, and hopefully be back tomorrow to tell you how it wert.

314 Anonymous { 08.22.09 at 7:42 pm }

I had this procedure done last Thursday. I was also scared – didn't know what to expect. I waited for a long time before the nurse practitioner came in the room. She talked to me prior to the procedure. It was quick and very uncomfortable. I had a little bit of bleeding afterward, but no cramping. I also did not take any meds prior to the procedure, nor afterwards. I had to drive home afterward and I had no problems. I have given birth to one child and I don't know that I would compare the two. Vaginal Child birth was different than this to me. This was just uncomfortable. Not really that painful – but definitely uncomfortable. Some tolerate pain better than others. Everyone is different. I did take it easy for the next two days following the procedure. I feel fine. I went back to work the next day – no problems.

315 Anonymous { 08.24.09 at 11:16 pm }

LOCAL SEDATION (NOT THE LITOCAINE (SP) NUMBING -
I am having the procedure in three weeks, I asked to have a local sedation. I am a wimp when it comes to blood or needles, I pass out – she originally told me to take advil in the waiting room and she could numb it, i insisted on the local sedation which involves having an IV – i had leap done previously – twice actually -the first time i was 19 and it was so painful so the second time (at 35) I opted for the local sedation and it was so much more tolerable i really didn't feel it at all – that's why when i have this procedure I asked for the same type of sedation – i will post how it went – after i have it – the only thing is, the sedation made me throw up after because you have to fast for eight hours – this time i will bring a power bar and have it immediately after -I am posting because I want people to know that the local sedation is an option! you just have to ask for it -

316 Pie { 08.25.09 at 9:03 am }

Had this done yesterday as part of the e-tergity diagnostic test. While I was pretty scared after reading all posted here, it was not horrible. Painful, yes, but fairly quick. I took 800mg of Advil about an hour prior, which I think helped with cramping and pain. The doc did not numb me at all, but also did not use a clamp on my cervix. The whole thing lasted no more than 5 minutes, and only about 45 seconds of real pain. I've never been pregnant, but have endured many invasive tests to diagnose infertility. So if you have already done things like HSG, hysteroscopy or egg retrievals, this is no worse. Feel free to check out my blog for a more detailed description.

317 Anonymous { 08.27.09 at 9:51 am }

I am the lady who posted on Aug. 8, the doc had trouble dilating my cervix and wanted to repeat when I had my period.
Well….period hasn't come yet, but I do have a very large ovarian cyst on my right ovary found by CT scan and vaginal ultrasound.
You never know…
I went to the doc for menstruating 17 days in July with lower right abdominal pain.
If they insist on another attempt I'll probably take stronger pain medication due to the cramps I already have…but it's less frightening to understand the proceedure now.

318 Jamie { 08.30.09 at 6:22 pm }

My doctor ordered the biopsy because I have been experiencing heavy and long periods for nearly ten years. I was not really told what to expect beforehand. Luckily sites like this told me to take some pain meds beforehand. I took three advil and it did absolutely nothing to reduce the pain I felt. The cramping during the procedure was intense and I almost passed out. It took about 15 minutes and my dr. said it took a little longer because she had trouble inserting the catheter. Definitely ask your dr. questions beforehand and try to get some type of pain medication. Cramps lasted for nearly four days. Good luck to anyone that needs to have this done.

319 Anonymous { 09.03.09 at 9:31 am }

I had an endometrial biopsy yesterday and it was absolutely no big deal. I had been bleeding continuously for nearly a month (and having very long periods for about 6 months). The whole thing took less than 5 minutes and did not hurt at all! I did take two ibuprofen tablets about 45 minutes before my appointment.
Anyway, does anyone know why it takes about a week for the lab results to come back? Shouldn't the lab be able to just look at the biopsy and tell whether it is normal or not?

320 Anonymous { 09.03.09 at 5:41 pm }

I had this done today…my dr was good told me to take ibuprofen last night and this morning along with a vicodin this am, then gave me a shot of torodol IM a hour before the procedure, but the pain was horrible…just like labor and when it was done I had cramps for about an hour and I passed out for the first time in my life, crazy amount of pain, maybe I'm just a baby??!!

321 Anonymous { 09.06.09 at 9:16 pm }

I'm 6 yrs post-meno and I had this procedure 7 days ago because an ultrasound showed some thickening of the lining. I know I have fibroids as well, but they never gave me any trouble. I never had any bleeding either. Well, ever since the biopsy I've had, not quite spotting, but just a brownish swipe on the toilet paper (sorry if that's TMI.) My question is did anyone else ever have this? I'm reading about others having spotting for 2 days at most. Mine was never red, just this sort of tan color on the TP, not even on my panties, but it's still happening 7 days later….
worried…

322 Anonymous { 09.11.09 at 9:51 pm }

I'm 54 and 3 yrs post-menopausal. I had some spotting (which scared the bejeebers out of me), and got an appointment with my gyn. At the appointment (yesterday), I told him my tale, and he said he was going to do an endo. biopsy right then, and also has me scheduled for a trans-vaginal ultrasound on Monday.

Anyway, he told me what he was going to do, and warned me just before he did the two steps. I had no prep, no meds, no nothing. It was undeniably uncomfortable, and while he was very quick, I was more than ready for the procedure to be over. I had cramping for most of the day, but it stopped by bedtime … till I decided I had to investigate something that required a ladder. That started the cramps again, but I went to sleep and felt fine all day today until this evening, and the cramping has started again. Like the previous poster, I, too, have had a very slight brownish discharge on the TP.

I did wonder just before and during the procedure whether having had no children would make this more painful/difficult. From what I've read … apparently not. But I also thought to myself that if this is anything like labor when he's sticking in a small *whatever* through my cervix, I would never have tolerated childbirth!

I understand that everyone is different, but I can't tell you how glad I am that I didn't read this in advance of having it done. I guess I'm fairly fortunate.

323 Anonymous { 09.15.09 at 12:59 am }

I had this procedure today after going to GYN for abnormal vaginal bleeding. I am 39 and have always had normal, on time periods until this past Saturday. I had my last period 2 weeks ago, therefore should not have another one for 2 weeks. Like so many here, the Nurse Practioner asked (on the spot) if it would be okay to remove some tissue. I thought she would just be removing some of the "normal" tissue/clot material that accompanies vag/period bleeding, so I readily agreed. Well, I was sorely mistaken. The first clue was when I felt a sharp pain and pressure. It dawned on me that she was attempting to get into my uterus through the cervix (keep in mind she asked if she could remove tissue, she did not actually say she was going to do a biopsy-I am in the medical field, so she would have had me at "bio"). Okay, I thought-hang in there, it will be no worse than a PAP because that was how it was feeling at this point, only slightly worse. After a minute of her fussing around with items on the table (as I am deep breathing with whatever she inserted or clamped onto my cervix), she said "Here we go. This is going to be a little uncomfortable". The pain was absolutely the worst I've ever had, and I've felt some pain. I've cracked a tooth down to the nerve, had a tooth abscess, broken bones, got dry socket when my wisdom tooth was removed (which they had to irrigate and pack everyday for a week after), etc. Yes, all the others are right. It is quick BUT however long it takes will be quite painful the entire time (assuming you have zero drugs as I did) and will feel like a lifetime. I note that many who did not have pain, were prepped with cervical dialators, or premedicated with narcotics. I do know that if this procedure is ever suggested to me again, I will INSIST on some sort of medication to make it more bareable, even though I have a pretty good tolerance for pain. Yup, I cried. It's not that a person can't get through it, but a little medicinal happiness is the least they can do, not to mention humane. Ladies, you too will slay this demon if you are having this procedure. It's just not a pleasant experience in the least. I love the woman who said "If they want to do this without drugs, RUNNNNN!" In hind sight, I would have if I'd had my pants on! But, I think every woman here would do it again (with drugs) considering the alternative of missing a diagnosis, especially cancer. Good luck to those who are having this done. Be well…

324 Anonymous { 09.24.09 at 6:01 pm }

I had this procedure done today unexpectedly. I was scheduled for a colposcopy due to an abnormal pap. My doctor, a female, wanted to do this but gave me the option to postpone and prepare. I decided to just go for it just to get it over with – so no meds.
The coploscopy part was just a pinch. Then endometrial biopsy hurt – to the point I cried out – but it was over quickly. I was a little dizzy but drove home. For some reason I was very cold when I got home so slept all afternoon under some warm blankets and have had some mild cramping tonight.
My doctor is wonderful and told me it would hurt, especially because I am post-menopausal (age 53) and my cervix is not as flexible as it was years ago when I delivered three children.
I'd equate this to having a root canal "down there". If I need to do it again I will, but I will prepare better for it.

325 Anonymous { 09.25.09 at 2:32 pm }

I just had an endometrial biopsy four hours ago. My ob/gyn asked if I was okay during the procedure and I asked her to keep talking to distract me. She's from India and we had a conversation about her country. Anyway, I hardly felt anything, just a little scraping and a small sharp twinge-it was very quick and over before I knew it! I took 800mg of ibuprofen an hour beforehand with a strong cup of green tea.( I read that ibuprofen works better when taken with caffeine). I don't have children and my ob/gyn has 30 years experience. It really wasn't that bad for me! I highly recommend that you have a conversation with someone about something that will hold your interest to distract you.

326 globblog { 09.25.09 at 7:19 pm }

SO GLAD OTHERS CAN UNDERSTAND
I can't say I'm glad others have experienced something similar to what I did (I wouldn't wish this on my worst enemy) but I'm extremely grateful to those who have posted comments here – WOW.

WHAT HAPPENED
I had an endometrial biopsy two days ago. Prior to the procedure, I'd had heavy bleeding (NOT the norm for me). Tests were run and the pap smear and other results came back "clean/normal" – hence the procedure. I felt informed about the procedure and like I'd done my homework. Doctor was great about discussing everything and prescribed me misoprostol to take vaginally the night before the procedure.

MISOPROSTOL MELTDOWN
After reading the warnings and indications on the medication, I thought the cramping, etc. might be uncomfortable and even somewhat painful. I had no idea.

I think I have a decent tolerance for pain (have had some minor dermatological procedures sans pain meds and think nothing of giving blood,) but, within about two hours oif taking the misoprostol (two 200 mg tablets inserted vaginally), the cramping turned from uncomfortable to painful, moving through my abdomen in what felt like a kind of rolling sensation.

PAIN, OK; BUT MUST THERE BE BILE?
I became somewhat nauseated and, though I had gone to sleep on an empty stomach, I awoke and had to race to the bathroom vomiting bile at about 4:00 am. I was able to calm down somewhat after the first wave of nausea and get some rest, though the pain and bouts of vomiting continued until, by 9:00 am, I had been doubled over either the sink or a large bowl my husband brought to the bedside eight or nine times.

The worst of it, the 8-10am nightmare, was just so painful, I couldn't believe it. Motrin would not stay down – so no NSAID action. At one point as I was rushing to the bathroom and had to stop and grab the door frame– I started to actually blackout from the abdominal pain.

ADDITIONAL FEATURES (UGH)
Throughout, I was alternately sweating and shivering and — as if this bizarre nightmare were not already enough, I had diarrhea.

This lasted until nearly 10:00 am, at which time I finally drifted off to sleep for a couple of hours.

By the time the procedure itself came around (just after 1pm) the pain of the actual pinching of the cervix and suctioning of the sample, while VERY painful, was of such short duration, that despite tearing up having to bite my lip not to cry, I was relieved and grateful.

WHAT THE DOCTOR SAYS
My doc says this is something she has never seen in her many, many years. She was so kind, concerned and sympathetic with what I'd been through and made it clear that she would never have prescribed the misoprostol had any such reaction been known to her.

WHAT'S THE POINT OF THIS ENDLESS STORY (!)
I just felt so isolated and freaked out while this was happening — I joked with a friend that I thought I actually had a vision quest experience at some point from the pain! — I wanted to post the whole saga to, hopefully, relate to others who had something similar and offer my experience in detail in case it may be similar to something another woman experienced and can't explain.

Best to all…

327 Anonymous { 10.06.09 at 2:17 pm }

When I talked to my doctor I was not really concerned, she advised me to take 4 advil before and that it would be one big ‘ahh’ then it would be over. When I asked if I could drive myself home, she assured me I could. Someone then sent me this website and then I got scared from reading it. By the time I got to the doctor’s office, I was tempted to cancel. It was nowhere near as bad fro me as is described by many of the posters. Yes it hurt – but pap smears hurt me too. It was NOT excruitiating! I was in the “chair’ for less than 5 minutes and I really felt no pain afterwards. I did bleed some. I just felt inspired to tell people not to worry about it . The worrying that I felt after reading the posts was worse than the procedure.

328 Anonymous { 10.17.09 at 3:54 pm }

I am 38 and have had “female issues” most of my life with several surgeries. My doctor wanted to do this procedure due to history of fibroids, and just recently two suspicious spots and fluid in my uterus. He scheduled it 3 weeks after the ultrasound results. After finding this board, I was so freaked out and seriously wanted to cancel the appt. The doc told me to take 600 mg motrin 1 hour before. I started taking motrin the night before and 800 mg motrin 1 hour before along with 50 mg ultram.

Once on the table, I thought I was going to pass out…..but once he started the procedure, I started talking to keep my mind off of what was going on. I felt a pinch when he clamped the cervix, then some cramping, not even as bad a menstrual cramps, then 10 seconds of the pain, and it was NOT the worst pain ever felt. I did not bleed right after but lightly spotted when I got home for a few hours. Light cramps through the rest of the evening.

Please do not freak out, it truly was not as bad as it sounds!

Good luck!

329 Melody P { 10.22.09 at 6:53 pm }

Hi all.

I have had heavy periods for the last 4 years. I’m 45 and have had two children via C’section…

I spent HOURS reading all these posts. I got myself so scared and worked up that I put my foot down and told myself I was going to tell the doc NO WAY am I going to be butchered…LOL

I was told nothing about the procedure before hand and was not told to take motrin or anything..so that alone annoyed me…

I went in for my appt this morning and told her I had decided not to have this procedure. I told her she didn’t explain anything to me or tell me to take motrin or anything before hand….I told her all I had read here on this site (she is a obgyn ”specialist”) on the internet and would rather be knocked out first or have this during a D & C if the ultasound was to find fibroids.

She said she as a doctor does not do a D&C or uterus hysterectomy unless a biopsy is done first.

She wanted to give me provera to stop the bleeding but would not until I had the biopsy done as the provera can intearfear with the results of the biopsy…..

She explained it would not be as bad as I read and I would only feel minimal and a tad worse then a pap……

After her spending much time talking to me about it I finally told her to go ahead and do it. I told her if I re’scheduled I’d be a stressed mess knowing I had this appt coming up..

This procedure was NOTHING compared to what I thought it was going to be..Just a HINT worse then a pap..I felt a little pinching..pinching stabbing pain for the most..but nothing that hurt..this is something I could do most everyday but of course wouldn’t want to…

I think knowing that something was way inside me like that and all I had read made it worse then it really was for me..and it really was nothing…I just have a ‘bit’ of spotting going on and no cramping really..I feel a heavy’ness but that is about it..but, she did give me a script of vicodin…I told her I didn’t want to have it done as I read the cramping afterwards was horrible and I just didn’t want anymore blood or pain then needed….

I guess everyone is different when it comes to this…or maybe it’s how well the docs know how to do this procedure.

I was so relieved. I don’t think I have ever been so stressed over something like I was going in knowing this was going to be done…

330 wendy { 12.08.09 at 2:12 pm }

Hi everyone!
I posted in April about my procedure and my test results came back neg; but I still have severe bleeding/cramping/clotting & the doc did an U/S which led to preparing for another biopsy. I have one scheduled for Thurs. I know now to take Advil, and a painkiller and xanax b/c I have problems with anxiety as it is!! So, hopefully we will figure out what is going on down “there”. My doc says that 2 small fibroids should not be causing me so much pain and discomfort! Ha! I have been bleeding like this for a little over a year! They hurt me!!! So I will let you all know how it goes and my test results. Any one else care to share their results? I know it is kind of personal, but most of you posted anonymously anyways……
Just wondering if this procedure is really necessary in finding cancer….
Good luck to you all!

331 Melody P { 12.09.09 at 9:00 pm }

Hi Wendy..

My first post is right above yours..which I posted on Oct 22nd…I go to a specialist, who will be my surgeon also..and she told me that even one itty bitty fibroid (and I’ve been told this by other obgyn’s) can cause severe pain, bleeding and clotting…and I believe that..

wow on them giving you yet another biopsy for all of this. Me, I’d never go for that. I had my one. It was not bad. But I wouldn’t let them give me another..no way…

I hope all goes well and turns out well for you :)

I’m waiting to have a laprascopic hysterectomy..I’m not a candidate for vaginal hysterectomy..and I do not want to have the abdominal surgery. There was a recall on one of the parts for the laparoscopic equipment..so I’m waiting for the hospital to ‘get that part’..

I suffer from severe bleeding, clots and cramping from one fibroid..small one…4 years ago I had a D&C for one fibroid..it was itty itty bitty and caused so much pain and bleeding..once it was removed all of this went away..so in me, one small fibroid DID cause a hurricane :)

Melody P

332 wendy { 12.10.09 at 12:05 pm }

Thanks Melodie for responding. My Dr (who is female) is not a very nice one, and I wish I could find a high risk OBGYN in my area but it is hard….
Anyway, yeah, I was wondering why they needed to do another biopsy, they did inform me that my uterine wall is alot thicker than it should be and I do have small fibroids (3 cm) – but my dr. just downplays them all the time. They interfere with my life! To the point where I have missed out on munerous activities because there was no bathroom readily accessible or the cramping was just too much to bear. I did have a miscarriage in September and the dr. didn’t even care! Geez….that was my future baby! I am still brought to tears about that. That was very painful physically as well as mentally since I was all alone. I had my toddler (who follows me everywhere) with me and she knew something was wrong with mommy. God bless her. So we were hoping to have a son sometime in my life but I am beginning to think that is not feasible since I am constantly bleeding. (and going to be 40 in 21 days! Yikes!!!) :)
My appt. is this afternoon and I have my Advil, xanax, and my painkiller to take before the procedure. It is what I took in April for the last one and it helped!
So, Melody, am I wrong to assume that your test came out positive? Or do you just want a hysterectomy because you are not having any more kids and you dont want to deal with this crap anymore? My dr. wants to do a hysterectomy on me as well so I can be out of this not stop bull**** with my body. We still want a boy…. but that is not guaranteed. I am in quite a quandry….
Good luck to you Melody and all the other stirrup queens!!!!
Take care & happy holidays!!!
-Wendy

333 Melody P { 12.23.09 at 6:30 pm }

Hi…my tests were all positive..and I’m tired of all this ‘crap’ yes…so I’m all for having a hysterectomy..I’m not one of those that is even ‘iffy’ about having one..I want to be done..for GOOD…..I’m sorry you are having such difficulty with your doctor..I have had ‘grumpy’ doctors in the past..I feel very lucky now that I have this doctor…I’m sorry for all you have been through…haven’t they given you pills to try to stop or slow down the bleeding?? I have been on Prover and birth control..it has helped ALOT……I wish you the best!!!!

Melody

334 Amber { 02.04.10 at 8:15 pm }

I just had an endo biopsy yesterday. My gynecologist is a very, very nice and gentle woman. She suggested I take 600 mg of Motrin about an hour pre-procedure. I opted to take a Vicodin (left over from a dental procedure) and a .5 mg Xanax (which I specifically requested from my gyno because I tend to have panic attacks when anticipating pain.) If you feel your going to have a hard time don’t be afraid to ask your gyno or primary doc for a little more than Motrin! Another suggestion, schedule your biopsy right before or right after your period so that the cervix is still slightly opened. Anyhoo, this is how it went. Up I went in the stirrups and then she used the speculum (duck billed looking thing) to open my cervix. So far, the same discomfort as a routine pelvic. Then she cleansed my cervix with a Betadine (antiseptic) swab. Then comes the “fun” part. She used another instrument to hold the cervix open, the was uncomfortable and kind of a dull sensation. Anyone who’s had a pelvic knows what I mean when I say “dull”. Then came the part that was supposed to feel “crampy” but to me felt more like a “jabbing” feeling, it was painful, but was over before I could really react. The entire procedure was over in minutes. I was told to lie there for a few minutes just in case of dizziness, lightheadedness, etc. I then was given a pad, told to dress, and sent on my way. I did get a bit light headed and sweaty as I was standing getting my follow-up appt. but after sitting for about 5 minutes that subsided and once again I was on my way. Truly, I got myself all worked up over something that turned out to be not too bad, but everyone takes pain and stressful situations differently. Good luck to all!

335 mslyricb { 02.11.10 at 11:01 pm }

i had my 3rd and last child by c section a year ago. my periods have been normal my whole life.. then 2 minths ago i started my period and it just kept on going, stopping for a few days and back to bleeding. now ive been bleeding over a month and a half. i did the ultrasound, papsmear and bloodwork, and provera. now she wants to do the biopsy. i dont know how much it costs.. i dont have insurance either :( so ill be paying out of pocket. does anyone know the cost in cash? also, after the biopsy, i havent heard very many ppl talk about the end result other than findings. im interested to know what you ladies were treated for, and treated with as far as the bleeding goes, and also if your bleeding is now under control???? thank you so much !

336 Tina { 02.12.10 at 8:43 am }

Hi Everyone,
I just had an endometrial biopsy yesterday and I wanted to make sure that I shared my experience. Let me start out by saying that I’m 36 years old, and have always had “perfect periods”. Yes, I’ve been blessed with a 28 day cycle, no cramping, and a very light flow that lasts about 3 days. In 2008 I missed my November period and then in December everything was normal again. Then in November 2009 I missed my November period, and in December it came back with a vengeance. I had my period for over a month. I was getting really worried because this was nothing that I had ever experienced before, so to rule out cancer, etc, my doctor ordered blood work, an ultrasound, and and endometrial biopsy. I about lost it when I found out that I was going to be having the biopsy. When I was 17 I had the most awful experience with a biopsy. I had to have a cervical biopsy due to abnormal cells. My doctor assured me that it would just be a couple of pinches, and then it would be over. Welllllll, lets just say that the instrument that they were using to take these couple of biopsies wasn’t sharp enough. They would pinch in, and the instrument would not be sharp enough to take the biopsy. My came with me, and she could hear me screaming in the waiting room. They ended up trying to perform the biopsy about 8-10 times before they got the biopsies that they needed. Needless to say, I was having quite a bit of anxiety about my impending endometrial biopsy. The nurse explained what this would entail on the phone. I was sooo worked up about it. I’ve talked to many people, friends and co-workers who have had this procedure done and that sure didn’t help my worries. Point Blank, they pretty much said that it hurt like hell!!! I started doing more research online and found this site. Wow, that didn’t help me either. It seemed like 90% of the posts agreed, that it was a horrible experience. I had major anxiety about the procedure. I did a lot of research on the process so I knew exactly what to expect. I took 800 mg. of Motrin about an hour before the endometrial biopsy. I was hoping for a drip of valium, but no luck. LOL

Wow! Was I surprised. No, it wasn’t a walk in the park, but it wasn’t half as bad as I worked myself up for. It was like a quick period cramp.

Anyway, I wanted to share my story. If anyone has any questions, I’d be happy to answer. I know how I felt, and would have loved to have someone with a decent experience to talk to.

Good Luck!

337 anonymous { 02.21.10 at 12:10 pm }

I posted on 2/5/09 at 11:11p.m.
My result were that I have polyps.I really don’t understand this,but the bad thing is I have no insurance…not even Medicaid.Since this procedure I have still been experiencing the abnormal bleed,bad cramps and abnormal menstruation.Some times I skip periods for like three months…other times I have bleeding for two- three weeks.Right now I can’t afford to go back for the reccomended D&C.I continue to have bad dreams about this procedure and I am still having panic attacks when I think about how bad it hurted.I don’t know what to do between having the bad memories about this procedure and being able to afford the treatment.

338 mslyricb { 02.23.10 at 10:27 pm }

i dont have insurance either and thats the had part. once i pay for the biopy, then comes whatever wrong and how the heck to pay for it… what are polyps?

339 Nancy { 04.01.10 at 11:42 pm }

I had an endometrial biopsey 15 days ago. It was done in preparation for an ablation for heavy periods. No one warned me that it would be the most excruciating, traumatic experience of my entire life. I have had four children, one miscarriage, a broken foot and a couple of surgeries and absolutely nothing compared to the torture I endured during the biopsey. I left the office sobbing and literally bawled for 10 days. It messed me up emotionally. I have had terrible pain in my groin ever since, I began taking Lortabs a week ago because the cocktails of ibuprofen, Tylenol, and Aleve did nothing. It hurts to walk, sit, drive, and lay down. I feel bloated. I will Never EVER put my legs in the stirrups again and let some monster go up inside of me; I’d rather bleed to death and die. I am terrified that the pain will never go away and I’ll never be able to make love with my husband again. The Dr. checked my uterus, overies etc and didn’t see anything “wrong”. Also checked for infection.

Has anyone out there had a similar experience and most of all- Did the pain ever go away?

340 Prudy { 05.01.10 at 4:00 am }

Had my endometrial biopsy done two days ago for irregular menstrual bleeding. I am 53 years old with a large uterus with multiple fibroids. I think my doctor prepared me well. Also reading all these posts has helped me. I took a vicodin and a 2mg valuim prior to the test. I have never had children so I thought it would be uncomfortable. I was on the 5 th day of my period so I was bleeding and she said the procedure could still be done. It did not hurt a bit. Luckily, she did not have to use a teneculum. Thats a forceps that stabilizes the cervix. I had mild cramping that evening. Still bleeding slightly and feeling a little uncomfortable in the vagina. Have taken motrin once or twice since the procedure was done. As long as your doctor premedicates you this test is a walk in the park. Don’t worry.

341 Melissa { 05.14.10 at 8:28 pm }

Am 41, have had three children, two of them without any medication “naturally” one with epidural. I get very heavy periods with lots of cramping, thus am wanting an endometrial ablation. This endometrial biopsy is done beforehand to make sure you are cancer free. This was done during my initial consultation, I took nothing beforehand and was not told anything other than it would be “a bad cramp” a little worse than a pap smear. Holy Shizz! When he gripped the cervix and opened it I broke out in a hot sweat and felt a lot of rectal pressure. When he inserted the pipette and scraped that was a white hot searing pain. Afterwards, pretty typical menstrual like cramps – this was yesterday. But last night and today the burning cervix and dull ache of my uterus was really intense, called today and told it was “normal”. Am piggybacking tylenol/motrin around the clock and it never really goes away. Am reconsidering the ablation – this was bad enough.

342 Melissa { 05.14.10 at 8:33 pm }

Oh, lest anyone think I don’t know pain, yeah I’ve broken toes, had two elective abortions as a teen, two miscarriages as an adult that I passed at home (no D&C) delivered two children with nothing, not even an IV! Have awful cramps and huge clots with each period. Had septic bursitis in my knee. OK, not saying this is the worst pain ever, at it’s worst probably about as bad as transition in labor at about 8cm – when it starts really getting shitty. Don’t appreciate being told this is “normal”. Read enough descriptions on here to identify – this procedure is very painful for a lot of people. I am no wimp but have been teary all day.

343 anny { 08.06.10 at 7:34 pm }

Had the EB done yesterday and it was horrible……I am nauseous, dizzy, spotting and i feel like someone has literally taken out a piece of my stomach. It i sworste than a c section or childbirth

344 Sue { 08.06.10 at 7:39 pm }

Actually, I was scheduled for an ultrasound on June 5th, but the doctor’s assistant called me this morning and changed my appointment for May 12th, so there must be something wrong in the pap smear I had done a week ago.

345 SweetSaturday { 08.19.10 at 9:29 pm }

I had this procedure done three days ago – it was unscheduled, but recommended based on test results I was there to discuss. I was eager as I felt the procedure was the next step to get me closer to a resolution. I quickly read the disclosure and agreed to proceed. I had no meds or was not advised that any were necessary. I can honestly say that the actual “bioposy”, although brief, was the worst pain I have ever experienced. At one point, I felt faint and asked the doctor to stop. I was not too sore the remainder of the day, but the following two days I was very uncomfortable. I agree that everyone reacts different to any procedure, and I certainly believe that it is important that every female has an opportunity to know what they could possibly experience. I have a sciatic nerve condition that flares up for a week about 1x a year that is extremely painful but nothing compared to those few minutes of acute pain that I experienced during this procedure. Hope this helps – just be prepared – take some motrin – try to relax. Good luck!

346 Jane { 08.22.10 at 11:35 pm }

I had an EB 10 days ago. Like most here, I had read the horror stories and was petrified! I had 3 strikes against me… no children, post-menopause and a tilted uterus.

All I can say is thank goodness for sites like this. My GP of 20 years wouldn’t numb me or give me anything to soften my cervix. I cancelled my appointment with her and went to an OB-GYN.

I told her of my fears and she made it sound like it would be ‘nothing’. I told her, I understood that for many it is nothing, but I didn’t want to be one of those who had so much pain they almost passed out. She offered up valium and a cervical block (like they do for an IUD). She refused to prescribe a narcotic because she insisted it wasn’t necessary.

I don’t know if she was just a very good doctor..or if the lidocaine really worked….but for me it didn’t hurt much at all. I never felt the shot (still not sure she gave it to me). I don’t think she had to clamp my cervix…then she said she was in … and for the next 10-15 seconds I felt a strange pressure. I was totally expecting BIG pain, but it never arrived. Then she was done.

I felt fine after the procedure and went shopping at Target! I did have some light bleeding for a few days, but nothing substancial.

I promised myself I’d post on some of these boards to encourage others. I had an easy time and maybe you can too if you insist on valium and lidocaine..plus the 800 mg of Advil before the procedure.

Good luck to anyone facing this procedure. I know I just about had a nervous breakdown from panic before I had it done…but if I can do it .. so can you!

347 Kate { 08.29.10 at 1:20 am }

I had this procedure done last Wednesday. My doctor was great. I am 65 so she used some numbing gel first. Also, she had a great suggestion and told me to cough repeatedly as she was inserting the pippet. This seemed to help with the cramping. The worst has been the cramping after, as I still get some each day and it has been 3 days. I also took 4 ( 200 miligram) advil one hour prior.

348 Anonymous Sept 2010 { 09.30.10 at 10:11 am }

Ok ladies…..this may be lengthy but I just have to explain my experience. My endo biopsy(Not D&C) was for infertility testing and done by a female doctor in Pennsylvania. I read all the blogs before my procedure and was scared to death(to put it nicely). Some ladies said it felt like bad menstrual cramps and other said it hurt like hell. I feel I can bear pain fairly well, even had a 6 hours sinus and facial surgery last year and didnt have a single pain pill. Hence, THIS PROCEDURE HURTS LIKE HELL!!!
The doctors office told me to take about 4 Motrins about one hour before coming and bring a pad or tampon because of bleeding afterwards. The day of the procedure, i brought my husband and the assistant advised me that it is a pinch and slight cramping, sort of like a menstrual cramp at the start of a normal period. I was reassured and was mentally prepared. i kept telling myself to relax and breath. The doctor had a difficult time with opening the cervix(I’ve never had children before and weigh about 115). This did not hurt. Then I felt slight pressure and finally instant pain. It DID NOT feel like any menstrual cramp I’ve ever had. I felt like someone ripping my guts out(sorry). This pain lasted about 30 seconds, although it felt like an eternity). This pain is from her suctioning the lining as she’s drawing back on the catheter. She then took the speculum out and told my to stay laying down for a few minutes. The severe cramp lasted about another minute as I asked her if this was normal. She stated that it was and it would diminish. I tried to “come to” and sat up. BIG MISTAKE!!! If I could offer any advise…remain laying down for about 5 minutes. When I sat up, I became extremely nauseous, sweaty and felt like I was going to pass out. I doctor heard me “gagging” and came in to check on me and provided me with a cool rag and water. after about 10 minutes, I was fine, embarrassed but fine. I had cramping in my lower back and stomach for about 6 hours. I did not bleed at all. The following day, was minor cramping and a sense of heaviness in the abdomen, still no bleeding or spotting.
Words of Advice…I would do this procedure again if I HAD to, however I would take a pain pill first(make sure someone drives you).
I would definately have your husband or good friend go in the office with you and drive you home.
Do not believe the menstrual cramp explanation the doctors office will give you. It does hurt!!!!
Your partner/husband will need to cater to you after this one. You deserve it!
Do not feel embarassed if you faint or vomit. According to the assistant this is common.
If anyone has any questions, please e-mail me at brindlbullies@yahoo.com. Make sure to include Endo question in subject or I will disregard it as spam.
Hang in there girls. Hope this helps.

349 Lois { 10.01.10 at 9:07 am }

I had en endometrial biopsy 4 days ago. I tend to not do too well with procedures like this. I was prepared for the worst, after reading this site, but luckily, it was not nearly as bad as I feared, likely because I knew what to expect. The doctor explained the procedure and was very quick and efficient. The cramping was over as soon as she finished. it only lasted a few seconds. I did take an Oxycodone and 4 ibuprofen, so that probably helped, too. My biopsy results came back negative (yay!), so I will be scheduled for a D&C to remove some polyps or fibroids that the doctor located. She said I will be under a general anesthesia for that surgery.
I do not wish to minimize the pain and humiliation that some of the women here have suffered. In many clinics, the doctor and staff do not explain thoroughly, are not well trained in this technique, and are not very professional. The doctor who told the woman to “get her buns back on the table” should be censured. How rude. My suggestion is to get a doctor that you trust and like, and mentally prepare yourself ahead of time. You will be fine. The test is really important.

350 kristin { 10.17.10 at 3:53 pm }

I am scheduled to have this procedure this week. My dr is well aware of how I am during a pap so we have planned for vicodine and volume during the procedure- the only thing i am scared about is that she wants to give me medication to dialate my cervix- has anyone had to do this? if so when do u take it and does it hurt?

351 Jill { 11.02.10 at 4:09 pm }

Hi Ladies,

I am 51 years old. I stopped having my period for 14 months, and then suddenly got one. It was a normal period, lasting 4 days. I went to my Doctor and she did the biopsy. It was very painful. Afterwards, I had cramping and back pain. The day after, more cramps and brown mucous discharge. I urge those of you who might think there is something wrong, to not be afraid. Take some pain meds before hand and be brave. I will pray that all results come back negative !

352 MickiLou { 11.11.10 at 2:32 pm }

Just wanted to present some hope for those who’ve had a bad experience. I had so much pain during an attempted biopsy that my Gyn (female) had to stop. I was told it was bec I was 52 and never had kids so I had a tight cervix.

By chance, because of a relocation I had to find a NEW Gyn in my new town. I told her my tale of woe & dread, but she seemed to think it would turn out ok. Well, she was right – YEAH! She uses an ultrasound to look at things while she is inserting the instruments. Because of some physical issues with fibroids & the shape of my uterus, she could navigate around them with the help of the ultrasound tech. WHAT A DIFFERENCE – certainly still uncomfortable, but nothing compared to what it felt like when my previous Gyn was basically going in blind. I had minimal cramping & took a couple of Advil 1 hour before the test.
So, the moral is that there are Gyns out there who are capable and gentle for those of us with “issues”.

353 Marilyn { 01.12.11 at 12:21 pm }

I just had this procedure Mon. 1/10/11.. I’m 66 and had some bleeding (about 3 days) around Christmas.. had a vaginal ultra sound when they found my edometrium was very thick and recommended the biopsy..wish I’d found this site before the procedure… didn’t have any pre medication.. yes, it hurt!! Best thing was that it was brief. I did take some Aleve when I got home.. and sort of crashed..some cramping since then and some bleeding.. not bad.

I had planned to work out today, but after reading the posts think I’ll wait a couple of days.

My question… what have been your results? Were the ones who had the most pain due to fibroids? I’m supposed to get my results next Wed… I’m a bit nervous

354 Hallie { 01.15.11 at 1:05 am }

I just had the procedure done today and it hurt very badly, even after taking a percoset beforehand. Two of my friends that had an EB also said the pain was bad…one was given painkillers like me and the other was given nothing which she regretted.
To the poster that said “drama queens” will have problems, what is wrong with you, what a heartless crappy thing to say. I think the thing about this test is the reactions vary, but it can be very, very painful for some. I would recommend asking your dr. for a decent painkiller and to numb the cervix. Heck ask for a valium as well. Don’t feel guilty about it either! If they give you a problem, tell them you will shop around for a new ob/gyn.

355 Theresa { 01.23.11 at 1:29 pm }

This procedure does hurt- especially for those of my age & didn’t have any children. ( 2 miscarriages tho)
I already had an ultrasopund & didn’t hurt before , but it did this time. Lots of pelvic pain afterwards & also after defecating.
100% taking Aleve & some Valium before procedure. ( my clinic is very close) I am concerned as cancer runs in my family & many hysterectomies performed- hopefully, this thickening can be resolved by meds>????????

356 Connie { 02.10.11 at 6:48 pm }

I’m 54 yrs old & post-menopausal. Had a “surprise” endometrial biopsy 1 1/2 years ago, after the scheduled vaginal ultrasound showed thickened lining & fibroids. No pain meds, no sedation of any kind. Won’t go into details – but NOT GOOD! Saving grace was the fact that it was quick. Test results were all fine, so doc assumed fibroids caused some bleeding, & the thickened lining was due to me being in very early meno.

Fast-forward: After no problems since prior tests, I suddenly had “period-type” bleeding for 6 days last month. So, back to the doc I went & am now scheduled for a saline ultrasound & another endo biopsy next week.

I can’t shake my nervousness over these looming procedures. I am not a wimp, however, I do have cervical stenosis (never had kids). The PA (very sweet lady) will do the tests & has given me a script for 5mg Valium, also advising that I take 800mg Motrin an hour before the appt. I’ve been doing lots of online research this week & have read way too many horror stories, so now my fear is even greater.

Called the PA today to ask if I can have twilight sleep & she said not possible unless I go to the hospital, which means delaying the tests for a few weeks. I’d rather not do this, as an ASAP diagnosis of anything bad is important. Now she says she’ll give me Cytotek to use the night before the procedures, to help loosen-up my cervix.

Not sure what I’m looking for here, but I’m happy to find a place to read your experiences & “whine” about my terror. Any & all suggestions would be appreciated. I don’t believe I’ve ever been this scared or nervous about anything in my life. :(

Stay healthy!

357 Connie { 02.10.11 at 6:50 pm }

Oh gosh, sorry that post was so long!

358 Connie { 02.16.11 at 12:57 am }

I’m back to report that I had my endo biopsy & saline ultrasound today. While it wouldn’t make my top 10 list of things to do, it wasn’t nearly as bad as my 2009 experience. Back then, they sprung the tests on me, with no meds or anesthetics. This time, I began taking 600mg Motrin every 8 hours 24 hrs in advance. The doc also gave me 2 doses of Cytotec to take 12 hours before the procedure. (I have cervical stenosis, so this loosened up the cervical opening.) I took 10mg Valium & 1 Vicodin 1 hour before the procedure. I also requested that a very nice nurse in the gyn practice accompany me in the exam room. Between the drugs & this wonderful lady keeping me occupied by talking to me constantly, the tests were really not that bad. Oh, I also had the doc spray a topical anesthetic on my cervix. I felt cramping for a few seconds here & there, but it didn’t last long. To anyone reading this who is as scared as I was, I hope this helps alleviate those fears somewhat. There’s no reason for these tests to be excruciating – ASK FOR DRUGS!!

359 Delia { 02.18.11 at 1:55 am }

I had this procedure done yesterday and I had no idea I was having it done. Had I known I would have asked my husband to come along. The pain was so unbearable as the doctor had no luck inserting the catheter the fist time he had to stop due to the pain, then go back and re-insert it again causing even more pain. Had I wished I could have taken pain medicine prior to this procedure. On top of this I am still feeling very painful cramping and tomorrow I’m having the saline biopsy at the hospital. This time I’m taking the meds and my husband. This procedure left me traumatized and giving birth to my twins was not as painful as this endo biopsy.

360 chrissy { 02.19.11 at 4:44 pm }

I had Biopsy on Thursday. It was a scheduled appointment, however I was not given any warning of what to expect or do prior to the procedure. Thankful when I woke up that morning I goggled the procedure and found several people saying to take advil or something before hand. I took 2 advil at 10:20, and procedure was done about an hour later. It took longer then expected because my cervix did not want to cooperate with the dr. She told me it was shy. While that caused discomfort, the actual biopsy took about a min. Felt like someone was for lack of better working trying to pull part of my stomach out. It wasn’t painful as much as a pressure sensation. Mild cramping the rest of the day.
I guess I tensed up more then I thought because my upper abdominal muscles are hurting. Little bleeding Thurs, and then spotting on Friday. Results in about a week. Biopsy scheduled because of fibroid, enlarged uterus, and ovary pain.

361 violet { 03.30.11 at 12:38 pm }

After reading the comments on this & other sites I was *terrified* to have an endo biopsy done this morning. I know it’s different for everyone, but I would like to reassure those who are reading this in preparation for the procedure that it may not be as bad as you think – it wasn’t for me.

I took 2 Advil and one .5 mg of Klonopin (a tranquilizer like Valium) before the procedure. This is how it went down:

1. Feet in stirrups (natch), the doctor did a transvaginal ultrasound. A little uncomfortable, but nothing I couldn’t handle.

2. Speculum inserted. Usual discomfort, but most of us are used to this. She also cleaned out my vagina using gauze pads and iodine. Not painful.

3. Now for the hard part. The doctor inserted a very thin straw into my uterus via the cervix. That hurt. She also suctioned out some tissue which would be used for the analysis. There were pretty sharp pains but the whole thing from straw insertion to sample collection lasted NO MORE than ten seconds.

4. The end. I stayed on the table for a little while with some mild menstrual-like camps which went away in a few minutes. No pain at all after that.

PS, I requested to hold the nurse’s hand during the procedure. I think this helped too. : )

362 Anonymous { 04.21.11 at 3:09 pm }

I am postmenopause and had spotting, for about a day, a couple of weeks ago. Yesterday, I had a breast exam and pap smear. It was a bit painful. I was told the pain I experienced was due to atrophy. The NP suggested I have a Endometrial Biopsy done, because of the day of spotting, and said I should take a couple of motrin before the procedure. My questions are: Based on the fact that the Pap was painful, what would be best to take, in order to make this experience less painful? 800 MG of Ibuprofen or Oxycodone W/APAP 5/325 TAB HSY, which I understand is a substitute for nPercoset.? Also, what are the statistics (or percentages) of detecting pre-cancerious cells in my uterus by performing this Biopsy? Finally, when I was menstrating, my cycle was unusually long (6-10 days) and very heavy. Is this any indication as to what I can expect regarding bleeding afterwards?

363 Sanntay { 06.08.11 at 8:11 am }

I have been bleeding for a little over six weeks now, and after two courses of Provera (the first couse stopped my period until the prescription ran out, and the second course only stopped the bleeding for a day), I was scheduled for an EB. After reading this blog, I was very anxious, but was well equipped with meds (800 mg Motrin, a Vicodin, and a Xanax) so by the time my name was called I was relaxed albeit a bit drowsy/ lightheaded. The nurse took my blood pressure and mentioned that the procedure would be uncomfortable, but that I should concentrate on taking deep, slow breaths. I asked if she had a tranquilizer dart, LOL. After sitting for about 10 minutes, the doctor came in and explained what she would be doing, noting that 85% of the time they get a good sample, while 15% of the time she cannot insert the straw-like device (pipelle) into the uterus due to a blockage. “Let’s hope you’re in the 85 percentile”, she said. I’ve been going to this GYN for about 14 years, so I was at ease for the most part, and she explained everything all the way through. Because I have been bleeding continuously, my cervix didn’t resist the insertion of the pipelle, but when she began extracting the sample, I groaned loudly and arched my back a bit. She told me she had to do that once more to get a sample from the other side of my uterus. Again, I moaned, and before I knew it, she was removing the instruments. I would describe that pain as a very sharp, deep, stabbing pain, much worse than any menstrual cramps I’ve had, but thank God it was over quickly. Afterwards, my body began to shake and I just continued to breathe deeply. To repeat what a lot of posters have noted, I can’t imagine what it would have been like without the meds I took, because it DID HURT!!! I was told to lie still for about 10 minutes, and truthfully, I was not about to try to go anywhere because my body was still in shock over WTH just happened. When the nurse returned to check on me, she recommended I go home and lie down, drink plenty of fluids, and take ibuprofen as I needed it. Well, I’m expecting results in 7-10 days, and hopefully everything is ‘normal’. According to the nurse, if I don’t stop bleeding, a D&C is pretty likely. Yikes!

364 Jefferson { 06.10.11 at 12:10 am }

I thought after reading all these postings that the 30% of the world that had a terrible time did all the posting and I would come back to this site and be one of the few to bring in some realism. My GYN said it would be painful but I’d do okay, her nurse said same thing, I consult with my family doc and he concurs take 3 advil, a cytotec to relax the cervix and life is grand. Okay, for the stats, I am 45, never had children. My period stopped for a full year turns out I have a prolactinoma. The endocrinoligist gets the prolactin balanced and the periods return. They can last weeks, the spotting lasts weeks, and then maybe a week before the periods resume. So it is time for a biopsy. My period had been going for 39 days. It stops 2 days before the scheduled Biopsy (great timing) so much for the cervix being partially dialated but let’s get this done. I bring my husband for support – I am actually scared, that doesn’t happen oftern. I have dislocated my shoulder 5x, broken bones, bilateral tendonitis – I’m pretty stout. I handle pain well. Had my shoulder rebuilt and planned a 5 day stay in the hospital for pain mgt. after 24 hours they released my with no prescription pain meds as I was perfectly fine. Okay – This biopsy will never be done again while I am conscious. Getting past the cervix was absolutely excruciating. I have never experienced pain that would cause me to scream. I remember a moment of — “I can do this, I can keep this inside, I will not” and then I screamed. I heard the bones in my husband’s hands start popping from my excessive squeezing. Yes, the doc is a good sport… says she’ll stop until I give her permission to continue… that was horrific. I don’t know how in the he** anyone can refer to that as cramping. It was off the scale pain. I had a root canal go wrong and that pain brought tears to my eyes but no sniveling, whining or noise..the tears were simply a bio function to pain. This was scream. I couldn’t believe I had just screamed in a doctors office (what will people think!) -When I had come down off the pain a bit – I gave her the okay. Again, it is not cramping this is pain, not as bad as getting past the cervix but I found moaning like a wounded animal trying to surpress another scream. I also determined I was flushed, light headed and heading for passing out in the near future. (At least I was already laying down). That night was not too terrible, I thought the worst was over. We went home and chilled out at the house. The next morning, I’m having flashbacks to being 13 and fighting with my older brother. You know the feeling after he punches you in the gut and the immediate pain wears off but the dull empty hollow pain that is deep lingers on….. yep, that is the feeling. I tried taking a few mild walks, heating pad on the tummy, on the back and I hope I still have a liver after pounding down advil all day. Thank goodness by dumb luck I had the day off after the procedure because I surely would not have been able to work. The doc says it is painful but only for a few minutes…maybe 3? I don’t care how short the pain is that was ridiculous and as someone else said barbaric. Why can’t modern meds block this type of pain. I will not be conscious if someone does this procedure to me again – I will require full sedation or take my chances not knowing what is growing in my utereus. It is inhuman even if it is only for 3 minutes. And yes, to quote another writer listed above, it does feel like someone swinging a painful zwizzle stick around inside your utereus – again I didn’t “get it” until I “Got It” UGH.

365 Barb { 08.12.11 at 8:38 am }

Hi All –
I just had this procedure done last week. I went in for prolonged period and had no idea they would do this. I am 45 with no children. I had severe cramps that morning, so I suspect that didn’t help. I had taken two motrin for the cramps, but that made zero difference. My cervix was closed and tight, but the opening of the cervix was the least of my pain. It did hurt for a pinch and then a little cramp but that was it. What absolutely killed was the biopsy. I have never felt pain like that and will NEVER have another one done while awake. It felt like he scraped forever, and it hurt like I couldn’t believe. It was excrutiating. I kept saying Ouch! and finally asked the Dr to stop. He did, but he was done.
I was not told before hand that it would hurt aside from a little cramping. I got right up after, had blood work done and felt pretty good. I was dizzy off and on that afternoon and while I didn’t have any cramps I felt sore in there. I was traumatized by the experience.
I came home and googled and found so many other women with the same awful experience. I’m glad I didn’t know, I wouldn’t have had it.
Good luck ladies!

366 Anonymous { 08.16.11 at 1:31 am }

The doctor wanted me to have this DONE but when I found out I wouldn’t be sedated I said NOOOO!!! I have PTSD and experienced a panic attack during a medical procedure. I was sexually abused as a child and can barely tolerate being touched. Even pap tests are traumatizing to me so I get them very infrequently. Why can’t I be sedated for this? If it is the only way I would have it done, why wouldn’t the doctor sedate me? I NEED TO BE SEDATED!!! I hate some doctors because they are so cruel. They would rather I die of cancer. I don’t care what anyone says, I will not have an endometrial biopsy without sedation. If I end up having cancer, I will just kill myself. Those evil doctors don’t care.

367 Barb { 08.23.11 at 11:00 pm }

Sorry Anonymous you are going through this. Did you explain to the Dr your fears? If s/he won’t help to make the procedure less stressful, please find a other Dr. There has to be one that will listen to your concerns and make the procedure doable for you. Please take care of yourself. Some dr’s just don’t care or think patients over react.

368 Mel { 10.23.11 at 4:59 pm }

I had this done on Oct. 18th. It was under GA ONLY becuase I had refused to have it done on the spot and ‘Googled’ it and freaked out and demanded the GA!!! Yes, some women may find this easy. I DID NOT!!! Thankfully under GA I felt nothing until I awoke in recovery. Thats when the horrible pain began. There was no advil for that pain! Strong painkillers right into my IV! After 4 hours I was on 30/500 cocodemol, 600 mg Ibuprofen and STILL I was in the most unreal pain in my hips, knees and legs. What the heck did they do to me?? Had to have the emergency doctor out and be put on an extremely strong muscle relaxer on top of the pain meds! The pain didnt go for two full days. Then there was the third day which had dizziness, bloating and cramps. Still have cramping and light spotty bleeding four days on. My body was a wreck! Still isnt back to normal. (not to mention the really annoying scrapes down below. Oh, and whatever you do, take a stool softner, ya sure as heck dont wanna push!) My advice…DO NOT have this done to you without GA. I cant imagine that pain on top of the after pain!! OK, everyone is different, but why risk it? My doc was fully ready to pop me on a table and do this without ANY meds at all and me with no idea what to expect. Thankfully, I was brave enough to say NO and research it. How many women dont and suffer. I dont want to scare anyone but if it were me again, Id have it only under GA and with some SUPER painkillers after!! The after pain was worse than my c-sections! Educate yourself, ask questions and dont take no for an answer! Its YOUR body! You are not uterus number 7653! You are a woman with a body and feelings. Speak up. Glad I did.

369 Anonymous { 11.04.11 at 8:13 pm }

I put this procedure off for over a year because I was so afraid of the pain. Today I finally had it done. Maybe because I was on my cycle (and my cervix was slightly dilated), maybe because I’ve had a child, or maybe just from good luck, it didn’t hurt at all. In fact, it was more comfortable than the last pap smear I had. I think everyone’s bodies are different, and I do feel awful for anyone who has had a bad experience (and I did have an awful experience when they inserted an IUD many years ago), but I just wanted to reassure others that it is not an absolute certainty that you’ll be in horrific pain. Prepare for the worst (load up on pain meds, perhaps a pill to help with anxiety and take your hubby or good friend with you to hold your hand), but also keep in mind that it may not be a horrible experience. Good luck to everyone and best of health to all of you!!!!

370 Scout and Roxy's Mom { 11.30.11 at 5:15 pm }

My sister had this procedure a few months ago and said it was the worst pain she has ever experienced so when I had a pap test that showed endometrial cells (I’m 45 – had no symptoms but had my pap test just a few days after my cycle which can show these cells – so I am told). Anyway, I FREAKED when I heard I needed to have the biopsy. I had it this morning, about an hour before the procedure I took 800mg of advil and .5mg of xanax. The xanax didnt do much because I was so nervous. My Doctor (Male) and his NP (a good friend of mine) couldnt have been better to me. They showed me the tools and what they would be doing, how long the pain would last. They didnt sugarcoat it which made it not as awful as it could be. I can say that the pain only last 30 seconds (in my case) and it was bad but quick. Afterwards, i had a little cramping and spotting. Otherwise I feel just fine. I have never had children so I have a narrow cervix. All I can say is – take the pain pills ahead, take a xanax if you can and know what to expect. Good luck ladies!!!!

371 Deb { 01.01.12 at 11:07 pm }

Like most others, I was very apprehensive after reading some of these horror stories. My gynceologist warned me not to believe everything you read online. I’m sure for those who experienced the pain, the painwas real. I knew I had to have the test so I figured might as well relax and hope for the best. I did take two advils an hour before and another two about half hour before. I can’t really describe the feeling during the procedure as pain, it was more like pressure and a slight pinch. I felt no cramping at all and before I knew it, the procedure was over. I told my gyno that there was really no pain. She seemed a little surprised ( maybe first time she heard this) but she also told me that I had very good breathing tecnhiques. I did breathe like when I was in labor… so possibly that made the biopsy easier to take. I drove myself home and felt so good that I went to a party afterwards that I hadn’t planned on attending. I felt slight cramping the next couple of days…didn’t even need to take any more advil for it. Still waiting for the results. Hopefully, the rest of you will have an experience like mine!

372 Chris { 02.02.12 at 8:22 pm }

I just had this procedure done today, before I get a hysterectomy next week. Just had an ultrasound that showed my cause of constant cramping is that my uterus is entirely filled with fibroids, hence the hysterectomy. I WISH I would have read this site before I went today.
I am almost immune to pain. I was shot in the head and have had 30 surgeries. I have delivered 2 babies, vaginally. NOTHING compared to this biopsy today!
They couldn’t get thru my cervix, so I was dialated and grabbed. It was excruciating. I wasn’t advised to pre-medicate & I got no numbing agents. IMO, they should have stopped and scheduled it in a hospital with anesthesia. This was barbaric, and I’m considering legal action. Doubt I’ll go thru with the hysterectomy with their office if this is the way patients are treated!

373 Erica { 02.14.12 at 11:41 am }

I had the procedure done yesterday. My RE was doing it because I don’t have regular periods and can sometimes go as long as 3 years without a period. My husband and I are trying to get pregnant and I’m 34. The doctor wanted to make sure that I don’t have cancer. Anyway I was having one procedure done where they fill my uterus up with salt water to look for any cancers. That was not problem just alittle cramping. I did not take any meds before the procedure. Then my RE wanted to give me the biopsy. I wasn’t scared or anything I figured it would be like a pap smear. He warned me before hand that I would feel something like a strong menstral cramp and he was right. He didn’t get enough sample the first time so he had to go in to do it a second. When he told me it was over I was like “Thank goodness” The problem I experienced was mostly afterwards. I was frustrated because my RE is about 1 hour from my house and my spouse wouldn’t go with me to the procedure so I texted him and told him I could of used the support. I felt like crying when I cleaned up in the restroom and found I had blood all over the inside of my legs and experienced a heavy period. That only lasted a few hours but I’ve been having cramping and nausea every since. I didn’t sleep much last night because the cramping doesn’t feel so good and I’m still having some strong cramps now.

374 s thorne { 02.15.12 at 9:11 pm }

I am sooooooo glad to know others felt like this was exremely painful. I also had it done, unexpectedly in the dr office last friday, due to bleeding. doc gave me 2 ibuprofin & it was not enough. It is the worst pain I have ever had. Yes it only lasted a short time, but I almost passed out & my uterus is still sore a week & half later. I am shocked at how painful it is & I have had several surgical procedures & nothing compares. I am glad I did not I was going to have it before hand. I would have assumed that I would be one of the lucky ones & not feel pain. Wish that were the case. They should prescribe something super strong.

375 Barba { 03.21.12 at 11:45 pm }

Checking back in. I was curious to see if there were more experiences with this procedure. I ended up having lap surgery and having an ovary removed a month after my biopsy. The surgery was so easy as was the recovery compared to my biopsy experience.
I wasn’t at all nervous or tense before the biopsy, I had NO idea it would hurt 1/100th as much as it did.
I am happy for those who had no pain. I will say that NO breathing technique would have eased my pain. It was excruciating and the dizziness and feeling of being traumatized afterwards were very real. It wasn’t until later when I googled to see if anyone else had a similar experience that I found it was not uncommon.
Take care ladies!

376 sylvia { 04.02.12 at 11:06 pm }

I want to say thank you to all the brave women, who have posted on this blog. I had this biopsy today and I’m in pain, and this proeedure was more than 8 hours ago. I’m not bleeding yet but it sure feels like I will. The only good thing, is the proceedure didn’t take long, however I couldn’t wait for it to be over!!!! I finally had to yell out loud “It hurts!!!!” and the nurse didn’t give me her hand to squeeze so I started banging on the wall, yelling it hurts!!! Ladies if you have this done to you, be sure to take pain killer, and rest after, all I want to do is lay down in bed. I’m so thankful to know I’m not alone and other women have felt the pain I’m experiencing now. My doctor said I would feel some pressure (this was a gross under estimate). He was not volunteering any information so after I asked if this was going to make me bleed? He said maybe. This makes me want to cuss. We need more female doctors that can work on ways to help with the pain. This is right up there with the mamograms that squeeze you flatter than a pancake and my doctor saying he will add an extra stitch after the baby is born for good ‘ol Dad!!!!

377 Sylvia H { 04.03.12 at 4:52 pm }

April 3rd 2012
Hi all. I had this done today for the 3rd time in only a few years. I’m now 57 and still have estrogen hormones and bleeding but irregularly. My Dr decided to do this again just to make sure since I have had a DNC and had some hyperplasia without atypia. No cancer yet as of last April 2011. Now April 2012. Once again and Endometrial Biopsy.

First two times, done with no pain meds. 1st time male Dr. Had very sustained cramping but nothing I couldn’t deep breath to help. I did have some tummy tenderness the next few days.

2nd time and this time, was a female Dr. It was less painful and the first one she did a year ago I took no meds. I had medium cramping but only for a short time. They had to dialate the cervix. No after pain and minimal bleeding and no tummy tenderness.

This time I took 2 Advil about an hour before. I think it helped. About the same amout of pain but it seemed like I dialated better.

Anyway ladies, if you are prone to pain you most likely will be a little more uncomfortable.

If you can breathe deeply into the stomach area and try to relax it helps a lot. Just remember, it is over very quickly and if it catches cancer before cancer catches you it will be worth every bit of cramps!! Just be thankful we live in a country that we can have procedures like this done before cancer is too bad. Hopefully we will still be able to have these things taken care of in our new healthcare system… Hang in there! Sylvia H

378 Kris { 04.07.12 at 1:02 pm }

I am scheduled for an endometrial biopsy on the 17th. Im having a high level of anxiety about it. I have my period all the time and OBGYN wants to get to the bottom of it. Im SCARED!!!

379 Barb { 04.08.12 at 12:38 pm }

It is true – we are lucky to have such good health care in this country.
I have no idea why this procedure causes some women more pain then others. I wonder if those who had severe pain are more prone to severe menstrual cramps? I was actually already having bad cramps when they did this procedure on me. Which I am sure didn’t help.
But I can say for sure that I have an incredibly high tolerance for pain. I’ve shattered many bones, and have had multiple surgeries to repair them and other things. I went to a party 24 hours after I had my appendix out. I am not a sissy when it comes to pain. This procedure was a lot more than just a little discomfort and I went into it totally relaxed with no idea it would hurt.
I am not trying to scare women from having this done, but I believe patients have the right to know the level of pain this biopsy can cause. I would for sure take at least Motrin before this procedure and have someone come with you for support.

380 Ellen { 04.10.12 at 4:53 pm }

I’ve been having some serious issues and feel that I may need to have this procedure. I’m 49, just had Mirena removed in early Feb. After 4 yrs of no periods, now I don’t know if I’m experiencing an actual period, or peri menopausal bleeding, or something else. I’ve been bleeding heavily with a lot of ovary area pain for 7 straight days now. The pain is so bad, it’s scaring me. My whole abdomen feels bloated and it hurts. I have a gyn apptmt on Tues. I’ll be getting bloodwork and getting a new Mirena. I’m just very nervous about what it “could” be.

381 Lyn { 04.11.12 at 10:10 pm }

I am getting this done tomorrow and now I am absolutely terrified. I want to cancel my appointment. I don’t know what to do. I will certainly come back here and report if I do go through with the biopsy. I had very little spotting but my doctor wants me to get this done “just to be sure” nothing is wrong.

382 Lisa { 04.17.12 at 9:44 pm }

I am 40 and had this procedure done today. I was worried after reading comments from this site. My doctor prescribed percocet and xanax to take an hour beforehand. The procedure took 5 minutes. It was painful but quick. I am still bleeding a few hours afterwards, but after the procedure I had no pain or cramping.

383 Lyn { 04.20.12 at 6:04 pm }

I had this done last week. I agree with Lisa that it did hurt but it was totally bearable. I took advil and xanax before going. It was so quick and over before I knew it and I had no problem after. No bleeding in my case. A tiny bit of cramping but not bad at all. I got myself all worked up about it over nothing. I know everyone is different but this is just my experience. I would never cancel my appointment no matter what. It can save your life. My results were good and no problems. It is quite the relief. It was so worth five minutes of being uncomfortable.

If you are scheduled for this test, please try to relax. You are reading a message from the biggest chicken on earth and I am telling you. It is not bad at all.

Good luck!!

384 Jan { 04.20.12 at 9:53 pm }

SO glad the last two had good experiences. I am sure the pre medications made a BIG difference. I wish I was given something before. Many woman have this procedure done with no meds or explanation. I think this page is a gift to women. I am sure if I had had xanax and narcotics before hand, my experience would have been so much better.

385 Heather { 04.21.12 at 4:43 am }

I so wish I’d found this site before. I’m 46 and have been having spotting for several months and a polyp was suspected. A transvaginal scan showed some thickening of uterus (Endometrial hyperplasia). I was pretty worried about having the scan and it was a bit uncomfortable but not painful in the least.
So yesterday when I was offered an endometrial biopsy I was pretty unconcerned as I’d had a biopsy done previously for my cheek.
I was told it would be uncomfortable and the pain would be similar to period pain. I wasn’t offered any pre pain relief at all.

I have never experienced so much horrendous pain in my life. I nearly passed out. I felt sick and very dizzy. I started crying. I never wanted out of a place more in my life. I was told to take my time and have a seat in the waiting area until I felt like going home. I walked out crying and kept walking. The waiting area was packed anyway.

I’d gone on my own as my partner couldn’t make it. I phoned him and said he had to get someone to pick me up. I was in pain, couldn’t stop crying and felt dizzy as hell.

I’ve been vomiting for most of yesterday and into the wee hours this morning. I’m bleeding and still shakey. So far I’ve not been sick this morning but I still feel ill. I really feel my body went into shock.

I’ve had 2 children, a torn calf muscle, many migraines and been in a car crash but the pain from this procedure tops that lot. I’m shocked that I wasn’t offered any pain relief before and none afterwards. I didn’t even get an advice leaflet for afterwards. I think I’m still a bit traumatised by it.

386 Jennifer M McPherson { 04.26.12 at 4:08 pm }

I am posting this because many of the posts on this site or others like it almost made me not get this procedure done. The Procedure was not nearly as bad as I was led to beieve.
I will say that beforehand I took one ibuprofin (800 mg) for anticipated pain.
During the procedure all I got was some minor pressure and some slight cramping. When it was over I did feel some dizziness.
But not nearly as bad as I thought it would be.

387 4kidsinmi { 05.02.12 at 10:28 pm }

So suffice to say, everyone is different. I had one this afternoon, took no painkillers of any sort, and am fairing well. I have some cramping, but that’s about it. I was on day 3 of my period though and the doctor told me that was better for pain since my cervix was already soft. Maybe this helped more than they know. ??? I’ve had 4 children vaginally and the cramping for the biopsy compared to mild labor contractions for me. I would probably recommended some Motrin beforehand, just to keep the pain in check.

388 Lucy { 05.16.12 at 10:52 am }

Hi:
I have never done this before (commenting/blogging) but, on the other hand, I have never had an experience like I had yesterday.
I was scheduled to have an endometrial biopsy done at 11:30 yesterday morning. My doc told me to use two misoprostol tablets vaginally about 8 hours before the procedure. I got myself up at 3:00 a.m. to insert the tablets. By 3:45 I was sitting on the toilet with diarrhea and severe cramping. By 4:15 I had diarrhea and vomiting, cold sweats and increased pain. When it first started, I went upstairs so as not to disturb my husband. He got up at 7:00 to find me on the couch in terrible pain. And I was too sick to go in for the procedure.
I have 3 children. I am 56 years old. I am not a wimp by any stretch, but this experience has left me shell-shocked. I couldn’t imagine going in and having the instrument put inside me when I was in that much pain. And I was told that any discomfort that I might have would come after the procedure. I was told only that the pre-procedure medication MAY cause a bit of cramping and maybe diarrhea. Has anyone else had this kind of reaction? Is there an alternative to this if the biopsy needs to be done…anesthetics, etc.
Thanks so much. I would like to have the procedure done so I will know that everything is ok…but I am really scared now.
L

389 rosa { 05.22.12 at 1:13 pm }

sallam,
i got the test done 5 days before..n it was really painful. the doctor didn’t suggest for any painkiller med before the test…i am still spotting a little..is it normal?

390 Sara { 05.22.12 at 2:46 pm }

Hi!
Lucy, I had the same side effects! I am 27 years old and I had the endometrial biopsy done yesterday. I thought I was ok to go to work and I had to go home. My doctor had me take 4 misoprostol tablets, I had the diarrhea, vomitting and cold sweats. I however did go in for the appointment that day and it was the worst pain I have ever had. I have no children. This is why I am seeing what is going on because I have not been able to get pregnant. I wish I had more info for you Lucy but just hang in there. I am still waiting for my results.
Sara

391 Irish { 05.24.12 at 5:59 pm }

I’m 51, I had 2 episodes of heavy bleeding at the end of my period a week ago, about 8 hours apart from each other and then no more. I told my gyno that I had heavy bleeding and if I could go on the medication she put me on before to control the bleeding (Levora) and she said that I could come in for an endometrial biopsy if I wanted to and now when I told her that I want the Levora she said that I really should do the biopsy and that I need to come in soon. She said it would be crampy/painful and she had it done recently and was painful but it’s over quick, but reading all of your posts terrifies me. Do I absolutely have to have it since I don’t usually have heavy bleeding and the bleeding only lasted a few seconds? I’m afraid that if I say no she is going to sneak it in when she does the pap. My last pap was 3 years ago and was very painful.

392 Marcia { 05.24.12 at 8:30 pm }

I have had 3 types of biopsies done, and will rank them in order of pain, from least to highest.
3) Cervical pinch biopsy – seriously unpleasant, and yes, it hurts.
2) Endometrial biopsy – I, like so many women here, was not offered anything prior, and indeed, didn’t even know I was going to be getting one until my Gyn said he was about to do it. No numbing, just clamp, yank, poke. It was horrid, but I managed to not squeak or twitch. He DID tell me it was going to be very painful, so he gets mad props for not lying like most male docs and claiming it’s “a pinch.”
1) Scissor biopsy (no anesthetic) of posterior fourchette area of vulva. This was the granddaddy of YOWCH – because it was done raw, and then chemically cauterized afterward with silver nitrate Silver nitrate doesn’t hurt if done on the vaginal cuff post-hysterectomy, but it is exactly like lighting a match and pressing it on your skin, done on the vulva or labia minora. Don’t let your doc do it without numbing you up. I have a new standard by which all biopsy/in-office testing pain will be judged. Endometrial biopsy hurts. It can hurt tremendously, or it can hurt much less, if you know beforehand and can prepare. A good rule of thumb is to know that a doctor saying that it will be “a pinch” means you are going to want to kick them in the head.

I have always found pap smears uncomfortable, but not technically painful. Punch biopsies DO hurt. I’m not sure why medical sites keep wanting to insist in their literature and information, that women supposedly don’t find them painful. I guess they have not paid attention to their patients’ reactions and words. Endometrial biopsy hurts more than a punch biopsy. Your mileage will vary, but knowing that it’s going to hurt, actually helps you handle it. There’s no surprise.

393 marie { 05.26.12 at 12:14 am }

I had this procedure done this morning. It was not at ALL as bad as I thought it would be after reading all of the terrible experiences here, I was really terrified to have this done. I took 3 Motrin one hour before the procedure and though it was uncomfortable, the pain level for me was probably a 2 on a scale of 1 to 10. My cervix was not cooperating so he had to re-position it and even that was not too bad. The whole thing was over in less than 5 minutes and I have had no cramping or bleeding at all. I resumed normal activity for the rest of the day. I’m not sure why people’s experience with this is so different but I just wanted to post for someone looking for reassurance that not all experiences with this are bad.

394 Anonymous { 06.11.12 at 10:34 am }

I had this procedure last Thursday and after reading all the comments on this website I was terrified. However, I am glad to say that it was not any where as bad as I had feared —- but not anything I would want to have on a routine basis. I did experience a few seconds of horrible cramps but that was it. My doctor was great and talked me through the entire procedure. I did have some mild bleeding through the next afternoon but no pain. Now just waiting on the results!

395 Laurel { 06.12.12 at 10:12 am }

I just got back from having an endometrial biopsy. I had read most of the posts in this thread and have to admit that I was really freaking out. But, after a period of 35 days, I was also freaking out that I could have cancer. I took 800 mg of ibuprofen about an hour before my appointment. I told my doctor that I was really nervous about it, and she explained exactly what she was going to do. She also reassured me that if I was too uncomfortable, she would not proceed and instead schedule a D&C. Fortunately, she did not have to grab my cervix with the tenaculum. The tube went in easily and I just felt some very mild cramping as the sample was taken. For me, it was quick and pretty easy. I am so sorry for all the women who have had awful experiences but for those facing this procedure, realize that everyone is different and it can be relatively painless. I am so fortunate to have such a wonderful doctor and hope that you do, too. Now the hard part is waiting for the results which should come within a week. I wish all of you all the best.

396 Me { 06.16.12 at 2:13 am }

Well ever since I have had the biopsy I have been ill, bleeding for weeks at a time and now cramping after a pap smear. I feel like the doctor does not care he does not see anything but I am in pain an bleeding in clots for a months and a half now. I do not know what to think I cant even have sex in hurts so bad in my left ovary. I never any of these problems until the biopsy. I am scared and in pain’

397 spcystcy { 06.16.12 at 3:22 pm }

hi i usually don’t post on sites like this but I am scheduled for an endometrial bisopsy on mon and after reading some posts here i am really scared I know that there are a couple different methods to do this procedure could some people please verify which procedure they have had i am having the pipelle or piette method i have seen it both ways and i have heard that this is the least painful one please let me know

thanks

398 Joss { 06.17.12 at 12:46 pm }

This thread of information was very helpful to me, b/c it helped normalize that an endometrial biopsy can be very challenging for some women and only minor for others. The experience is different for every woman–and I don’t think that it can be easily predicted who will have an easier or worse time of it. It also can be different for the same women each time she has a biopsy–so the best thing to do is be as well prepared as possible for the experience.

In regards to my own experience, I had this procedure a couple of days ago, and it was very painful. I took cytotec (misinopril) at about 6am and had severe waves of cramping and diareha. I took 600 mg of Ibuprofin but this did not touch the pain from the cramping. During the procedure at 8:30am, I felt a strong pinch, more cramping, and was aware that tissue was being removed. I tried to visualize positive imagery and breathe rhythmically during the procedure. The breathing seemed to help to some degree but it was too painful to focus on the imagery.

After the procedure, I had to ask the doc to give me something stronger for the pain (Vicodin) before I went home. They seemed hesitant to give it to me but called in a prescription. The medical staff seemed generally surprised that I had pain to this degree. I was suprised too, as I typically have a high pain tolerance.

When I left the office, I had trouble walking out to the car and my husband supported me and drove me home. I could not get comfortable regardless of what position I was in (sitting, laying down, standing) for about 7-8 hours after I took the cytotec and felt sick to my stomach most of the day. I was unable to go to work that day (even though the doc said I should be able to go immediately back after the procedure). I am a healthcare provider and had to have my own clinic cancelled–which is the last thing I wanted to do.

Overall, I think the biopsy was rough–but the cytotec was worse. I have never had a baby but know that this particular medication is used to induce labor; for abortions; and to “soften” one’s cervix before a medical procedure. I would recommend that you not use the medication unless absolutely necessary.

If I had to have this again, I would request vicodin or strong pain killer BEFORE the biopsy and maybe even anesthesia. In some cases, a physician can provide anesthesia–altough this will make the procedure much more expensive and complex. It will likely be considered a surgical procedure rather than an office procedure and you may have to come up with a justification for your insurance company to pay for it. Also, anesthesia does not come without potential side effects.

I would not plan to go to work the day of the procedure. Just go home and recuperate. Don’t push yourself too much.

If you have significant bleeding afterwards (more than spotting), fever, or abnormal vaginal discharge, you should call your physician ASAP.

Finally, remember that most women don’t have too much difficulty tolerating an endometrial biopsy–so you may have minimal diffuculty. Just make sure to take it easy and be prepared in case you do have adverse effects.

My thoughts and prayers go out to all of you that your results will be useful and that you will experience good health and wellbeing.

399 Ivy { 06.20.12 at 2:32 pm }

I am So thankful for this site. Monday afternoon was my third biopsy in the last 8 months. (Today is wednesday) We are trying to fight back pre-cancer with massive megestrol treatments so I require frequent biopsies. I remember the first two hurt like heck. The first one was in his office with nothing.. I can’t take anything other than narcotics and tylenol due to having foreign bodies in my stomach from a prior procedure. The first biopsy I had nothing. It was hands down the worst pain of my life. Having two ribs removed after a car accident was nothing compared to the moment of the biopsy. I had zero warning and screamed loud enough that the waiting room heard me.. the screaming was completely involuntary. I have not had children so I can’t speak on that. I can’t remember how long I had the cramping other than it was at least a couple days.

The second biopsy was coupled with a D&C and a hystoscopy so was done in an outpatient facility, I don’t remember too much except the awful cramping afterward. This lasted again at least a couple days.

Fast forward 6 months and I had my third one done late in the day on Monday. I took a xanax to try and relax before the procedure. It did nothing.. my blood pressure was through the roof and I was terrified. The entire time I was on the verge of passing out. He did give my cervix a shot, and that had no pain thankfully. I don’t think the shot worked though, I noticed no difference in the pain of insertion. The biopsy itself though… I was practically crawling backwards out of the stirrups crying and desperate for it to end. Today is Wednesday and I STILL hurt like hell. I have to sit til I can’t stand it, then lay down til I can’t stand it, and repeat. I’m not sleeping and I am miserable.

I do want to say something here. My mom has had the procedure done and had no pain other than the 5 or 10 minutes of the actual procedure. The nurse there that is roughly my age (34) had no pain as well. It really does vary widely on who suffers how. It can be a very scary procedure and only you know your body. PLEASE don’t be afraid to push your doctor for pain medicine if you feel you will need it.

As for those few women here posting “Don’t worry It doesn’t hurt at all. Don’t listen to the scary people.” Please please don’t say that. This is one procedure that varies hugely. I am SO glad you didn’t hurt, I wouldn’t wish this on anyone.. but a large portion of us suffer greatly from it. The entire reason I came here is because I was scared that this is day 2 and a half and I still can’t function.. but seeing so many posts from so many women saying the same thing eases my mind about that. I might be in miserable pain, but at least I know there most likely isn’t something dreadfully wrong with me.

400 Deidre { 06.21.12 at 9:29 pm }

Today I went to my doctor for an endometrial biopsy. Thankfully, I took the suggestion from this site to take some ibuprofen before going. I expressed my fear over the level of pain I would experience based on what others said here. I have a great doctor who takes special care to treat his patients kindly and honestly. He and his nurse explained the procedure and felt that I would do fine. My experience was great compared to others on this site. I feel sad for those who had so much pain, and maybe this procedure really does vary greatly from one person to another or from how one doctor does it to another. My doc said he changed how he was doing it to another way because it was much more comfortable for his patients. It was over quickly and although it had its uncomfortable moments, I was able to use my slow, deep breathing to help with those. I left his office and went on about my normal activities. Tonight I am having some cramping and bleeding and a feeling like something is going to fall out, but all in all it’s nothing a couple more ibuprofen can’t handle. In the future if I ever have to have it done again, I will not waste hours worrying about it. Many times I’ve been through much worse than this. So, if a biopsy is in your future, take your ibuprofen and practice your slow breathing and trust it might not be so bad after all!

401 Kim { 06.24.12 at 10:04 am }

I had read the comments on this site previously and it scared me so much I actually cancelled my first procedure and instead went in to speak to my doctor about my fears. He prescribed hydrocodone (2) and a valium and we rescheduled the procedure. The day of I was hesitant to take so much medicine so I only too one hydrocodone and a half of the valium. It really made me feel relaxed enough. My husband drove me to the office and I laughed and joked with the doctor and the nurse throughout the prep and the actual procedure (which seemed no longer than a pap smear). I saw him pull the pipette out and asked him if he was done. It was literally 45 seconds if that. I felt a little pull on the cervix (I think) and that was it. it was totally not worth all the worry ahead of time. However, in all fairness, I did pre-medicate. I felt NOTHING. So, I would say that it obviously varies greatly amongst people, the doctor you have, and whether or not you premedicate. If your doc is caring and explains things, gives you medication and is concerned with your fears, you should be fine.

402 Diane { 06.24.12 at 7:18 pm }

Had this procedure for the 2nd time, just last week. Have a fabulous Dr. and yes it was uncomfortable but not anything like what I am reading here. Some cramping and sharp pain, but nothing unbearable. Just don’t do too much for a couple of days….I made the mistake of doing all the normal and more with a lot of cramping (which I never have), after I was overly active. Don’t be scared, this procedure is not bad for everyone!!!!!

403 Sue { 07.05.12 at 9:30 am }

I think Ivy’s post (399) is a great one. And agree that this site is a treasure. I do not think it is fair for those who have experienced no pain to minimize the extreme pain others have had. It is not a pain tolerance issue, or inability to breathe thru the procedure. Until you have an endometrial biopsy you will not know how your body will react and even then the pain levels can vary for the same person from biopsy to biopsy.
I personally would never have this procedure without strong pain meds because of my first experience. It was excruciating and I was embarrassed that I yelled at the Doctor that he had to stop because of the extreme pain. I had no warning it could be painful.
I hope the percentage of women who have extreme pain is small, but knowledge is power. And maybe there are more bad stories because after the procedure those who had extreme pain want to know how common it is and google. That doesn’t make the experiences here any less real.
I’ve had all sorts of biopsies and surgeries, this pain was by far the worst. Please don’t minimize my experience or others, just because you had minimal or no pain. It really shocks me that other women can be so callous and unsupportive.

404 Kathy { 07.05.12 at 11:02 pm }

Yesterday I was in the same boat as many here. I needed to have the EB done for the first time and had no idea what to expect. After reading posts here and speaking to friends who had the procedure done, I had a lot of anxiety and almost canceled my appointment because many said how painful it would be. Luckily, my prayers paid off and my biopsy was surprisingly not painful at all. My doctor used a clamp to open my cervix which only felt like a small pinch. The inserting of the pipette I did not feel at all and the taking of the sample was uncomfortable, but very mild compared to the sharp pains I was expecting. When it was over I said, “was that it?” and was shocked at how simple and quick it was. I took 4 motrin an hour ahead and a Xanax and just had mild cramping afterward for about 6 or 7 hours. I am so sorry that so many women experience extensive pain with this test and am baffled as to why some have such extreme pain and some little to none. I am very curious as to the deciding factor of why we differ so much in our reaction to the procedure. I don’t think it is simply a pain tolerance issue because of such extreme differences in pain level. I read somewhere that it’s best to do this test right before your period starts which I did, but I don’t know if that’s because of pain or some other reason. Hopefully someone will be able to come up with a test to find out how your body will react ahead of time to ease anxiety for some and also offer more pain relieving options for those who suffer. Thanks for all your posts.

405 Amanda { 07.13.12 at 11:16 pm }

Hi everyone. I just wanted to say that I had the endometrial biopsy done today and it went really well. After reading and hearing some horror stories, I was rather surprised that it wasn’t so bad. I took 2 Xanax before the procedure and believe me when I say this, it worked wonders! I was very relaxed and it was over pretty quick. I have the most amazing doctor and he explained everything he was doing. I had very little bleeding afterwards and only a few cramps. For those that are having this done, don’t be scared. It will be okay. Take it from someone who has a very low tolerance for pain. If I can do it, I know you can to! Good luck to all the women out there!

406 Rachel { 07.14.12 at 11:00 pm }

I had a pap smear done about 2 months ago, normal check-up, I was called about 3 days later and told that they found cancerous cells and that I needed to come in and have a colposcapy and possibly a biopsy. Those results came back fine, I was told that they found absolutely nothing from the cervical biopsy and that my pap result might have been contaminated and that they were sending the results to a lead pathologist at the Mayo clinic to make sure. I was called last week and told that I had to now have an endometrial biopsy just to make sure. So…I just had it done yesterday and I was told that the pain would not be much worse than the cervical biopsy and to take 2 advil before my appointment. I agree that the cervical biopsy was not that bad, two very sharp pinches and it was over, I did have a couple rough days after with some soreness, bleeding, overall weakness feeling, honestly I was half out of my mind thinking I had cancer so I don’t really remember it being so painful because all I did was cry for 3 days. So before my appointment yesterday I took 2 advil and was expecting not much, like my doctor told me…some mild cramping, thats all! OMG!! It was the most excruciating pain I have ever felt in my life. She asked me to cough when she put the instrument in and then she started the procedure, it hurt really bad at first, agreed, like horrible cramps, but then she started moving it down, I cried out that it hurt, I started panicking and clenching and she just kept going, I cried out again in pain telling her to stop and was literally crying at this point, she finally stopped, came around to my head and asked if I was okay and I said HELL NO, I’M DONE, TAKE IT OUT! So she took it out (which was worse than the pain before I screamed at her to stop), at this point I was clenching my hands into fists, crying and shaking, she told she did not get much tissue and wanted to do it again. I told her no, she asked me to stay laying down and she would go get me some water and 2 Motrin. She came back about 5 minutes later and asked me to sit up, I told her I couldn’t, so she helped me up, but I was so dizzy that she made me lay back down and proceeded to ask me 2 more times to do it again. I said absolutely not and she even tried reasoning with me that my insurance doesn’t cover the procedure 100% so I would have to come back in and do it again for another charge. I explained to her that I have had a kidney stone, my tonsils removed as an adult (to this point my worst pain ever), a cyst scrapped from my bones and infected wisdom teeth where they had to scrap out all the infected area and NONE of those things were half the amount of pain as that was. She told me that the cramping would last about 15 mintues and then I would be fine. It is Saturday night, my lower back is KILLING me, I have horrible cramps, a massive headache and I have light bleeding. This was by far the most traumatic experience of my life and the worst part about it was my doctor, the nurses and the receptionist staff all looking at me like I was being sooo over dramatic while the doctor was helping me out to my car. When she calls me to do it again I am demanding a mild sedative and something to numb me otherwise I am not even considering it, at this point I don’t even care about the cancer cells they “found” because I am still in so much shock about what happened…

407 Becca { 07.15.12 at 8:56 pm }

Well after reading everything listed here I am scared outta my mind. I have a biopsy scheduled 7/16/2012 at 2:15pm for a fibroid in my uterus. I have gone thru menopause, no children and currently using BHRT, which the doc feels has aggrevated the situation. I have been spotting and somewhat heavy bleeding for the last 4wks. Any bleeding after menopause is cause for concern.

Amanda, I am with you. I am going to down a couple of Xanax and take 2 Aleve 2hrs before I have this done. The doctor I have is a woman and also administers the bio-hormones, so I totally trust her. I asked to be put out, but they said it was not necessary. After reading all of the above I am scared to death.

However, I have a dear friend who ignored her pain in her uterus and has cancer. They thought they got all the cancer and she was in re-mission until this past April. Scans showed she has cancer all thru her body. She may have 5yrs with continued chemo, or 6 months.

Had she done a test like this her chances of survival would have been greater. So, yes I am scared out of my mind, but I have seen the results of doing nothing.

I just pray that I don’t faint or throw up.

Thanks ladies for keeping it real.

408 Amy { 07.16.12 at 11:27 pm }

I had a biopsy today and it was very uncomfortable but I got up right away and drove home. I had taken two Motrin beforehand. I am having a bit of bleeding now but nothing too out of hand. Good luck to any gals having one in the future but I was fortunate not to have any of the horror stories that some other ladies had. My doctor talked about our recent rainstorms while he preformed the procedure and it was done before I knew it.

409 Joy { 07.17.12 at 10:50 am }

My pelvic ultrasound showed that I had a polyp so I had had a biopsy yesterday after experiencing some post menopausal bleeding (I’m 49 and haven’t had a period in over 2 years). I read all the horror stories on the Internet but I also knew exactly what was going to happen. I took 4 advil 1 hour before. I don’t have children and after everything I read I was very nervous. I laid down on the table and put my feet in the stirrups and I started to panic. The doctor started explaining everything she was doing and for some reason I started to cry…the nurse handed me a stress ball (one for each hand) to squeeze and believe it or not, it really helped. I asked the nurse to talk to me and she and the doctor began talking about the current heat wave and lack of rain and I concentrated on breathing easy while squeezing the stress balls and the doctor continued explaining what she was doing and discussing the weather with nurse in a calm tone and the next thing I knew the doctor told me that she was done. What I wanted to share with you is…don’t be shy about your needs here… speak up and tell the doctor and/or nurse if you are freaking out- or are in a lot of pain maybe there is something they can do to help you . When you are going through something like this you need a little extra kindness and compassion and perhaps some meds but you have to ask for help when you need it. I had very little cramping afterward and only a little bleeding. I thought I was all done with cramps and pads. I haven’t missed them at all!

410 Becca { 07.17.12 at 9:41 pm }

This is a followup to the biopsy of the fibroid on the lining of my uterus. My apt. was 7/16/2012 at 2:15pm. I took 2 Aleve at 12noon and 2 Pamprin at 1:15pm. I also took Xanax for the anxiety.

I got into the office and soon after on the table and in the stirrups. This is the interesting part. My doc (female who is more like a girl friend when I talk with her) came in and said we are going to use a plastic pediatric speculum. The doc said we do not use the metal speculum unless absolutely necessary.

She inserted the speculum (which was tiny) and I only had mild discomfort. She then inserted the Pipelle aspirator and told me there would be cramping. I had no cramping, maybe the Aleve? She took the sample and it was all over in less than 10mins, more like 5mins.

My doctor did not have dialate my cervix as I had been bleeding for 4wks and she was able to proceed.

I cannot believe that there was no pain involved at all!! Ladies, I had never heard of a plastic pediatric speculum!! My doctor told me she would never ‘torture’ anyone with undue pain.

I totally have empathy for all you ladies who endured such pain and discomfort.
If at all possible ask for the plastic pediatric speculum. No one should go through this kind of pain.

Also, it may help if you still have a period to schedule your biopsy before or during your period as it seems this does make a difference in your cervix.

I hope this helps some of you facing your biopsy’s.

411 Anonymoous { 07.17.12 at 10:34 pm }

I am 43 and have three children all delivered vaginally. I had an endometrial biopsy today and it WAS NOT painful. My doctor gave me a pill to soften my cervix I took the night before. He also told me I should take a pain reliever and hour before the procedure. The whole procedure took under ONE MINUTE and all I felt was slight pressure. I would say for sure less than a usual period cramp and it wasn’t even cramping it was pressure but not hard pressure. He needed to use a tool very quickly to hold my cervix in place, that did not hurt at all. When he did the actual biopsy I felt a VERY SMALL pinch but not enough to even make me wince. When he said he was done I was shocked he had time to do everything that needed to be done. He has done A LOT of these so maybe it’s practice?

I will say after the procedure when I was walking into the waiting room I felt very lightheaded. I had my mom with me b/c I read so many horror stories online. I am glad I had her there to drive me home if only for that reason. I came home and slept for one hour. Woke up had a nice dinner. I have hardly any cramping and just some slight spotting.

I hope that someone reading this can see that not all the stories are bad ones and that their experience will be a personal one. Everyone is different and experiences pain differently. I am not saying the women here did not feel pain, I am sure they did but there are some stories out there that can show you it can be a non event.

Things that hurt me more than an endometrial biopsy:

Stubbing a toe
Monthly period cramps
Bad canker sore
Tooth ache
Sciatic pain
Shoulder and neck pain
Calf cramp

412 Sharon { 07.18.12 at 11:46 am }

I’ve suffered endometriosis, fibroid tumors, Crohn’s disease, ulcerative colitis, an appendectomy and a miscarriage and even though I had taken 10 mgs of Vicodin just prior to my biopsy (for pain, unrelated) the severity and intensity of the pain during that procedure was unlike anything I’d ever been made to endur. The only thing even remotely similar was a root canal attempt while lacking sufficient Novocain.

The good news is that the pain only lasts as long as it takes to collect the sample which, in most cases isn’t minutes but merely seconds. Getting your feet positioned in the stirrups takes longer than collecting the sample, if your doctor is competent; the pain is only unbearable for seconds and thankfully, it’s over before you know it.

The even better news is that it doesn’t have to be a traumatizing experience at all. Personally, I’m with Amanda and Becca…if there is a next time for me, it will include either valium or xanax. Maybe they’re not pain relievers, per sé, but if my mind had been more relaxed and my body had been less tense, collection of the tissue sample would’ve went much quicker and easier thereby making the entire experience a whole lot less painful and a heck of a lot less traumatic.

413 Sue { 07.25.12 at 8:16 pm }

I think the most common theme here is that the people who said they experienced minimal pain where PRE-MEDICATED. It makes a difference. I was not and the procedure was excruciating. Those with pain meds (and some mention xanax) can not compare the pain they felt to those who went in cold turkey. And that is the gift of this page – take pain meds before the procedure.

414 Karen { 07.31.12 at 10:08 pm }

I unexpectedly had this procedure today as part of my pre op for my hysterectomy. I heard biospy and started to freak. I had my 7 month old grandson with me so I needed to remain as calm as possible. The cramping was intense but no more than intense than the monthly cycles I have had for the last 8 months due to ovarian cysts. We you have had ovarian cysts than you know what kind of pain I am referring to. I am more freaked out now that I now the real reason for this whole biospy.

415 Sue { 08.01.12 at 1:30 pm }

I am glad your biopsy experience was a good one. I have had ovarian cysts and they are incredibly painful. I had to have the offending cyst producing ovary removed. But even the cysts bursting and the surgery did not compare to the extreme pain I felt with the biopsy.

416 Christina { 08.03.12 at 12:26 pm }

I was terrified after reading some of these and even called my doctor to ask for some pain meds. She said to take 2 ibuprofen ahead of time which I did. It was completely fine for me. Slightly longer and more uncomfortable than a pap. Now that I look again, there are a lot of people with similar experiences and minimal pain. It’s just the bad ones that stand out! On one hand it’s good to be prepared for what may happen. On the other hand, I think most people’s bodies react just fine and getting worked up about it may do more harm than good.

417 The Waiting is the Hardest Part « Learning to Fight Like A Girl { 08.04.12 at 8:42 am }

[...] took a full week from the time I had my endometrial biopsy on July 26th until I got the results on August 2nd.  It was the longest 7 days of my life (or at [...]

418 Angela { 08.06.12 at 10:55 pm }

But Christina you were PRE MEDICATED thanks to this website. A lot of those who suffered had nothing. I suspect my experience would be different if I had taken two Advil before hand. Why is that SO hard for people who had minimal pain to understand. And I really am shocked and disappointed by how unsupportive and dismissive woman are to other woman. That if you had pain, you are a weanie or exaggerating.
Put it this way, I would rather have my appendix out again or a plate and screws put in my ankle again than have a uterine biopsy with out meds. I had no idea people had bad experiences when I had my biopsy. So there was zero anticipation or stress. ZERO.
I don’t want to scare people away from having this procedure. But knowledge is power. And whether people acknowledge it or not, people are being saved pain because of what they read here, They are getting pre medicated and that makes a HUGE difference.
Carry on.

419 shannon { 08.07.12 at 3:26 pm }

Today I had an endometrial biopsy using a pipette. It was only a little more uncomfortable than a pap. I am experiencing cramping and spotting. The pain is no worse than menstrual cramps. Good luck ladies!

420 Kristin { 08.10.12 at 4:37 pm }

I had an endometrial biopsy done two days ago. After reading all of the posts I find that no two circumstances are the same. My procedure was very much like labor cramps. I was light headed and sweaty needing to remind myself to stay calm. Since the procedure I have been cramping and every once in awhile I will have a sharp pain in my abdomen. When I urinate I feel pressure and a burning sensation up my vagina. I took 2 Advil before the procedure and know that helped. I have called my Gynecologist office asking for muscle relaxants and pain medicine just to get through the next few days. The Gynecologist is on vacation and the Nurse Practitioner told me to go to the ER. I have none of the warning signs and feel she is just trying to pass me off. I am very concerned by the lack of care for me and the given situation. I am calling my friend and Family Doctor who I used to work for, as his nurse, to get some med’s. I pray that all of you are able to receive the care and compassion that you deserve and need at this time. We all would not be having an endometrial biopsy if we did not have concerns. I speak peace to you all, during this time of struggle; and pray for strength of body, soul, and mind.

421 shetha { 08.15.12 at 7:39 pm }

Hi Ladies,
I had my Endo Biopsy today as part of the IVF preps.I am 31 yrs old and had never delivered babies and my cervix is tight . I had HSG and sonohystogram last week. During the HSG I had taken 3 ibuprufen still it hurt very badly. Sono was painless. So I asked my doc for something stronger and she gave me prescription painkiller for the Biopsy which i took 30min before the procedure. The doctor put a metal speculum which hurt a bit.then he sprayed my cervix with numbing spray -which i just felt like water sprayed. He then applied somekind of dye which he said was to prevent infection.and then the plastic catheter to suction out the tissue.That felt like pinching sensation than cramps.After the procedure i felt lighheaded could be also becos of the meds i took. I have light spotting now.which i am told is normal. and backache which is tolerable. Overall it was not as bad as i expected. The idea is to TAKE A PAINKILLER BEFORE u Go and you will be fine. Wish you all luck and good health.

422 Jennifer { 08.18.12 at 10:02 pm }

I had the biopsy done three days ago. My saga started at my endo’s office when my hormone tests came back odd. I immediately made an appt. with my gyno and informed her that I had stopped my period for 3 mos. and then started for one month with intermittent spotting ever since. Originally I figured I was in perimenopause and this was to be expected but the spotting concerned me because I am overweight coupled with severe bloating within the last 6 mos. My gyno promptly ordered the pelvic ultrasound which revealed not only a polyp in my very thick endometrium but a large complex cyst in my ovary. My gyno decided to take things in steps addressing my uterus first. I was told to take 3 Advil before the biopsy but opted not to because my liver enzymes are elevated…supposedly from fatty liver…I hope. The procedure elicits anxiety just by virtue of it’s name and purpose let alone being painful. So much more could be done in the field of medicine to address stress and emotional duress especially during life altering testing and surgeries. I didn’t have the luxury of having someone with me but I would recommend doing so with a person you feel completely comfortable with. I felt sharp pain during and cramping after with moderate bleeding. It is three days later now and I am still bleeding, sore and feel out of sorts. I already got my results and it came back benign. So far so good. I wish great things to all of you and hope that someday soon less invasive testing with early accurate results will be commonplace. GBY

423 Stacie Ewing { 08.22.12 at 9:26 am }

I had this done yesterday. I will never have one done again. It was the worst pain I have ever had. Worse than the C section I had. A day later I’m still hurting and fixing to call my dr. I have a very high pain tolerence and I cried during the entire time. As I had a cyst cut open with nothing and I did nothing. Good luck with this test and when they tell you it doesn’t hurt they are telling you a flat out lie.

424 Laura { 08.22.12 at 11:13 am }

I just came home from having this done and it was not that bad at all. The nerves ahead of time was worse. I think it was because I read so many bad stories about this. I had this done in the hospital outpatient, took two advil this morning an hour before hand and that was it! In and out in 5 minutes!! I have a little bit of spotting, no cramping. I’m going to take another advil just to be safe. I just wanted others to not worry about this at all. Go to a gynocologist, they are faster and more experienced. My family doctor tried and she couldn’t do it! Keep calm and it will be over before you know it. When she was taking the speculum out, I said, that’s it?? I was surprised because I was expecting a lot more! Good luck

425 Rachel { 08.27.12 at 4:04 pm }

I didn’t see this until AFTER my biopsy, but mine only hurt during the initial biopsy part, and it was done within 10 seconds. I don’t have any cramping right now, but my cervix feels a little sensitive. He used some numbing cream on it and told me to take some Advil after. I’m glad I got this done though because I’ve been telling my doctors for months that I think I have a LP defect, and this is my third doctor and the only one who listened to me!

426 Anne Miller { 08.28.12 at 4:55 pm }

I had this done for post menopausal bleeding. I have had the procedure twice in the past and know the pain associated with it. This time I choose sedation. Did not help a bit. Your doctor should prescribe a strong pain medication to be taken prior to the procedure. That is my recommendation. It is a short process but very painful. Cramping afterword is very uncomfortable as well. I highly recommend a strong pain medication before hand as in office sedation was worthless.

427 anonymous { 09.04.12 at 10:01 pm }

I had this done today. My dr is great and the procedure was explained thoroughly. I was also informed to take ibuprofen beforehand. However, the pain was excruciating for me. Thank goodness i had someone to drive me home. Ive been taking ibuprofen all evening and am crampy with some bleeding. Just home im back to being comfortable soon. I also had this done a few years ago and i must say i didnt miss it at all! Good luck to all of u…hope everyone pulls through quickly and that u dont have a low pain threshold like me!

428 Anne { 09.05.12 at 8:39 pm }

I had this done during my first appointment with a new doctor who told me I’d feel “a pinch”. That was all the preparation I was given beforehand, no more no less. I’ve never had a pinch make me scream like that. It hurt (!!!) and he didn’t acknowledge I screamed, or what he was doing to me might be painful. It was over quickly, but I feel violated and won’t be back.

I’m sorry if your experience was painful/went badly like mine did and thanks to others who helped me feel less like a freak for having such a strong reaction.

429 Ginger Bread { 09.07.12 at 9:43 am }

I felt sharp pains from the suction/scraping but got through it okay. What bothers me most is the the burning & irritation in my vagina and cervix afterwards. feels like cuts inside & there is debris left behind inside. I’m almost 24 hours past & still feeling the effects. I have still have mild cramping.

430 marlyn moore { 09.11.12 at 4:35 pm }

I had this procedure done yesterday and it was like a torture session. I have always thought I had a high threshold for pain before this procedure. I had friends that said they had it done and it was no big deal so I was expecting nothing, so with that said Im guessing every case is different and of coarse each drs procedure is different as well. I am having a lot of emotion and crying a lot since, Im guessing I feel a bit violated since the pain was so bad and it took longer that 5 minutes, nearly 20 min total of pain. She was not well set up for any issues and they had to “hollar” at someone in the hall to bring a cervix dialtor and the girl in the hallway “hollared” back, which one do you want plastic or metal?? for gods sake just bring the damn thing I wanted to say! My cervix was completely closed and my uterus is tilted so this may have been the reason it was so painful. I actually let out a scream, blacked out and was crying and sweating, beging her to just stop.. My Dr gave me no indication to take pain med before or after, nor did she give me anything for pain. She didnt even bother to call and check on me later that day. I think if your Dr thinks this needs to be done then you should not put it off becasue there is a reason they want it done, however, ck out your Dr , ask questions and for gods sake take something for pain or relaxation before and after you go, if they say you dont need it then ask them if you can stick a hot probe up their vajaja and them not take anything for pain, lets see how they react to that. I think if you expect the worse and its not so bad then great for you, but I would have rather been more prepared for the pain than have my Dr say oh its no big deal youll be in and out in 5 min w/ minimal pain! They should say, its different with everyone depending on the circumstances and lets make sure you are as comfortable as possible just in case. oh and lets have everything we need in the exam room! Oh and make sure your Dr checks your allergies, Im allergic to iodine, big as day on my chart, guess what they were about to use until I reminded them!!

431 Rena { 09.12.12 at 3:24 pm }

well, you all scared the crap out of me and so I cancled my appointment but then I called right back and told them I am coming in. I need to make sure I don’t have cancer and stuff. I have to find out why my pelvic area is hurting. Soooo, here I go to get it done. I’ll try to repost to tell about my experience. Thanks
Lesley

432 marlyn moore { 09.12.12 at 4:13 pm }

Please dont ever let these things scare you and keep you from having it done, just be aware that it may hurt and ask for something prior to the procedure. I promise the short time pain for this procedure is way less painful than the alt would be if left untreated. I feel much better today and am thinking more clearly and I realize I should not have posted the horror story I had, but even if I knew it was going to hurt I would have still gone through it because better safe than sorry. I would have rather been prepared and possibly have taken something such as a valium for anxiety and had someone to drive me home for comfort afterwards. That was the main issue I wanted to get accross. PLEASE get your biopsy and please ask for something prior to the procedure and please have someone to drive you home, just in case. Ill let you all know when I get my results.

433 Hope { 09.13.12 at 12:57 am }

I had a hystosongram yesterday and I have too say I’ve had two children and this was the worst pain ever. I have had multiple surgeries and take no more than a motrin. My legs were so shaky afterwards I thought I would pass out. Next week I’m schedule to have a biopsy and I’m terrified I’ve changed the appointment 3 times. My next call is to cancel the appointment, I know it sounds dumb I’ll take my chances.

434 Nicole { 09.15.12 at 9:34 pm }

I had the endometrial biopsy performed on Aug 20th, while still on my cycle, getting off on Aug 22nd. It was a horrible pain going thru the procedure but luckily the doctor walked me thru the whole ordeal which gave a little comfort. After this about 2 weeks later i had a vaginal ultrasound in which they found fibroids. Hopefully its nothing to serious.. I am concerned that I am about 3 days late for my period but after reading these threads about the biopsy may be delaying it, may explain why. Thanks..

435 Susan { 09.20.12 at 3:50 pm }

I am a total wimp with a low pain threshold. I’ve had some painful experiences with dilation (in preparation for IVF embryo transfer) and hysteroscoyp, and I was so worried about my endometrial biopsy after reading so much on the internet about the pain. Here’s what I took one hour before the procedure: 1 valium, 1 vicodin, and 400 mg of Ibuprofen. Amazingly the pain was not very bad at all. My doc noticed that my cervix was very relaxed (the valium is supposed to help with that) so she thinks the valium was very helpful. Ask your doc if they’ll prescribe you one prior to your procedure, plus a bit of vicodin. I have to do a repeat hysteroscopy next month and I’ll be taking this same combo of meds for it. One thing is that if you do this, you will need someone to take you to your appt b/c you won’t be able to drive and may be woozy–I was.

436 debra { 09.26.12 at 4:32 pm }

Don’t be afraid of this test. I had it today, and it was not bad at all. It was just a bit more uncomfortable that a pap test. My doctor prescribed two valium for me to take an hour and a half before the procedure and said that I needed a driver because of the valium. Before the procedure he applied a pain killer on my cervix. The biopsy did feel like a pinch. He explained ever step before he did them. I feel so badly for the horrible experiences of other people.

437 Angie { 09.27.12 at 1:52 am }

I had this procedure done today (endometrial-biopsy) and I knew when the nurse offered me Motrin that it would be uncomfortable, to say the least. I’ve had three children through this ob/gyn practice and throughout all the uncomfortable things I’ve had done there they have never even offered me a tylenol – after my c-section I took Motrin!

The most painful part was the manual dilation of the cervix so that the tool could be inserted into the uterus. Luckily it only took two or three (or more) “clicks” but man, that was more intense than labor! The doc said I would feel a cramp – it was more like lightning going through my whole body. After the second one, I knew no more (I have the ability to dissociate readily) so I fled until the procedure was over. I”m sore, in pain, and have been curled-up in bed all afternoon/evening. Thank goodness I don’t have to play the flute at orchestra for a few days, because I’m thinking that this is definitely not going to happen!
My doc was great in that she told me that some women feel faint after the procedure, the procedure can make some women feel unwell, and cause some pain. I was feeling faint in the waiting room/exam room prior to the appointment anyway (I bled for 40 days and I’m probably quite anemic at this point – I’ve been feeling faint for a couple of weeks now, off and on) and she offered to wait until another day to do the procedure. I went ahead and had it done and I’m glad I did.

So, if you are one to take pain meds, I’d say go for it – I have my teeth worked on (cavities filled, etc.) at the dentist’s office without any pain killers, shots, anesthesia, etc. so I”m pretty good at dealing with pain, but I”d have to say that manual dilation of the cervix is VERY VERY uncomfortable and pretty darn painful, too. It’s not surprising that Mother Nature takes 12+ hours to do this during childbirth (37 and 63 hours, actually, for my kids).
Good luck ladies!

438 Ilse { 10.02.12 at 12:19 pm }

I’m really scared of this, people can you just please add your age as this would also help me in getting a better picture of who actually goes for this. My last pap was mostly normal (so it said) and with some benign endometrial cells. I was basically on the end of my period, so that could be the reason… not sure. Now I’ve been complaining about my period for years, heavy pain only on the right side. But only for the first few hours or first day basically and then to wear of to just a little bit by the 4th day. I’m usually on time, no double periods or anything weird. I just turned 40, never had kids nor do I plan to have any now. I also had an ultrasound yesterday and it showed some fluid around my one ovary or something which she said could be for the fact that I just ovulated. Now she says it might not be necessary for me to have this endometrial biopsy now, but to come back in 6 months for another pap and we can take it from there. Sometimes I hate being a woman, dont know what to do here honestly, but reading all your stories = not comforting at all!!

439 Tara { 10.13.12 at 1:36 pm }

I had a colposcopy with a biopsy and ECC done 2 days ago. A cousin of mine had had the biopsy done before and told me it hurt like hell! So yes, I was a little worried about the pain. My husband came with me and held my hand, but it wasn’t bad at all. The vinegar solution caused a burning sensation that lasted pretty much the whole day, but it was mild. There was slight pinching when taking the samples and some cramping while they did the ECC. Afterwards I had mild cramps here and there but motrin was all I took the first day. The only thing I didn’t like was feeling my swollen cervix when I walked around, that was gone the next day though. My doctor even told me that most people say it hurts really bad and that I must have a high pain tolerance (which I do) So I think that’s the key factor here. If you aren’t good at handling pain, then yes, by all means take something ahead of time and make sure you get something for after and possibly have someone with you. Everybody is different with pain.

440 shellspace { 10.14.12 at 1:31 pm }

I had this done Thursday of this week. I took nothing before ( I was told I could take Motrin, just didn’t). The pulling on my cervix was uncomfortable but bearable, the actual biopsy lasted 15 seconds and hurt only when the doc was doing it. Then better. Just mild craps for about 10 minutes-if only my periods were so “mild”!.

441 shellspace { 10.14.12 at 1:33 pm }

Oh and I am 46 and went to have this done before having a hysterectomy. And I meant “cramps” not “craps”.lol

442 KATHRYN HAMER { 10.14.12 at 2:12 pm }

had this procedure done 3 days ago, it was awful but tolerable. Worst 3minutes of my life. Felt like someone was snatching a chunk of my uterus, Still bleeding alot. Dr. didn’t tell me not to use a tampon, I’ve been using tampon and pad for bleeding. I hope I didn’t mess up anything by using tampon. Definitely should hve taken a Xanax or ativan before hand.

443 Charlotte { 10.19.12 at 12:35 pm }

I just had my endometrial biopsy yesterday. I was extremely nervous after reading some online comments. I am an almost 50 year old woman with a HUGE uterus, planned hysterectomy along with hormone therapy who received an abn pap for AGC. I took two advil prior to the procedure. The sample of the uterus was nothing more than a pinch and a very quick pinch. The sample of the cervix was granted more uncomfortable and the nurse had to remind me to breath as I clenched and held my breath. However, it was nothing that I said “Oh my God” or thought I’d come off the table, cry or anything horrible. I did feel a bit whoozy afterwards and had to let that settle before I left. I have had no bleeding other than a tiny bit immediately after procedure. I have had a bit of low back pain afterwards but no serious pain.

444 Val { 10.19.12 at 7:23 pm }

Hello ladies,

I had my endo biopsy this morning and it went well and was so quick. Honestly I was not anxious about it or anything that much but when reading this page yesterday all of a sudden I was stressed about it ! I did not know if I would be one of the ‘lucky’ ones who did not find it that unbearable OR if it would be excrutiating experience like for some of the other women. Well it definitely was bearable for me and was just a tad more painful than the PAP smear.

My experience was similar to Violet who previously posted (Post #361). After reading this page I followed the advice and prepared w taking only 2 Motrins (400mg) an hour beforehand. My sweet gyno explained everything in detail before each step. She first ‘numbed’ my cervix with some sort of gel or liquid then I had a long thin ‘straw’ inside my cervix to aspirate a tiny piece of endometrial tissue. The pain was intense (I joked and said that I should have brought my little ‘squeeze’ hand exercise ball as I would have crushed it really easily!), it was a weird kind of pain/discomfort, for me it was a mix of burning and pulling sensation but not like a big cramp. I could really feel that strange pain at the precise point where she was aspirating and it was not radiating elsewhere. So it was tiny, precise AND so quick ! I would say the actual pain lasted not more than 5-8 seconds and I went she said ok that’s done I actually said “that’s it?” And the moment the aspirate was over the pain very quickly subsided and I did not even bleed really and hubbie and I went for a nice lunch and I did not feel any pain, just light sensitivity.

BUT, ….THE pain for me was in the middle of last night 3 hours after I inserted that 200mg pill of MISOPROSTOL that my gyno prescribed to prepare my cervix for the procedure and make it safer and prevent complications. GAWH !!! The *worst* pain I have ever felt apart from when I had my appendicitis ! It felt liKe having the worst periods cramp I ever had but with its intensity up the roof NONSTOP for 3 hours ! I woke up almost fainting w the pain and no position could do…I took 2 Motrins and took so long for the pain to lessen, I could not sleep at all I felt like my uterus would explode and thought WOW if that is similar to giving birth (probably less pain for me though) I was bowing in my mind at all the women of the women of the world who went through that ! I have never had any children so I do not know. And in that regards I thought that because of that the biopsy would be more painful for me and adding that I have a supposedly small uterus. But thank Heavens it was not and I am so sorry to hear it was not like that for everyone.

So I hope that my experience can give a bit of hope before your procedure.

445 Helen { 11.07.12 at 12:13 pm }

ADVICE FIRST, then lecture.

Take some painkillers before the procedure. At least take the maximum IBU, as long as you don’t have any comorbid issues (kidney disease, ulcers, etc). Studies have proven that analgesics taken before a procedure have greater pain control after the procedure. Anxiety can be a contributing factor to pain so make accommodations for any anxiety, as well. Breathing exercises, Xanax, a friend to hold your hand, whatever works for you. Please discuss any concerns you may have with a trusted physician. She or he should not belittle the potential pain. Prepare for the worst, hope for the best.

There are many factors that can influence the quality of this experience. What kind of biopsy it will be, whether you’ve had children, whether your physician is experienced and careful, your overall health status, fatigue, stress, etc.

NO ONE knows how uncomfortable the procedure will be for themselves so no one can anticipate how much or what kind of painkiller to take. Please, please, please do not belittle someone else’s experience with pain by saying they must have a low pain threshold (no such thing, everyone experiences pain at the same threshold) or low pain tolerance (this is true, due to MANY factors). I had a friend who just said “ow” while she was giving birth. This same friend couldn’t stand to have her eyebrows plucked, too painful. I have genital and other piercings, I have tattoos, I’ve had surgeries, and I still hate to have a pelvic exam because it’s so uncomfortable. I would rather spend 5 hours with a tattooist rather than 5 minutes getting a pap. Some of us can tolerate cramps but not headaches, some of us can tolerate shredded knee ligaments but not a toothache. There is still so much we don’t know about pain and one of the mysteries is why one person’s pain can be so different from someone else’s for the seemingly same illness or injury.

I wish for every woman that has to endure this procedure – or any other – that she has the best experience possible.

446 Karlena { 11.18.12 at 1:22 am }

I am 55 and got my first “bad” pap results. Endometrial cells. I am schedules to had a biopsy on Dec. 6th and I am super anxious. Everyone I know says it hurts terribly. One gal even fainted!!! I don’t think I am too big of a wimp but I guess I am more afraid of having the big “C” than of the pain. I was told to take 800 mg of Ibuprofen about an hour before the test so I am hoping that helps and I have taken the rest of the day off of work just in case. For those of us with this test in our futures I hope we are the lucky ones that don’t think it is that bad. I will try to repost my experience after the fact. Chin up and smile smile smile!

447 Dennysgirl { 11.19.12 at 4:14 pm }

I am 59 yo postmenopause and had no children. Reading all the comments posted here I was very nervous and scared about having this procedure. I had Endometrial Biopsy last week and for me it was not painful, just uncomfortable, similar to a pap smear. The procedure did not last more than a few minutes and she had me cough when she used the tenaculum. The night before I took 1 aleve and 1mg ativan. and repeated the next morning. An hour before the procedure I took 600 mg Ibuprofen and 1 more ativan. I did not really feel any pain. I think its different for everyone and I respect and have compassion for those who have a difficult time with this test. I also feel the doctor has everything to do with the outcome. I hope my experience will help others.

448 Dennysgirl { 11.19.12 at 4:17 pm }

I will not know results from biopsy until late this week. The waiting is worse than anything. My email is purrcmom@hotmail.com if anyone has any questions or needs support/comfort about having these tests.

449 Dennysgirl { 11.19.12 at 4:21 pm }

correction. my emails is purrczmom@hotmail.com

450 Debbie { 11.22.12 at 12:12 pm }

I am 53 years old and postmenapausal for 15 months and in Oct. had a period..all the usual preperiod symptoms…and bled for 9 days..nothing horrible but was told I should have a pap..(now I have been a very bad person and hadn’t had a pap in 15 years since I had my left ovary removed because of a large benign cyst) I had the pap…the following week I had trnsabdominal and transvaginal ultrasound done…went yesterday for follow up appointment and Dr. said he really wanted me to have an endometrial biopsy done because I have significant thickening of the endometrium…I had the procedure done with no warning or medication beforehand….it was uncomfortable and it did hurt but nothing unbearable…I did get slightly light headed but that didn’t last long at all…and I drove myself home (90 miles to be exact)…had some slight spotting yesterday but that has stopped..I do have some lower back pain but with 800mg Ibuprophen it is gone. I have a very low threshold for pain and I survived it…if you have to have it done please do it…waiting now for results and that is far worse than having the test done.

451 Bucky's mom { 11.30.12 at 3:27 pm }

I am 57 years old, no children, post-menopausal, and have been having slight light brownish-yellow non-odoriferous discharge for a couple of months; I regret waiting so long to see my OB/GYN – I can only hope I’m part of the large majority with no indications of cancer. Called yesterday, Dr. got me in today…great! Once in the examination room, she informed me she needed to perform an endometrial biopsy, and with no further ado did so…OUCH – intense though short-lived pain! After the procedure she was chagrined and apologized for not giving me advance notice about the pain and cramping involved during and after. Several hours later and I have had no further discomfort. After reading previous posts, I feel fortunate in that regard. I am disappointed at my physician’s lack of communication and consideration.

452 Karlena { 12.07.12 at 11:28 pm }

I said I would comment after my biopsy so here goes: Most of the posts I had read on here had me scared to death. All the talk of labor pains, fainting, and days of bleeding had my anxiety level through the roof by the day of my appointment. I was told to eat a high protein breakfast, which I did, take 800 mg Ibuprofen and I also took a Flexeril that I just happen to have a script for muscle pain. My husband drove me. I let my nurse know how shook up I was and she immediatley let me know what was about to happen. As she told me there was some cramping, some of it hard cramping, but about the time I thought I was going to have to tell my doctor that I needed her to stop so I could breath for a sec it was over. I was hoping to have results by tonight but no such luck. I waiting sucks. I am scheduled for an internal ultrasound on Monday and I will get my results then. My advice to you all it that you need to have the biopsy and it isn’t that bad. Get your Doctor to give you a script for an anti-anxiety med and a mild pain pill. With the Ibuprofen and the Flexeril I slept all day after I got home. Still a little uncomfortable today at work but that was because I had to work at a table that is too tall for me and I had to keep leaning into the table edge. The pushing on my tummy didn’t do me much good. Take heart. It isn’t bad at all and it is better to know the results than to put off taking the test.

453 Anonymous { 12.11.12 at 10:19 am }

This procedure was the most painful that I have ever experienced. My Dr. stated that I would feel mild to moderate cramping during the procedure and some pressure. Umm…. NO…. The pain was unbearable that my body literally convulsed off the table. My back froze up and I couldn’t do anything but cry. I was in so much shock when I left the ultrasound room that I literally cried my eyes out uncontrolably in the elevator. I was given no pain medicine but told that some motrin would help the pain. THERE IS NO WAY THAT ANY OVER THE COUNTER MEDICINE WOULD TOUCH THAT PAIN!! Needless to say I will NEVER have this done again! I will skip and go straight for the surgery next time, I don’t care what anyone says.

454 Carmen's Mom { 12.11.12 at 11:03 pm }

I had this procedure done 5 days ago today. I knew what it was for because I have fibroids but I wasn’t told what to do to prepare for it or what to expect afterwards. I did bleed a little for like the first 4 days and now I feel like my period started today. Weird. I called my doctor and left her a message with her secretary. To be honest, I didn;t even know it was an endometrial biopsy, I thought it was a uterine biopsy. So I will come in with more questions this time and from now on. I am scheduled to get a camera on the next visit next month to see what my fibroids look like, I don;t care, I will ask questions this time.

455 Indiana { 12.12.12 at 3:54 pm }

I have just scheduled my 1st endometrial biopsy today. I found this web-site during my research on what to expect before, during, an after as Christmas will be 5 days later! I had just read a few comments and called the Dr. office back right away, and asked if there is any medications or specific things I should do, or know before I come in @ my appt. time. Her response was “No, I’ll should be fine, there’s no need to worry!!” After reading some of these comments I believe I will be taking a few mg’s of Advil before going in. I just am not sure about if I’ll need someone to go with me and if I should reschedule being so close to the holiday’s? Then next appointment wouldn’t be available until Jan 4th that gives me 1 wk before going back to my classes for college?? Oh, I also have had 2 children and a tubal (youngest=17yrs, tubal =10yrs)! An it has been 4 wks since my last pd, that lasted 31/2 wks. I would really appreciate any advise as some of these comments= experiences have me more concerned and really nervous now! But really appreciate the open discussion, and will let ya know how it goes!

456 California { 12.13.12 at 9:49 pm }

Just had an endometrial biopsy done today. I was given no information ahead of time. THankfully, I hadn’t read anything either. I had made plans to meet a friend for coffee afterwards. However, the nurse asked if I’d taken Advil(uh…no, because no one told me to) and then asked if I was going back to work (in a tone that seemed to say, “I hope you’re not”.) So I quickly texted my friend and told her I would not be meeting her. All said and done it wasn’t terrible. SOme pain and cramping on the table, but was over quick. Cramping on the way home and mild discomfort right now. I probably could have met my friend, but better safe than sorry. I am 45, no period for 16 months, but endometrial cells showed up on my pap. I have been told it is probably nothing. Will know next week. Continue to trust in a sovereign God who has my life in His hands.

457 Cat { 12.14.12 at 2:38 am }

I had this procedure yesterday afternoon. I went to my doctor because of slight bleeding for two days following 9 post-menopausal years. I had no idea what was going to happen until the doctor explained she was going to take a sample of my uterine lining. When she started suctioning samples I almost fell off the table. The pain was excruciating. I begged her to hurry. Afterwards my womb hurt, as well as my ovaries, thighs and knees. My knees were actually shaking. I’ve never given birth, but can now see why so many women opt for a c-section. I was not offered pain killers. I was told to call if excessive bleeding occurred. I was told that an infection was also possible. My mother drove me home. The following evening the pain was again excruciating. I can barely stand. If the pain is not better tomorrow morning, I will be calling my doctor for pain meds, and antibiotics if I’m running a fever. If the procedure has to be redone, I will demand pain meds. FYI – I feel more pain than most.

458 erin { 12.20.12 at 11:12 am }

Holy cow I want to throttle some people! After reading terrifying accounts (mixed with “no big deal” accounts) of this procedure I was terrified for two weeks in anticipation. I FELT NOTHING! Even when the doctor said I would feel a pinch I could not tell when she did anything. In fact I have had more painful pap tests. I took 800mg of ibuprofen before, and it has been 2 hours and no cramping at all either. Don’t stress like I did!

459 erin { 12.20.12 at 11:21 am }

PS- I am 42 years old, have had two children, and had a completely normal pap but there were endometrial cells present, this is why I was having the biopsy. There was no local numbing or anything and seriously, it did not hurt in the least, and no cramping of any kind.

460 Indiana { 01.04.13 at 5:05 am }

I have posted previously about how terrified, nervous, and the anxiety I had after reading some of these stories! So I took a combo of advice and it worked and all was true.
The doctor had previously prescribed a pain killer for the menstrual cramps I was already having (Naproxin), so I took 1 of those 1 hour before my visit, and ALSO took 400 mg of Ibprophean 1/2 hour before my visit. It was a GREAT idea!! I was going through it with no problems then the release of the suction cup sent a slap to the back of my head and I almost passed out in the laying down position!!
They let me lay there until I felt better to get up. FORTUNATELY, I had a friend drive me!! I was in a light headed daze!! My head was dizzy and my stomach felt like hunger pains after a great work-out!. I did not feel any cramps until later that night, to which, after reading these post, I asked a few (many) questions. It was then the doctor realized nobody subscribed me any pain medicine.
So to all the nervous, and about to have anxiety attack = relax! Continue doing your research and ask the questions before the procedure, and have someone drive for you!! Best of thoughts to you all. Once your through it, it ain’t nothing!! lol :D

461 DRM { 01.04.13 at 8:24 pm }

I made the mistake of reading this blog earlier in the week before having my endometrial biopsy this afternoon. Although needlessly terrified, I did appreciate the suggestion to take some ibuprofen prior to going in (ended up being about 2 1/2 hours beforehand since my GYN was running late). There was definite pinching/cramping when the specimens were taken (did some deep breathing), but the worse passed quickly and about 30 – 45 mins afterwards I no longer felt any pelvic discomfort at all! I think the worse part is now waiting for the results…

462 Karlena { 01.05.13 at 11:58 pm }

I have posted a couple of times and thought I would share just a bit more. I got my results of my biopsy and the pathologist said there wasn’t enough of a sample for testing but what they had was okay????? I would have liked a better answer than that. I was then sent for an internal ultra sound and fun fun fun they found a golf ball size solid mass on my right ovary. This may be the cause for the double thick uterine lining and the cells in my pap. I was then scheduled for a D&C, a BSO and a Histeroscopy(?spelling). This would all be done laproscopically and when the mass was removed we would then get a report from the pathologist. That would decide if I was done or if I needed a full abdominal hysterectomy. After speaking with my GP for my pre-op I admitted to her that I felt I should be scheduled for a hysterectomy and not mess around. Surprisingly enough she agreeed with me and didn’t understand why it wasn’t just scheduled that way in the first place. I called my surgeon and let her know I had changed my mind on the type of surgery. Now I have to wait until Jan. 30th but I feel much better about my decision. Cross your fingers for me and I say prayers for all of you. The “C” word has been used a few times but no one will know for sure til the surgery.

463 Indiana { 01.07.13 at 1:18 am }

Karlena, Thank you for your prayers and ABSOLUTELY!! I will send some your way! I was seeing a family practioner for my pains and abnormal bleeding. I do have polyps on my cervix wall but r non-cancerous!! Tks God!! But now have to see an OBGYN to further my care to take care of this instead of con’t care of treating it with hormone pills that will slow or stop the bleeding?! I am 42 an have 2 beautiful grown boys, an don’t c myself as having anymore! so I want to take care of this disease an as my research has shown it is to have 1/2 or full hysterectomy!! But as to the pain of the proceedure it was not much that the Ibprophen didn’t take care of it was later that day that I felt awful cramping when I wanted to sleep! It is true, everyone is different. EVERYONE should take some 400 – 800 mg Ibprophen before going in an have someone drive you! You may feel light headed an that is the same as driving buzzed (drunk)! Take care instead of beware!! <3 an peace to all!

464 Indiana { 01.07.13 at 1:20 am }

Karlena, Thank you for your prayers and ABSOLUTELY!! I will send some your way! EVERYONE should take some 400 – 800 mg Ibprophen before going in an have someone drive you! You may feel light headed an that is the same as driving buzzed (drunk)! Take care instead of beware!! <3 an peace to all!

465 MK { 01.22.13 at 12:38 pm }

I’m having this test done next week and the only thing my doc has said is ‘It’s similar to a pap and you’ll feel some cramping’. I’m not thrilled that she has said nothing more to prepare me after reading all these stories. I know it can be scary to read all these but I think it’s important that women share since our docs don’t do enough to prepare us. I wish all of these anecdotes specified which method of sampling was used in their case, as there are a few different kinds and each is more painful than the next. So it’s hard to tell what to expect without knowing which method each woman experienced. Also, has anyone with a ’tilted uterus’ experienced this biopsy and have anything to share? Maybe it’s not real common but in past ultrasounds and pelvic exams I’ve been told that my uterus is slightly tilted. I’m very nervous that this will cause my doc to require further scavenging inside my girl bits to get to the right spot and collect what she needs. It seems like an invasive and painful experience even for women who have all their parts positioned properly, but I’m even more apprehensive with concern that the opening to my uterus might not even be as readily accessible as normal. Yikes! I’d love to hear from anyone who has experience with that. I’m going in a week so I’ll try to stay calm until then and make sure I take some painkillers and bring my husband with on the day of. Thanks for sharing ladies!

466 Mary { 01.22.13 at 11:28 pm }

I don’t know if my uterus is tipped, but it’s long. My doctor had me take the medicine to dialate my uterus the night before and the morning of the procedure, as well as 4×200 of ibuprofen. When I asked her about what an ablation feels like, she frankly told me that it’ll be a breeze after this.
I have horrible periods that prevent me from leaving the house, and make me feel like I’m going to the bathroom on my heaviest day. About two minutes into this I was crying, drenched in sweat, and telling her nevermind. She said I had scar tissue that had to be cut so that she could reach my whole uterus. I love my doctor, and know she did her best. Everyone is different, and my experience isn’t something I’d do again without being really numb or unconscious. I’ve had kids, burns, and other procedures, and this one topped them all x10.

Cramping has been rather bad, but I could drive and cook dinner.

I’m wondering if timing matters? I was at day 14 in my cycle, and I wonder if closer to my period my cervix would have been more open, and my lining might have shed with less pain?

467 Tamie Bilazzo Lic. Ac. { 01.23.13 at 10:39 pm }

My gynecologist failed the first attempt due to tightness of my cervix. I almost passed out by unexpected pressure I have felt in the lower abdomen. I thought I had to do something by the next attempt. I went back in 4 days later for the second attempt. I am an acupuncturist. I did acupressure on SP4 before the procedure and kept pressing LI4 during the procedure. I felt much less pressure / pain this time. Here’s point location if you are interested in for SP6 –> http://www.yinyanghouse.com/acupuncturepoints/spleen_meridian_graphic and LI4 –> http://www.yinyanghouse.com/acupuncturepoints/largeintestine_meridian_graphic

Ask your doctor to give you an icepack to avoid the feeling of passing out. If you are very anxious before and during the procedure, pulling earlobe will calm you down. Spraying rescue remedy or applying a drop of peppermint oil on the temple helps as well.

468 Steel Hyaena { 02.13.13 at 3:41 am }

I just had this done. I had no pain meds ahead of time, but my dear, dear doc at the VA clinic (I am a veteran) did make sure to tell me ‘You won’t like this one, kiddo, it’s gonna hurt.’ (We have that kind of rapport that he calls me ‘kiddo’ and I call him ‘ol’ man’!). Well… it did. He had the nurse hold the mirror so I could watch everything he was doing and that always makes things like this easier. I had it done because my endometrial lining is really thick and I have fibroids–we’re making sure there is nothing nasty like the big C or something. I relaxed and let the 800-mg Motrin kick in and then rode my bike back home without an issue. I really think it’s a very, very individula matter. I also watched via mirror when they removed a cervical polyp, when I was in the Navy. I find that if I really work my mind with each procedure, it helps. He gave me copies of all the writeups form my ultrasounds, too. We made jokes like ‘Yeah, let’s just rip the damn thing out if it keeps having an attitude’ and calling speculums ‘duck puppets’!

469 Jo { 02.26.13 at 9:54 pm }

First of all, thanks to the amazing women who posted here and got others to premedicate and let them have not such bad experiences.
My experience was horredous. If only I had had a chance to research first and premedicate.
I had a very bad experience with a UB. I read all of the posts afterwards and am INCREDIBLY disappointed with the women here who have posted that they wish they hadn’t read about the bad experience here or that people who had a horrible experience are babies and have a low tolerance for pain.
I broke my back two months ago as well as shattered my ankle and all the bones in my foot. I drove myself to the ER. I do not have a low tolerance for pain. A UB was SO painful and I wish I had seen this website before hand.
Please think before you criticize others or minimize their experience.
I read so many posts where people were pre medicated and is wasn’t awful. If only so many of us had bee so lucky.

470 Natalie { 02.27.13 at 5:24 pm }

I was scared to death after reading but did take the advise taking Medicine 1hour before. I called My doctor to make sure. It was fine and wasn’t bad at all.

471 Astrid { 02.28.13 at 11:35 pm }

I just had my biopsy done today (3,5 hours ago) and I can only say thank you for all the tips posted here!!!
I had taken 4x200mg Ibuprofen as well as half a Murelax (a relaxant I have for stressful times due to anxiety disorder) an hour before.
I had also visualised the procedure and practised relaxing and slow deep breathing (as suggested somewhere).
My Gyn was excellent, talked me through every step and kept asking if I was OK. He had to dilate my cervix (I don’t have children) and he did 3 passes to hopefully get enough tissue (according to previous US I have a very thin perimenopausal endometrium so he wanted to get as much as possible).
It was painful, but all of the above helped a lot and I got through it OK. Now I have some expected cramping and bleeding but so far no more than my usual periods (I always have crampy periods) – fingers crossed.
I do want to give those reading here pre-biopsy that with preparation and trying to relax as much as possible during the procedure it doesn’t necessarily have to be unbearable.
And I mean in no way to belittle those that have terrible experiences, I suspect without the preps that it could have been excruciating for me so I can’t thank you enough! Now waiting for results …
Good Luck to everyone.

472 Caroline { 03.05.13 at 10:53 am }

I wasn’t prepared for this unexpected procedure that was done yesterday and I agree 100% with the use of the word EXCRUCIATING. Due to the fact that I never had a child, multiply that pain times 5 -plus- the fact that I had no painkiller multiply that times another 5. It was more that a pinch-pull-cramp. It was an excruciating procedure followed by hours of cramping and back pain. I took 2 aleve and went to bed…….God bless us all to get good results.

473 Soozee { 03.14.13 at 5:58 pm }

Had two Coloposcopies (cervical biopsies) last year and it was indeed the WORST PAIN I EVER suffered in my life!!!
Absolutely traumatizing!!! Nobody in this blog exaggerates the least bit!!!
My doc said that not everybody’s experience is alike. I guess those who don’t have excruciating pain are simply extremely lucky.
Got hold of some opiate containing pain killer prior to the second biopsy – but it merely made me care a bit less about the whole ordeal. It still hurt like hell AGAIN!!!
Had kiddney stones once and this is known to hurt as much as childbirth. However, I prefer to have FIVE TIMES KIDDNEY STONES than another Coloposcopy.
This week I just found out that I have to get an Endometrial biopsy (biopsy of the uterus).
It looks like this is even worst! Decided that I will absolutely NOT do it without anaesthetic of some sort, peridural or whatever. This is possible if you go to a hospital rather than having it done at the doctors office.
Am really glad I stumbbled upon this blog!
THANK YOU to all of you who wrote down their experiences here.
I already started being concerned and wondering whether I was some sort of hysterical asshole.
Surprisingly there were some people out there whose mission is something called pain management…. but when it comes to endometrial biopsy / coloposcopy we are still in the middle ages.

474 Vicki { 03.23.13 at 7:08 pm }

I wish I had googled and found this website BEFORE my endometrial biopsy. I tend to put too much faith in doctors. I’m going to a guy I’ve only been to once, for a consultation, because my longtime gynecologist no longer contracts with my stupid HMO. I was never told by this gynecologist, nor my own primary care physician (both are men) that there would be pain associated with this procedure. I didn’t prepare for the endometrial biopsy because they didn’t tell me there was anything to be prepared FOR. I’ve had a lot of work done “down there” in former infertile years, including myomectomy, when they remove fibroids and try to save the uterus (they basically rebuild it, to hold a fetus). I’ve had infection after surgery, insemination, D&C, miscarriages, ovarian cysts and adhesions but, I must tell you, I have never in my entire adult female life ever experienced the pain of this endometrial biopsy. I was already having bleeding (which had stopped) and nonstop pelvic pain for nearly 90 days to this comment, and I have just learned yesterday I also have an abnormal PAP (for the first time ever) so, the biopsy was necessary, but I can’t believe the patient is not given some kind of anesthetic because I nearly fainted. I went to the appointment alone and drove myself home, in another town, and I think it was foolhardy but I didn’t have a choice. I had even called a week before and asked, “Do I need a driver?” The nurse said “no.” When I was on the table during the procedure, I broke out into tears from the pain and was enveloped in a hot flush with nausea. Yes, it only took a few minutes, but…for me…the pain was not acceptable. Doctors are supposed to relieve or minimize pain, not cause it. Pain prevents healing. I couldn’t get off the table for a few minutes and I don’t think I should have done it without a nurse present because I was unstable on my feet. I was shaking. And I’ve been told by many doctors that I have a high pain tolerance, almost to my detriment. I now feel, especially after reading comments here, that all of this might have been lessened or avoided had I just been counseled to take some kind of painkiller beforehand or after. It’s now been 30 hours since the procedure and I am mostly lying down. I was in a lot of pain before the biopsy procedure, but it’s worse now. Another thing I wasn’t expecting was bleeding. Because I was never told anything, I had no reason to expect blood. I was surprised that the nurse handed me a pad afterwards, saying “you might need this.” MIGHT? I am bleeding, with cramping, in addition to my other intense pain which I’ve had all along. The bleeding is heavy, with clots; like a really, really bad period. I’ve gone through I don’t know how many pads so far. I hope I can make it to Monday, to when I can call the doctor to ask about it. Maybe my case is different from a younger woman’s who didn’t already have pain or bleeding at the start. I don’t want to startle anyone about to have this procedure regardless of age, but I am 100% certain that pain relief is needed before and/or after this procedure. Don’t be uninformed like me. I was surprised when I was asked to sign a consent form for the procedure after I was undressed; I said, “there are risks attached to this?” Ask a lot of questions beforehand. And have a driver. Don’t let a doctor who’s overbooked and in too much of a hurry intimidate you. I can’t tell you how much I wish I had a female gynecologist. I live in a small town, there are only a couple in a neighboring town, and I am shackled by my completely-inadequate and controlling HMO. I can’t easily get other insurance now due to a “bad” medical history, I haven’t been able to work in the last few years due to other health problems, so I am a dependent on my spouse’s insurance policy and there is no way we can afford his company’s PPO. I’d always heard, “if you are unlucky enough to have a HMO, just be sure you’re never sick.” Whoever said that is not kidding.

475 Vicki { 03.23.13 at 11:43 pm }

I would like to just add to my comment that I have now gone back and read ALL of your comments. Thank God for blogger friends. I hear your pain. I feel so enraged as to how I was treated and I have decided I will not go back to the gynecologist I discussed in my previous post. It’s going to be difficult because time is not on my side. I know something isn’t right due to the increasingly-bad pelvic pain of the last three months; I’ve wasted so much time already with “the system” just trying to get appointments and a diagnosis. The vaginal ultrasound shows thickening, I’m post-menopausal, I’ve got a-typical endometrial cells on a PAP…it’s not looking good. I figure I’ll let this guy give me the endometrial biopsy results next week and then let him have it on how enraged I am he didn’t do more to minimize my pain with the biopsy or inform me better, although I fault myself for not informing MYSELF better. (This sometimes is what happens when you have a lot of other stuff going on in your life; my mom just died six weeks ago, for instance.)

I have very limited choices on doctors I’m allowed to go to on the HMO but I am going to try for somebody else if I can. I have to have someone who can sit down long enough to talk to me instead of some doctor who can’t spend more than five minutes with me. I feel violated and I feel duped. My husband says, “If the PAP is bad and the ultrasound wasn’t favorable, you’ve had the bleeding and have been having the nonstop pain, why aren’t they proceeding straight to hysterectomy?” True, it’s an invasive surgery (mine would have to be abdominal) and I have risk factors for anesthesia but I’m thinking, too, if things are adding up to cancer, go ahead and empty me out. Cancer waits for no one. Which is why I agreed to the endometrial biopsy and which I wouldn’t have a quarrel with if I had just been properly advised, with appropriate details about it ahead of time, pain medications ahead of the procedure, something to soften the cervix as people have mentioned here, something to numb (also as mentioned here) and perhaps some sort of leaflet to bring home which details after-effects and what to do to for home care. I wasn’t even advised anything about what to do if I had complications or side effects once home…nothing, just no communication at all. Even my pets get a handout paper from the veterinarian after they’ve had some sort of test or procedure. Right now, I feel as traumatized as the little calf who gets rounded up in the corral, branded and castrated, then un-noosed back into the corral, dazed and in pain. I feel like I’ve been transported to the Dark Ages or the 1800s when surgeries weren’t perfected, or the Civil War, when they ran out of opiates and had to do amputations with a stick in the mouth so the poor victim didn’t bite off his tongue. I’ve never been subjected to anything so barbaric and I intend to tell this doctor just that.

I hope and pray that anyone else here never has my experience when they have their endometrial biopsy. It sure sounds like there are ways to do it humanely and sensitively. Which is what we deserve, when we already may be in pain before it ever happens, scared to death we have cancer. Sometimes I feel women just have to go through too much. My uterus has done nothing but give me trouble for 47 years and I didn’t even get a baby out of it. I know I sound very bitter and if I think the endometrial biopsy was bad, God knows what I’m facing ahead with probable cancer but, like I said, I feel assaulted from this awful procedure, especially knowing there were better ways to go about it. It makes it hard for me to trust doctors, which is really hard when you’re at a point in your life where you need them. I feel let down. Don’t they take an oath, ‘at least do no harm.’ ??? To think that insurance companies are behind some of this, making doctors take shortcuts, is beyond-insidious. I’m not feeling very confident about my future; I feel vulnerable.

If you have to fight cancer, you need a good team. You need advocates. It’s hard to fight when you aren’t feeling well. You need help. You have to depend on your doctors. You have to fill yourself with positive thoughts and hope. I know these things; I have friends/relatives who have fought cancer and won, while others have lost. The thing they had on their side in commonality was a great doctor. I don’t have that, and I have to change it. Fast.

I’m sorry to take up so much space on the site. Thank you to everyone again for your insightful comments.

476 Kim { 03.28.13 at 10:51 pm }

My endometrial biopsy is scheduled tomorrow. Second attempt, this time with 400 MCG of Misoprostol. Pray for me :(

477 sundra dauzat { 04.02.13 at 8:40 am }

I had an endometrial biopsy yesterday and didn’t do any research beforehand. I went by a friend’s experience who said it was tolerable. I took 2 Advil a couple of hours before and that was a joke. The intense pain I felt for a few seconds was like someone was cutting me open with a knife. I have woken up during a colonoscopy before and I don’t think the pain was as bad as this. Women should be put to sleep for this, period. I have had a total of 9 surgeries, 3 C-sections, normal delivery, D&C x2, 2 miscarriages, plus others and have never felt anything like this. I was not given much info before, just that it would cause cramping. I was not given any instructions after either. I see some people signed a consent form. I was not asked to sign one. I am really upset now that I have read other people’s experiences. This is just inhumane treatment. I am still bleeding and cramping today and feel like I have been beat up in my stomach. I feel for all the women that have to go through this. I have been through a lot in my life and I feel like this is another thing on the list that will leave me traumatized.

478 Caroline Renaud { 04.04.13 at 5:16 pm }

Just came back two hrs ago from having a uterus biopsy done. I did not know I was getting this done , and had never even heard of it. I asked him if it hurt he said yes, but I agreed on the spot to be brave and have it done. Two babies later, (one with no pain relief) one miscarriage, a tubal ligation, and other surgeries, nothing was as bad as this pain!!
Not only didnt I have any med before, he just left the room after the worst torture of my life and I was still lying in the table in shock and could hardly sit up to leave. Nobody was there to ask if I was ok, nobody even told me I would have trouble driving home alone, let alone I didn’t even know I would then be bleeding! He said the cramps would leave after 5 min and no…..they are still there. I think it is barbaric and selfish what this male dr did, even his staff is negligent letting me hobble out hunched over in pain that was worse than labour! I am so grateful that I found this site as now I can relate and know that what I went through was shocking but at least it wasn’t just me! I am going to tell my family doctor to never recommend him and after I get my results in ONE month, I will tell him what I really think, as long as my results are good!

479 Sue Brittle { 04.06.13 at 4:33 pm }

I’m astounded at how easy it was for some women. I had this procedure done 3 days ago and I have to say, it was the WORST pain I have ever felt in my life. It felt like my uterus was being pulled out of my body and a pair of pliers were being used to remove it piece by piece. I had 3, yes that’s right 3 stages in one procedure. I can only compare it to a D&C without anesthesia. I too, was not warned to take pain killers beforehand and went in thinking what I had been told…’it’s just like cramping’. Whatever. I had my baby with no medications and would rather be in transition labor for 12 hours again than to spend another 15 minutes in torturous searing pain during this procedure. I WILL be given meds to knock me out or this will NEVER happen again.

480 Cindy { 04.11.13 at 4:39 pm }

Just had my first endo biopsy for thickened uterine lining. I’m 59, postmeno 3.5 years. I made the huge mistake of coming on here a couple hours prior to the appt. I knew better, but I guess I like to totally freak myself out. I have low pain tolerance so many of these stories scared me.

I have had 4 vaginal births, never had cramping with periods. They told me to take 600 mg ibuprofen 1 hour prior to arrival, but after reading some of these posts I added another 200mg, total of 800 mg ibuprofen. I inserted 2 Cytotec tablets 4 hours prior to soften and open the cervix. Also took an old xanax 30 minutes prior, hoping it was going to work, since it was so old.

I think I have to agree with some here, that although there are several variables that can affect the level of pain and discomfort that others experience, a huge factor is the doctor’s expertise.. I’ve had many ob/gyns in my life and this current one is the best. He removed a uterine polyp about a month ago and I never felt a thing. A previous doc I had been to removed a polyp 12 years ago and it was painful. This new doc goes slowly, takes his time, and is very careful.

That said, I can say I did not even feel the very thin rod (or whatever it was) that he inserted into the uterus. However, once he started to obtain the tissue sample, felt some very uncomfortable cramping on the right side of my uterus, such that I had to do deep breathing as I did with labor pains. But this pain was nowhere near the level of pain I experienced with labor pains, and was over so quickly that it was easily bearable. I believe that the expertise of my doctor allowed him to go in there without having to fish around and obtain the sample without all the manipulation that seems to happen when some docs do this procedure.

I would also add that the personality of the doctor may be an indication of the care he/she might take in doing this. My doc is such a kind, patient man who takes times to explain everything and allay any fears and explain until I’m satisfied. He’s not impatient or in a hurry to just ‘get it done’.

I’m so thankful I did not have the horrible experience some of the other poor women have had on here, it is a shame because if it had been like that for me, I know I would likely decline or put off having any further procedures that might evoke that extreme level of pain and trauma again, which is not good, since catching some serious condition early maximizes the chances of getting treated successfully.

481 Wendy { 04.24.13 at 4:10 pm }

Worst. Pain. Ever. I was told to take Advil beforehand which I did, didn’t do a damn thing. This procedure is torture. Worst searing cramps I’ve ever had x 10. If this is what childbirth is like, I’m out. See ya.

482 Beth { 04.25.13 at 5:27 pm }

I’m 46 and just had this done. I’m guessing that the women that had the most pain either have never given birth or have not had painful periods. I gave birth naturally and have always had awful crampy periods (passing clots hurts a LOT). Still, I was very nervous after reading all of these nightmare stories.

I took 400mg of Advil in advance and got myself ready. It was literally 20 seconds of a bad cramp (like passing a clot) and that’s it. Please, for everyone reading this, do NOT assume a horror story. I’m very sorry for those that had a hard time with this but you must have either had very unskilled doctors or something to have had such terrible experiences. And I do not consider myself to have a high threshold for pain – I was fine. Do not be scared. Just go in, breathe deeply while it’s being done and know that it only lasts a few moments.

483 M K { 05.07.13 at 10:13 am }

Background – had an endometrial biopsy 10 years ago, had no expectation of pain at the time – hurt like hell. The gyn’s notes back to my doctor used the word “traumatized”. Sometimes, when you are expecting pain, it intensifies any pain you have, but I was told it would not hurt, so wasn’t exactly as if I was tensed up in anticipation.

I am 60 and have never had children and I’m a small person which I believe affects how painful it will be (not in your favour).

But time passed and when the gyn recommended a hysteroscopy (which is a bit more than just a biopsy) and said I would be taking pain meds before, plus possibly a local anaesthetic, I thought “maybe won’t be so bad this time – give it a shot”.

I was still nervous, but took, as instructed, 3 ibuprofen and on paracetamol with codiene beforehand. The paracetamol with codeine was my decision.

Holy crap on a cracker. I nearly fainted on the table, and the poor women outside waiting heard my crying – I tried to control it, but the pain was intense. I tried deep breathing and mental disctractions (like reminding myself that I was saving myself a whole load of hassle that goes with general anaesthetic), but just could not take the pain.

I was given no local numbing in the uterus for some reason (maybe because the injection would hurt as much as the biopsy?) not sure.

At any rate, they had to stop, but they managed to get some tissue, however, the gyn said it might not be enough. But she said that the uterus looked normal so was not unduly worried.

The whole reason I had this procedure was because of an ultrasound which showed the uterus on the thicker side of the normal range.

Never ever again – only under general next time (which is what I was trying to avoid with this) but it’s not worth it.

One more thing I am wondering about, why can’t they give you nitrous oxide like they do with other procedures which are painful? THere has GOT to be a better way of doing this without a general anaesthetic.

I wish to stress to other women reading that the pain was bad probably because I have never had kids, and because I am small in general (which means the uterus will also be small).

I did manage to get the bus home (was advised not to drive – probably good advice), have some mild cramping, and felt very very tired a couple of hours after, but hopefully all will be fine tomorrow.

Once that kind of trauma goes into your head though, you take that with you to the next time you have to have any kind of procedure.

Anyway, you don’t know til you have it how it will feel, so bearing in mind the above factors such as having children or not, weigh it all up and decide if a non-sedated procedure is for you.

484 Dora { 05.07.13 at 3:25 pm }

I’m 46 and had an endometrial biopsy last week. I researched the procedure online several days prior to my appointment and was shaking like a leaf after reading some of the stories. Needless to say I was a bag of nerves for days leading up to my procedure! The day of my biopsy I took 2 extra-strength Tylenols 1 hour before my appointment. My doctor is amazing, chatted through the procedure to help relax me and told me what she was doing each step of the way. She dilated my cervix (which took less than a minute and I barely felt) & took 2 samples. For me it felt like a rough pap with a wave of mild cramping – I was fortunate not to experience any sharp, searing pain, which is what I was expecting. The procedure from start to finish took less than 5 minutes and it took my doctor about 30 seconds for each biopsy. My gynaecologist works out of a hospital & this is where I had my procedure done (not sure if this has any bearing on my experience – instruments, technique & skill). I just wanted to share my experience to let others know that not everyone has an unbearable time with this.

485 Chris { 05.07.13 at 5:36 pm }

I’m 50 and had an endometrial biopsy today for post-menopausal bleeding. I was apprehensive because I had read so many horror stories online. One hour before my appointment I took 800 mg Motrin and 50 mg Tramdol (medications I use for Rheumatoid Arthritis). My doctor was very understanding and explained each step of the procedure as it was being done. He told me I’d feel a little pinch and some cramping as my cervix was dilated. While uncomfortable, it wasn’t painful. The actual biopsy felt like a searing pain and pressure but it was very quick. I remember taking quick breaths, saying “Okay…okay…” My doctor said “Only a few seconds more…”. And it really was only a few seconds. My husband was in the waiting room and thought that I’d backed out of the procedure – that’s how fast it was. In retrospect, while there was a few seconds of pain – it wasn’t as bad as I imagined.

486 Shane { 05.30.13 at 1:56 am }

I had this done today and it is NOT THAT BAD! Not a big deal pain-wise. It’s really quite quick and I just felt some strong cramps for less than 10 seconds, then was fine the rest of the day. I went in for a saline sonogram to check for polyps. Doctor ended up doing an endometrial biopsy while she was in there. I took 800 mg of Ibuprofren (Advil) 45 minutes before my appointment. Definitely take ibuprofren if you can. Also, I should mention I’m 42 and I’ve never had any kids. My cervix was really hard to open, but it didn’t hurt when she was trying to get the instrument through. Just felt a little pressure. Don’t stress out over it or else you’ll make it worse for yourself. I was soo unnecessarily nervous going in. I’m normally terrified of doctors, needles, doctor’s offices, medical procedures, etc, so if I can handle it you can!

487 A R { 06.06.13 at 12:49 am }

Its was the most traumatic experience and the excruciating pain was unbearable

488 daisy { 06.14.13 at 1:21 am }

YES, THIS IS PAINFUL! VERY PAINFUL! DID I SAY PAINFUL? Thank goodness my doctor, Dr. Crosby – Kingston, NY, was realistic and truthful. She said it was painful (with emphasis) and be sure to take pain killers before. Two percosets and many milligrams of motrin later, that didn’t do the trick for me. However, she was empathetic and patient. She suggested stopping and doing it in the hospital – I said,” no finish.” She waited for me to regroup, she reset the music and worked with me through the pain. When it was over, she waited patiently for me get my bearings. Obviously, she must have seen that washed out, I just saw a ghost look in my face. She did not leave the room until I could stand on my own, and she set the tv up so I could further relax. My comments about the pain mirror what’s posted: a deep pain in your core which lasts a couple of days, and don’t forget that woozy feeling. As for the women who posted on this site who had insensitive doctors who mitigated the level of pain associated with this procedure – I empathize with you, but more than anything hope you will find a more compassionate doctor. For those of you who need to have this procedure done, do yourself a favor and do it as an outpatient procedure. Do not pass go, do not collect $200, but do take your butt straight to the hospital for an outpatient procedure.

489 Endora { 06.15.13 at 11:42 am }

Oh My God! This was the absolute WORST pain I have ever experienced. This made my EMG feel like a picnic. Let me tell ya, I would rather have the nerve conduction test for herniated disk and CPS and have needs stuck in my nerves and then ZAPPED any day then go through the biopsy experience ever again! I took 800mg of Ibuprofen and it did DIDDLY SQUAT! If I ever have to go through this ever again, I am asking for Lidocaine or something to numb my cervix first. AND, I will be taking a narcotic along with a valium. Just “a pinch” my a**! I almost fell off the table and would have if the nurse didn’t hold me down!

490 Endora { 06.15.13 at 11:45 am }

Sorry… I’m the typo queen. I meant: Carpal tunnel syndrome (CTS) not CPS. and have needles (not needs) stuck in my nerves and then ZAPPED any day then go through the biopsy experience ever again! I

491 Marilyn { 06.18.13 at 10:34 pm }

Glad I didn’t read this before I went today…It hurt…I actually hollered and had to ask how long it would take before the cramps subsided. The nurses in the reception area asked me to take a seat and brought me some advil gel caps and I left and went for a coffee. By the time I finished the coffee I was able to go to work…Tonight I feel a little pain kind of like menstrual cramps which I haven’t had for about 10 years. I am 62 and had the procedure due to some unexpected bleeding –very little. Main complaint I have is that the doctor seemed singularly unsympathetic, but she was fast and efficient which may explain why I experienced less pain than some.

492 Kelly { 06.19.13 at 7:17 pm }

Had it on Mon the 17th; took 600 mg ibuprofen 45 minutes before test; was told there would be a “pinch” ….white-hot, searing knitting needles would be more accurate. He says he’s almost done; I start to have a vasovagal reaction; he says he’s never had such an emotional patient, I call him a rat-bastard liar. I will be changing doctors, I think.

493 Jean { 06.25.13 at 5:04 pm }

I had 2 of these. Took ibuprofen both times. The first one was unpleasant, but quick, and I jokingly told my husband not to use the phrase “big prick” around me anytime soon. The second one was HORRIBLE, I guess less tissue to get a sample from, took longer and started yelling at the Dr. to stop but luckily it was almost over. I had to lay down after and had the shakes for a couple of hours. Just for reference, I delivered my second child AFTER the epidural wore off and would rather do that again, twice. Unfortunately, this will be an annual procedure for me from what I’ve been told. I’ll see what drugs they can give me next time for sure!

494 Christie { 06.26.13 at 2:47 pm }

I went to see my OBGYN for heavy bleeding….only to have had to have an endometrial biopsy. She told me there would be mild cramping but would not last long…….I went home and took Aleve and its not doing a thing! All I can say is this sucks!

495 Eva { 07.02.13 at 1:21 pm }

I had this procedure done yesterday and all I can say is that I am completely traumatized from the experience. I feel like I was brutalized. The pain was unbearable and barbaric. Noone should be subjected to this level of pain in this day and age. I went in to my scheduled appointment for the procedure without being warned about pain medicine or what to expect. Even moments before the procedure, the doctor said this was a not a big deal and it would be just mildly uncomfortable. I had only been to this doctor a couple of times before as I relocated to a new city. Just moments before the procedure, I inquired about any sort of local anesthetic he could use and he said it was totally unnecessary because it was a simple and painless procedure! Next thing I know I was on the table and I felt the most excruciating pain I’ve ever felt in my life. I was screaming uncontrollably and feeling very hot and sweating and nauseated. It felt like I was having my uterus taken out with bare hands, I just couldn’t stop screaming and crying. As each second passed, the pain became intolerable and I felt like I was going to pass out. I was trying to hang in there and I kept telling myself “oh he will pull out now, it will be over now, just hang in there one more second, one more second” but it felt like the pain went on forever even though the whole procedure was around 10 minutes. After it was done, I had to lay there for several minutes and they brought me water but neither the doctor nor the assistants seemed concerned one bit about my wellbeing and how much pain I had just endured. They told me to leave whenever I could get up and left me by myself in the room. They simply did not care and did not provide me with any information for post-operation (such as refraining from heavy exercise and sex and expecting some bleeding). I feel that I was lied to and I feel completely violated. If only he had told me that some women do experience moderate to severe pain during this procedure, I would have been more prepared, I would have taken pain medication or maybe even have the procedure with light anesthesia or something. But I felt completely unprepared for this torture and cannot understand why I had to be subjected to so much pain when there are other alternative methods available. As soon as I got home, I got on the internet and started researching to make sense of what I just went through and came across this website. I cannot tell you how grateful I am that you have all shared your stories with us, good and bad experiences, because I thought I was an outlier. Now I see I’m not the only one with this experience. When I was in that excruciating pain that came completely unexpectedly, I felt like I was having an abortion performed by a pretend doctor in a third world country. I’m originally from a third world country and I just cannot fathom that this medical procedure is being misrepresented by so many doctors around the US. Clearly they see that there are women who experience severe pain with this procedure as well as women who don’t experience much pain at all, so why don’t they tell you that in advance!!!! why not say, look this could be painful, everybody is different and here are your options…I’m really emotionally scarred from this experience. If you are reading this prior to your operation, please ask many questions to your doctor, inquire about pain medicine, alternative methods such as anesthesia and make an informed decision. I wish I had that option before my operation, I feel like I was “conned” into the procedure not knowing what to expect and I only wish I knew….

496 Melissa Walker { 07.09.13 at 12:06 pm }

I am an OB/GYN surgical nurse, I had my trusted coworker and physician as my surgeon for a Novasure endometrial ablation (which I recommend and was painless – I was asleep). He said I needed an endometrial biopsy done when I went for preop appt and it was “like a pap smear”. The speculum went in. I felt a nasty pinch, then waves of pain, then a deep visceral overwhelming pain that made me break out in a sweat. The whole process took maybe 60 seconds but felt longer. When I saw what he did to me, I was appalled they do this procedure without local anesthetic. First they grasp the cervix with a tenaculum which is like ridged barbeque tongs. Then they stick a metal dilator in the cervix to force it open. Then they take a metal rod and core out a big pink chunk of your uterine wall and drop it in a cup – it looked like a pink worm in there. Yes, it was over quickly, but it was very painful. FYI I have had two surgical abortions, two miscarriages without anesthesia (one at 16 weeks) and three natural births with no anesthesia whatsoever, not even an IV. So yeah, to the poster that said maybe we didn’t have “experience” – I have experience. I just had mild cramping afterward and am not permanently scarred from the procedure or anything, but they definitely need to inject lidocaine into the cervix pre-procedure – and tell you to take pain meds first. IMO that would be reasonable.

497 beth { 07.11.13 at 7:18 pm }

I’m not sure if different doctor use different procedures but my cervix was not held or grasped by anything. I was given a cervical wash (disinfecting) and some topical numbing w/lidocaine. I took nothing before the procedure. A suction type of pipette instrument was used and I told him to do whatever he needed to get a good sample. It was over in a few minutes and no worse than a pap smear. I am guessing that those who had difficulty had difficulty – maybe the doctor used a different type of extraction method? I saw the piece of tissue extracted and it was not large but definitely visible. I feel very badly for those that had a bad experience but I don’t think it should frighten anyone else. I have a friend who also had to have a uterine biopsy for excessive bleeding and she, too, did not have a bad experience at all. Please do not be afraid of this. It isn’t necessarily a horror story for every one.

498 me { 07.17.13 at 1:41 am }

I’ve had three of these in my life. The first two were for infertility diagnosis. The second was to determine why I’m bleeding so much AFTER menopause. Regarding why some women experience a pain and others do not, I believe that the pain is dependent on age, health and hormones. I have never experienced pain. However, right before this last biopsy I experienced a very painful pap. It felt like I was being stabbed with knives. I have a friend who passed out during an endometrial biopsy and she is someone who tolerates pain very well.

499 Amy { 07.24.13 at 4:38 pm }

After reading this yesterday I had to chime in. I had a uterine biopsy this morning and it was easy and fast with very little discomfort. I was nervous after reading other posts but my experience wasn’t bad at all! I have had barely any spotting and just got back from lunch with my best friend. I am a self proclaimed wimp and I had a positive experience. Fyi, I did take 4 advil before the procedure.

500 Ally { 07.25.13 at 9:21 am }

Yesterday I had a uterine biopsy and it was the most painful experience ever. I know pain (many broken bones, migraines, etc.), and it took everything in me not to cry. I wasn’t warned ahead of time to take something for the pain, and I felt so horrible afterwards. It was scary for me, especially since I’m 23 years old and have never had sex or a pap smear, or anything so invasive before (besides a D&C, which I have no recollection of). I have complex endometrial hyperplasia, which is why I had the biopsy done. I definitely recommend taking something beforehand and asking questions before/during/afterwards.

501 Johannes { 07.31.13 at 11:37 pm }

I appreciate the information as I prepare to possibly have this procedure in a couple of weeks. I was warned by the referring clinician that it would be painful or unpleasant and I had asked the place doing it if there were any preparation instructions and I was told to take two (Advil? Motrin?) one hour before the procedure but, I hadn’t thought to ask if I would be able to get myself home or would need to refrain from physical activity for 2-3 days afterward: good to know, since I had planned on biking there and had made a physical therapy appointment for my lower back a couple of days later. I also wouldn’t have known I’d want to bring a pad to mop up the excess blood. I’d think they’d at least have a brochure about what to expect and how to prepare in the office! I will be asking some more questions before my appointment and before I have the procedure.

502 Larissa { 08.01.13 at 12:46 am }

Perhaps my story can help lighten the load for someone who is going to get this test and has read many stories about pain. Everyone’s reaction is different. I just had this done this afternoon, and I did not feel it. At all. I was so tense with worry, when the doctor said she was done, I literally bust out laughing. After all my anguish! Oh my gosh, what a waste of my week I spent worrying. I wish everyone could have the experience I did, and for those who are going to do this, please know that while everyone is different, it is possible it will not be so bad. I didn’t even feel a pinch.

503 Larissa { 08.01.13 at 12:48 am }

I forgot to add, I did take 4 Advil and 1 Ativan about 45 minutes before the test. I was definitely feeling relaxed, even though I was still scared.

The pipette is tiny. When I saw it, I just knew it would be fine. (The dr. told me to ignore the medieval devices and turned over the package so I couldn’t see the tentaculum. She ended up not using it on me.)

504 Johannes { 08.01.13 at 3:00 am }

First, I wanted to say that I am deeply sorry for all that Vicki (03.23.13) experienced. I am scheduled to have my procedure done outpatient in a women’s health center. I do not know if I will have the option of doing it in a hospital. I do not know any of the doctors at the center and the doctors that my gynecologic nurse recommended in there don’t have appointments until at least December. I decided to take a much earlier appointment with a different doctor there.

I am 16 or 17 years post-menopausal, unless you count the bright red bleeding I had 9 mos ago after an appendectomy and the 5-7 days of the same in early June and late July. I considered these to be an inconvenience rather than something serious, compared to the pain of bilateral foraminal spinal stenosis (arthritis) and advanced disk degeneration that is keeping me from getting a good night’s sleep. I am not supposed to arch or tilt my back real far because of that so I don’t want to be bucking on the examination table. I am under 5 feet tall and not much more than 100 pounds and I think my uterus is tilted. I have not given birth and I can tolerate pelvic exams and pap smears although even the child’s-size (pediatric?) speculum is a bit too big.

Based on what I have read on this site, I have decided I’ll contact my gynecologic nurse and not the place where I’m having the procedure done for advice on whether or not I should ask to be sedated or take Valium beforehand, since I’ve been seeing her for maybe 14 years. And, thanks to this site, I will ask for the pediatric speculum when I’m there. I don’t know what to expect from this center or this non-recommended doctor and I’m nervous about that but, I’d rather get the procedure done if my nurse recommends it than refuse because all my conditions for being made the most reassured and comfortable aren’t met. The most important objective is to find out whether or not I have cancer or pre-cancer.

505 Ann { 08.01.13 at 8:02 pm }

I was through with menopause about five years ago. I have been having discharge (clear, white, yellow) for about a year. I was tested for every infection known to man – all negative. Had an US – uterine lining over 7mm thick. Had endometrial biopsy which came back normal. Still having discharge ALL THE TIME. Should I have another US and/or endometrial biopsy? What if they scraped an area and missed something? I am worried still. I like to be proactive, and my doctor said she is thinking of sending me to a medical university because she doesn’t know what else to do.

506 anonymous { 08.02.13 at 7:13 am }

I had this procedure done recently for post menopausal spotting. If you are an older woman (40′s to 50′s) you may experience more pain during the procedure. Taking ibuprophen an hour before is a good idea. I experienced sharp pain and pressure during the procedure but not anything that couldn’t be tolerated. Some women do experience light headedness, nausea or ‘passing out’ but this is only right after the procedure and while you are still in the doctor’s office. This is caused by a reaction of the Vagal (spelling?) nerve and is I believe called a vaso vagal response. It is temporary and passes, your doctor should ask you to stay sitting on the table to make sure you have time for this to pass. Not all woman experience this, I did not. After the procedure I had slight cramping and spotting but no big deal. . Stay in touch with your doctor and call them if you run a fever or have excessive bleeding afterwards as the fever could be a sign of an infection. Don’t get freaked out if you have to have this procedure done. If your doctor feels you need it, then do it. You will be fine.

507 JFB { 08.02.13 at 8:28 pm }

I had had a transvaginal ultrasound that showed uterine lining thickened , for which the uterine biopsy was recommended (I am now 5 yrs post menopausal and a breast cancer survivor. 55 yrs old. I had a spontaneous significant bleed at 4 yr post men. ) I understood the procedure to be done. I warned the dr. that during the US I experienced much pain (not normal) she assured me she would be as gentle as possible. I was in pain from the very start. Just inserting the speculum felt as if I were being scraped inside. I agree the time was short , but VERY painful…worst of all , the procedure couldn’t be completed, as she was unable to get the instrument into the cervix…it would not go in (not even the dialator) . Now I am being referred to a gynecological clinic at my local hospital. I didn’t read all the comments. Has anyone else had a cervix that wouldn’t allow entry? I will be insisting on sedation as I have other physical issues, I don’t think I will be able to remain still enough for the procedure to be done and I certainly don’t want to risk being injured or making the dr’s job any harder. I have had numerous surgeries and am no stranger to pain (I live with it every single day) I don’t mean this to offend anyone , in any way…but if I had to describe the pain I felt during and for at least 13 hrs following the attempted biopsy…I would have to say that it was how I would imagine the physical pain of being brutally raped must feel. Certainly not what I anticipated. Not looking forward to the next try…but with my history, my risk is higher for the big C again …so it is a MUST DO. Wishing everyone only the best outcomes from your tests. Blessings to all.

508 Susan { 08.06.13 at 6:00 am }

I am 59 and post-menopausal for about 5 years. Had an endometrial biopsy a week ago. It was painful but thankfully was over in a few minutes. I was fine until yesterday with no pain and a bit of spotting. Now I am having mild cramping and bleeding like a heavy period with a few clots. Can’t get my nurse practitioner to call me back. Has anyone else experienced this? Is it anything I should be worried about!

509 Caringgirl { 08.09.13 at 12:30 pm }

I had an endometrial biopsy today. Thank you to all who posted. My Dr informed me that it would be very painful but it only last 15 sec and “you can endure anything for 15 second right?” She said, one lady said never again, then she said I could do it. after these comments, I researched this and saw all the comments here. I also researched this on medical sites for peer review articles. here’s what i found out. My dr uses a device which collects multiple samples from multiple sites for 15 seconds. This is the best for ruling out cancer since it gets all locations. it is used commonly by many doctors and is called vabra aspiration. some doctors collect only one small sample from one location and this may be why some biopsies are less painful. my doctor does lots of biopsies so she is good at it. I decided to have her do this procedure, but, I insisted on Valium, lortab, cytotec (to dilate the cervix) and I also,took aleve. I took 400 mg cytotec the night before and 100 mg the day of the procedure and getting the device in my uterus was so easy, even though I have never had a vaginal delivery. I also insisted on intra uterine lidocaine. After she inserted 5cc of lidocaine gel, she waited 5 min. For it to work. Make sure to wait these 5 minutes. There was no pain, only slight pressure even when she took the biopsy. I think she was surprised I had no pain. Please ask your doctor for these meds. Btw. The cost for the meds was very minimal after my insurance. I think I paid $5 after insurance for all this. Please ask for this! I am so thankful for the prayers of my church family and for the medications that made this procedure painfree!

510 jcgurl.5513 { 08.15.13 at 12:38 am }

After doing countless research on the procedure and pain what to expect and EVERYTHING in between, I was not taking any chances I took 2 1mg loonloon an hour before my appointment and prescription strength ibuprofen 2 800mg also took 2 30mg oxycontin what I take regularly as I am a chronic pain patient..the procedure itself was about 3 mins max I wasn’t explained ANYTHING thank Lord ALMIGHTY for the internet ! My husband was in the room with me I squeezed his hand so hard two days after the procedure it’s still sore ..it hurt so bad it felt as if a baseball bat was shoved in my vagina stretching it out(speculations) and then Dr did say he would give me shot of a numbing agent for what I don’t know because it was not numb down there at all.Also the instruments that took the sample they say it pinches? Um no it felt like a pointy butcher knife stabbing my insides then it was over …now mind you I’m on strong pain meds…I have had no bleeding after but the pain is exact to the beginning stages of labor pains ,I’ve continued to lay down because every time I get up and move around it hurts worse and worse . I guess we are all DIFFERENT thankful we can all share our experiences on here ..well this is mine and this procedure was the most painful thing I have ever encountered in my life .AND I have been through multiple surgeries and ailments this one definitely took the cake .

511 jcgurl.5513 { 08.15.13 at 12:45 am }

Oops auto correct on my tablet spelled klonopin loonloon LOL and speculum speculations..I forgot to say I am 34 yrs old one child thru c section have endometriosis ,history of uterine fibroids and have had abnormal unexplainable heavy bleeding since I was about 18

512 Susan { 08.26.13 at 5:49 pm }

With the endometrial biopsy, I experienced the worst pain. I’m 59, 2 grown children and I thought I had a pretty good pain tolerance but I did not! It’s not a 3 second procedure, it’s 10 long seconds for the biopsy. If I would ever have to have another procedure, I would definitely be on pain meds! I just about passed out at the end and vomitted several times. My advice: Be your own advocate and SPEAK up for pain meds prior to this peocedure. My comment to: jcgurl.5513 After reading your story, I should have been given a little anethesia! If there is a next time, I will be better prepared.

513 Brenda { 08.30.13 at 5:09 am }

I had an endometrial biopsy nine years ago, and it was one of the worst experiences of my life. I am 51 now, and I have been bleeding for almost six months, but I am so afraid of having to go through this god-awful procedure again that I can’t force myself to go to the doctor. I think it is barbaric and cruel to perform this procedure on women without sedation—the person that did it to me all those years ago just told me to take a couple ibuprofen tablets first. I almost fainted afterward, and bled heavily for days. It was truly horrific. Never again.

514 Elaine { 09.13.13 at 9:32 pm }

I am 41. I had a endometrial biopsy this past Wednesday. I was unaware that I was going to have it done, so I didn’t get to take anything to help with the pain beforehand. The procedure itself was not terribly bad. I was uncomfortable. I did have some bleeding and cramping, but taking Advil helped. I just wonder what kind of results I can plan on receiving? I hope and pray that nothing is wrong. I am preparing myself for the worst. Which ususally helps when I’ve had any types of procedures done. Anyone ever received bad news due to having a endometrial biopsy? Just curious

515 Tracy { 09.24.13 at 11:52 am }

I’, with you Elaine. I went to the doctor for some excessive bleeding after I hadn’t had a period over a year. I was surprised and honestly shocked to get the procedure. It was painful, but over quickly – I didn’t dwell on the pain. I was told to use Ibuprofen afterwards. I’m more worried about my results. I’m not sure what to expect. I was so deflated when I got the procedure, that I was in shock for 2 days thinking I must have something serious. I’m better now but anxiously awaiting my results.

516 Tracy { 09.24.13 at 11:56 am }

Oh, and I’m 49 and I do have a high tolerance for pain. Ladies don’t be frightened. I’m surprised that so many of us get this procedure when we had no idea it would be done. I thought I would get a simple exam and maybe put on a birth control pill. I wasn’t expecting this. I felt violated (poked & proded) and just in emotional shock that something could be wrong.

517 Amy { 10.09.13 at 10:59 am }

Oh, for pete’s sake. Some of you are drama queens. I had 3 biopsies yesterday including an endometrial biopsy. Dr. had me take 2 advil an hour before. She used a hefty amount of lidocaine. All I can say was I had 15 seconds of needing to breathe slowly and it was over. I had 2 spots of blood after, no cramping whatsoever after and went out to dinner an hour later and shopped all evening long. Seriously, the whole thing took less than a minute and did not even hurt until the last few seconds and the pain was no more than a few good twinges. I felt nothing after and nothing today.

518 Amy { 10.09.13 at 11:07 am }

Oh, and by the way, I am 57 and not even close to going through menopause yet. My dr. thinks another 3-4 years before my periods end. Have yet to miss a single one. My children are ages 27 and 32.

519 Carla { 10.09.13 at 12:16 pm }

I am 28 and have no children. My husband and I have been trying for over a year ( he is 26) with no luck. My doctor suggested the procedure as he believes I have hyperplasia. From what I heard and read the procedure is painful so I was really scared going in. I took pain killers about two and half hours before my appointment. They wore off right before I actually had the procedure done. I think the anticipation made me loose track of time causing me to take the meds too soon. The procedure is uncomfortable and painful. Pain tolerance varies by person. I have been having very painful cramping during periods and its exactly what I felt when the procedure was being done. It just felt like I was having a bad cramp. I did say a couple of oooo’s and ouches but it was over pretty quick. I did not spot at all, and the cramping afterwards is very minimal. I do feel however very sore in that general area.

520 Valerie { 10.11.13 at 11:43 am }

I must say I was REALLY worried when I read all these posts before my Endometrial biopsy. It did not even come close to what these ladies have experienced. I mean i was shaking I was so nervous. here is how it went for me. The OBGYN came in and did some talking to relax my nerves. Explained everything step by step. Started off just like a normal pap exam… then he let me know in advance that he was going to enter my cervix. As he entered, I felt a very slight poke with pressure and could feel it sliding in slowly. All i felt was a tiny weeny bit of discomfort similar to (if I may) having intercourse and your partner hits or bumps the tip of your cervix when entering too deep. That slight twingey-like feeling. Yep! That was it. that is the best way that I can describe that feeling. He started asking me if I spoke different languages to get my mind off of it ( but I was in tune and trying to be paying attention to every detail of pain or touch) he grabbed this long pipette looking thing (similar to the stick they use to break your water with during childbirth) he went inside the cervix and i did not feel a single ounce of pain when he was taking his sample! WOW and low and behold he was done! He said all done! I was like *huh?* Really did you take a piece of sample out yet? he said yep! you did great! I was BELATED that i didn’t have any feeling of pain whatsoever!! At the most I felt the initial slight discomfort when he penetrated the cervix with the dialator. Again it was very very VERY mild discomfort and the entire procedure lasted less that 3 minutes for me from beginning to end. I drove home, I had one mild menstrual crampy sensation by the time I walked to the parkinglot that lasted all of 3 seconds really… came home went for a walk and felt maybe 2 to 3 more bouts of twinges in my cervix (not cramps) and that was all I felt. Very mild spotting an hour later for me. That was it! I was worried for nothing! I hope that some of you getting ready to have this procedure can gather from my experience and conclude that it wont be as bad as some of these posts are. Everyone does react differently. I was not numbed at all at any point during the procedure. If I had to do it all over again.. I would and know that it’s really a piece of cake…well…endometrium lol!

521 paulette { 10.26.13 at 12:40 pm }

Hi ladies I also had this procedure done. I am in my fifties and my periods still coming, but now seem to be slowing down, so the doctor suggested I have the procedure done to rule out anything abnormal. I wish I had been more prepared by my doctor who was a new one for me. She was nice but seemed a bit rough. I had no pain med or anesthetic to numb the cerevix. So I had a bit of pain during the procedure because it was hard for her to penetrate through . I had cramping and light bleeding afterwards but not heavy more spotting, but I think taking it easy and not having sex or doing a lot of strenuous things should be taken into account to make it go eassir with the discomfort. The waiting is the real kicker I had it done Monday and today is Saturday. I pray all goes well . I pray for me and all of you ladies that we will be fine. Nothing is more stressful than this waiting and when you read all the stuff on the net it can scare you more so don’t. I did and it scared me. I wish the best for us all. Thanks ladies nice to know we can share together we need this.

522 Wendy { 11.03.13 at 10:05 am }

I had this done last Wednesday due to post menopausal bleeding. It hurt like he!! but only for a few minutes. I felt fine the next day, but that night I started having severe cramping, worse than I have ever had. I called the Dr’s office but the nurse told me as long as I don’t have a fever to just take Advil. Well it’s Sunday and the cramps are still very strong and painfull. I was wondering if anyone else has had this happen?

523 Nina { 11.07.13 at 12:57 am }

I’m 30, never gave birth, and am getting this done on Tuesday, November 12. I’m terrified… :-(

524 Jen { 11.12.13 at 1:51 am }

I had this procedure recently and I have to say that it was very tolerable. I took 600 mg. of Aleve before and my doctor was kind enough to prescribe a tranquilizer, as I was very nervous. Even so, my normally low BP skyrocketed in anticipation. I think that women need to know that this is not a very painful procedure for everyone. The pain for me was equal to a low level period cramp even though my cervix was tight and needed to be dilated a bit. Also, it is very quick. Perhaps the skill of the practitioner is very important. The medical assistant told me that most women do not experience a lot of pain with this procedure. I hardly feel Pap smears performed by my doc. Please note that there was no anesthetic injected into my cervix prior to the procedure. A numbing spray was used on the outside surface of the cervix to minimize the pinch of the tenaculum, which I barely felt. I think that those who have very painful experiences tend to report more on these blogs~ which I can certainly understand. I hope that my post helps to ballance the overview and spares someone unnecessary angst.

525 Nina { 11.13.13 at 2:06 am }

Jen, you are right! (Same Nina, #523.) I took a couple of Advil about 1.5 hours before the procedure. No numbing agents for me either. It felt like a small pinch, and I was surprised when the gynecologist was done. I am experiencing some spotting and light cramping, but that’s about it. I wish all of you going through this procedure the very best.

526 Jen { 11.13.13 at 2:36 am }

Nina,
So glad that the procedure went as well for you too :)
I join you in wishing everyone having this procedure the very best outcomes.

527 julie { 11.16.13 at 9:34 pm }

I had this procedure performed last Tuesday and today is Saturday. I am still crampy and bleeding, like a light period. My gyno told me to expect a small amount of bleeding just for a few days but when I spoke with her on Friday she said it was normal that I was still bleeding. I am perimenapausal and have had prolonged very heavy bleeding, so this is to rule out anything else. I was not advised to take any kind of pain meds pre or post procedure, but it was incredibly painful for me, like a very bad period cramping. I would not get this procedure again without some kind of pain medication. no kidding.

528 Samantha { 11.17.13 at 11:09 am }

I had this procedure done about 2 weeks ago. I had prolonged bleeding about 2 years. I am 25. I was diagnosed with PCOS-only symptoms I have are prolonged bleeding and higher testosterone levels. My endometrial lining was 15.5 mm thick which is why they wanted the biopsy done. Since I have not had any children I took something 8 hours prior to the procedure to soften me up down there. 1 hour prior they gave me something to make me less anxious but I did not feel any difference. I did not take any pain killers before or after the procedure even though my doctor recommended I might need to. The procedure was not too bad. It was a little uncomfortable I would say a tad bit worse than a pap smear. Nothing I could not handle. I had light bleeding the day of and very light brown spotting four days after. After the procedure I started taking Metformin to help me ovulate and the birth control pill Minastrin 24 fe to regulate my period. I have had no bleeding since the spotting from the biopsy. Which is a big relief from constantly bleeding. The results from the biopsy came back normal which I thank God for. For me the worst part of the biopsy was waiting for the results. I was a wreck. I hope all is well with you all.

529 Monica { 11.18.13 at 5:10 pm }

Exactly a week ago I thought I was just going in for results for a pap test I had and was told the lining of my uterus was thicker than normal. The doctor told me she wanted to take a sample and that it was similar to a pap test but may have a bit of cramping. I was not prepared for it, not told to take anything for the pain which was excruciating. I asked her how long would I be in pain, she said a day, she didn’t even mention the bleeding. Getting dressed I was feeling dizzy could barely stand up, she didn’t even look up at me and told me to make another appointment. I made my appointment, reeling in pain and breaking into a sweat than left to the building to go next door where I had to set up another appointment for an eye test. There standing at the counter all I could think about was I wanted to get home and lay down, by now I was starting to get disoriented so I asked to use the bathroom, sat down on toilet and waited for the pain to pass a little. When I got up I fell into the stall door but manage to get back to the front desk and told them to call a cab for me. today I am still bleeding but its light, cramps are almost gone and I’m feeling better. My experience was horrendous and I never want to go through that again. Hope no one has to go through that and if they do be prepared.

530 Beck { 11.19.13 at 12:16 pm }

I have had to get 2 d&c’s and 3 biopsies. Regarding the biopsy…I have never had children….so it should be extremely painful, but it’s not. It’s one of those deals were I am glad it’s a short process, takes my breath away for a second or two, and that’s that. I always take something an hour before the procedure, and I truly think it does help….especially when I had lower back pains and lower gi cramps to boot this time around.
To the ladies that have had horrible pain and crazy experiences, I am so sorry. The doctor should be prudent about educating the patient about the procedure ahead of time….a biopsy should be done when the patient is ready and should not always be a spur of the moment “while I have you here” type of thing unless the patient is cool with it…no pressure. We all have nerve endings in different places…no two procedures are the same.
**one note….I had some pain when I lifted too much or did stomach crunches…I would wait two weeks after the procedure to do those things**

531 Anonymous { 11.25.13 at 5:39 pm }

I also had excruciating pain with this procedure. The doctor stopped once to put a cold rag on my head and make sure I was okay and then at the end he started massaging my leg to make sure I was breathing. I screamed out loud in pain in his office and cried. I think it might be due to the fact that I was already having a lot of pain in the cervix and cramping when her performed the procedure. He said he was sorry it was “uncomfortable”. I told him “uncomforable” was a screaming child in the waiting room that was just downright painful! So glad it’s over.

532 Anonymous { 11.25.13 at 11:01 pm }

The perfect way to get through an endometrial biopsy:
(From someone who was terrified of the procedure but got through it perfectly and nearly without discomfort)
Insert a cytotec 200mg the night before as you go to bed
Take a 5/325 percocet 2 hours before procedure
Take a half of an ativan 1 hour before procedure
Take the other half (.5mg) 30 minutes before
Lay back and have your hubby ready to drive you home to nap
That’s it! It’s a perfect recipe, if you don’t have contraindications to any of the above medicine/s. Ask your doc to check your own compatibility to this mix of things first but for me it was a breeze to get through.

533 Kathleen B Lancaster { 11.26.13 at 5:00 pm }

I wrote these same comments on a different blog post, but they are relevant here, so I will share on this page as well:

I’m going to have an endometrial biopsy tomorrow (necessary prior to an Endometrial Ablation). I got a twinge of concern when I was told to take 600mg of Motrin 30 minutes before my appointment, and was on full alert when my doctor’s scheduler retorted with a flippant “Well, take some tylenol then, I guess …” after I reminded her that I was allergic to NSAIDs. Why would I need pain medication at all? The doctor never said anything about needing to take medication before the procedure … But then again, this same medical group’s doctors told me that I’d experience only moderate cramping after inducing a miscarriage at home when it turned out to be three hours of unequivocal hell. I have had two children (one vaginal, one c-section), gall stones, kidney stones, and epidural injections for an L-3 disc in my back that likes to dance in and out of place from time to time. So, I know what pain is like. I know my pain threshold. And when doctors or their representatives tell me that pain will be mild, I tend to instinctively question their “medical judgement.” Fool me once, right?

It was because of that instinct that I found this blog post. Your honesty and the comments that followed gave me the courage to question my doctor’s choice to not be forthcoming about what an endometrial biopsy entails. Truth be told, he *did* ask if *I* had any questions while we discussed my options for surgery due to dysfunctional uterine bleeding, but I didn’t know I needed to ask about the biopsy process and pain and what I should do to manage the anxiety and cramping that might come with it all.

And, after a rather ridiculous conversation with the same scheduler (Me: “No one in my family has been able to tell me that this type of biopsy wasn’t painful. I’m getting anxious about only being able to take Tylenol for the pain. No one in your office told me it would be painful.” Scheduler: “So, you want to cancel your appointment then?”), I was able to leave my phone number so that he or one of his staff could call me back.

When I *did* receive the call back, they made it sound like it was a pretty big deal — to have to intervene and give me pain medication before the procedure. I was told to come in 60 minutes prior to the biopsy to sign paperwork and have the drugs administered, and to be sure I had someone with me who could drive me home. They also said that they would call in some Tylenol with Codeine for me to have as well. I refused to give in to their condescension, thanked them for their time, and hung up. This is MY body and I’M the one who knows its limits. I wasn’t asking for a 30 day supply of Percocet or OxyContin — just something to help with the pain that I am fairly certain WILL BREAK THROUGH. He’s going to be clamping my cervix for crying out loud. How will that not be painful? Why would they not explain this ahead of time?

Sometimes I just need a little push to ask for what is right in order for me to be comfortable. I don’t know if what they’re giving me will be enough, but I *do* know that you all gave me the strength to request something more than what a baby would be given for a fever.

You are all ROCK STARS! I’ll be sure to post a follow-up and let you know how the biopsy went.

534 Anonymous { 12.02.13 at 11:11 pm }

I went and had my endometrial biopsy this week. I was trying to remain calm. Before the procedure, my doctor prescribed ibuprofen, Codeine with extra strength Tylenol, and a lorazepam(valium). I asked for pain medication and relaxation medication, and I think at that point my doctor realized how scared I was. I’m a real chicken9if I can do it, you can do it, trust me). I could have taken all three(and the entire dose). I ended up taking 400 mg ibuprofen and half of the codeine dose. I was feeling pretty numb and happy. My sister drove me to the procedure. I had my ipod with my favorite calming songs that I played over and over. I had my head set on during the procedure on low so I could here the doctor explain what he was doing. He numbed my cervix with novacaine like injections, but was so skilled at that I didn’t feel it, not one pinch.!!!, which I found amazing. After I sat numbed for 10-15 minutes(he took the spectrum out while I rested). He put the spectrum back in and did the procedure which lasted two minutes, I did not feel any pain only a slight scrap like someone brushing something against the inside of my uterus. If I hadn’t had a skilled doctor, my experience could have been horrendous. Make sure you ask your doctor to explain the procedure, and his/her skill level. He only used a spectrum. There is another method, which I was told is more painful. Ask for pain meds, ask for your cervix to be numbed!!, bring a friend or family member for support. Don’t go it alone. If you don’t get the response you want, find another doctor to do it. There are very skilled doctors with the latest techniques for this procedure. Ask about their training for this procedure. Is it current? So don’t suffer through it. Find the best for yourself, get a recommendation from a friend. Remember its only 20-30 minutes of your life…… and your life is worth it……. Breath.

535 Kathleen { 12.05.13 at 10:29 am }

Had a biopsy two days ago. Light spotting, nothing yesterday, now its seems my period may be starting again – just had it last week. I’m 51. Could the biopsy trigger another period or is it something from the biopsy?

536 Anonymous { 12.11.13 at 11:20 pm }

Went in last week to get a biopsy and the lining of my uterus is so thick Dr. could not do one. Had an ablation 7 years ago and apparently it grew back very thick. He said he has to assume its cancerous and do a hysterectomy. Should take care of bleeding, cramping and back pain. Has anyone else’s lining been that thick, that any instruments they tried would not go through?

537 anonymous { 12.26.13 at 11:37 pm }

The worst experience of my life. I was not prepared at all. Went in to talk with my GYN about perimenopause symptoms, which lately include shorter cycles and spotting between periods. (I’m almost 49, no children.) She told me the biopsy would be painful, but I had no idea how horrible it would be. The cramping during the procedure was excruciating, and it didn’t get much better from there. I ended up nearly passing out, sweating, getting chills, nearly vomiting, not being able to stand up, then somehow making it to the restroom to have an attack of diarrhea, then having to lie down for 30 minutes in the examining room, and passing a lot of blood (or it seemed like it was a lot, anyway). Tonight, I am quite sore and am a wreck emotionally. I feel like an idiot for not being able to handle this but I just feel so violated and distraught. Was this really necessary, given that I am at peri-menopausal age and the symptoms are more than likely a result of that? Couldn’t they have checked my hormone levels in some way that was not this traumatic? I desperately hope that I do not have to do through this ever again.

538 Shell { 12.27.13 at 8:19 pm }

I had this procedure a week ago and I’m feeling a bit mentally scarred. I was completely blind-sided. I knew I was going to have a cervical biopsy but didn’t know about the uterine biopsy until I went into see the Dr. She didn’t tell me it would hurt, nor even the possibility of it hurting. The cervical part felt uncomfortable, but very quick. Then onto the uterine biopsy. She scraped, and scraped, and scraped, and scraped….you get the point. It had to have lasted 30 or more seconds. I started crying immediately. The nurse grabbed my hand and I thought I was going to break her hand from squeezing it so hard. I begged the doctor to stop but she continued for another 15+ seconds. I wasn’t sure anymore. She seemed almost hypnotized by my pain and couldn’t stop herself. I thought I was going to die. I have 2 children and this was much worse than my labor with them. When she finally finished the pain continued as if she hadn’t even stopped. It hurt down my right leg. When I could finally sit up I suddenly felt very hot and queezy so I sat there with my head in my hands, still softly sobbing, trying the breathing technique to calm myself, for another 5 minutes waiting for my doctor to leave so I could get dressed. Then, she proceeded to look at a sales receipt in her purse before she left the room. UGH! Really??!!?? Finally she left and I was able to get dressed. I had to make my way slowly through the hospital, still trying to stop crying, breathing short breaths to get to my car. My husband wasn’t with me because I didn’t think I was going to have anything serious done. I cried all the way home and more at home. Two hours later and several different pain meds, the pain eased. I was able to walk around relatively normal. I am still spotting from this procedure, though, today, it’s more like a discharge.

I feel mentally scarred, as I said before, because of the sheer audacity of this doctor from the standpoint of not telling me this would hurt and not offering any pain medication beforehand, the extra long time it took to get the biopsy, and then the seemingly uncaring attitude afterward. Granted, she offered me pain meds after, but I am already prescribed several for other pain so I didn’t get any from her. I feel skittish at the thought of other doctors touching me. I had never met the GYN that did the procedure before so I’m sure that adds to the skittishness. Outside of that, I am very reluctant about sex. I have been having problems even thinking of my husband touching me. I am curious to find out if this is something other women have had issues with following this procedure.

To sum up, women, if you know you are going to get this done, please, please, please, make sure you get some pain meds first. If the doc refuses to give them to you, make them reschedule the appointment so you can get some serious pain killers from your primary care doc first.

539 Shell { 12.27.13 at 8:21 pm }

Edit from last post: I feel emotionally scarred, not mentally.

540 ml { 12.29.13 at 6:20 pm }

I had no idea what this biopsy was, it was a last-minute decision by my dr. while I was in for an ultrasound. I told people afterward that it hurt like a bitch. That’s the best description. I told the dr. I was GLAD she hadn’t told me how much it would hurt (she said it would be “uncomfortable”) b/c then I would have been anxious. However, it WAS brief so that part was good. If I had one again I’d take some Advil in advance and a Xanax. I’ve been bleeding for 10 days in a row since the procedure. I guess I will call them tomorrow and ask if this is ok.

541 Anonymous { 01.09.14 at 11:05 pm }

I had this biopsy done today. I had avoided doing it for four months because of stories I read online. I have to say, I respect everyone’s experience, as people experience pain differently. I prepared, thankfully, by taking a muscle relaxer the night before. Then I took 500 mg naproxen an hour before my appointment. My doc was very nice and comforting. I was very nervous, but the only thing I felt was a bit of strong cramps but it was over quickly. I think it helps to relax and be prepared. And having a good doc! I felt crampy–not like period cramps but more like I had a procedure done. I don’t recommend going back to work if you had this done. I felt very tired and sleepy and it hurt a little to sit/stand. So I think it’s best to take the day off if you can. I did see a little spotting but I’ve been bleeding (that’s why I had this done) so it was nothing new to me. So I would say do not put off having this like I did because it wound up not being bad.

542 carrie { 01.15.14 at 11:49 pm }

hi I went in to my obgyn today cause i was told i had had a chemical pregnancy couple weeks ago and was to follow up with my obgyn today so I went in told him what was going on and he said that that was not case he decided to do this he hesitated at first but after i said few more things to him he went with this test explained it to me and what every thing was how it worked while procediur was being done it did hurt breathing exsersizes do come in handy cause i hyper venalated the samples they take do hurt but only for second i dont usaly handle pain well but this was nothing it hurt for second then was done i was told i would have cramping but this test was done at 1 pm today and i have no cramping just light light pinkish spotting other than that it went fast did not take very long

543 Gigi { 01.17.14 at 12:00 pm }

My doctor had me come in for this procedure while I was on my period to lessen the pain. I took 800 mg of Motrin about an hour before. I didn’t have to have my cervix clamped open at all. A couple scrapes that I didn’t find painful and I was done. I didn’t sleep at all with worry over this and it was a breeze. My transab ultrasound was worse. I highly recommend doing this while menstruating and to try to focus on the positive experiences. My whole night before I kept envisioning myself suffering the pain others experienced when I should have concentrated on the good ones. Hope this helps ease someones mind.

544 Dawn { 01.22.14 at 4:49 pm }

The reason for me having an endometrial biopsy was non-stop menstrual(?) bleeding for the past five months with only a two week gap between that and a previous 2 month flow. I’ve always had irregular periods, but at 53, both myself and my doc figured I’d pretty much survived them and was headed into menopause…but no such luck, apparently!

I’ve had several rounds of hormonal screening bloodwork done, which showed I was still perimenopausal; had 2 trans-vaginal ultrasounds (not a treat, but definitely bearable) which showed that my ovaries were ok – no current cysts though I have polycystic ovaries – and that there were no fibroids or polyps to explain the bleeding, so this was the biopsy in-office or a day-surgery D&C as the next step.

Let me start by saying, I’m an incest survivor and have serious issues that cause full-blown panic with any medical procedures, let alone this kind of intervention. My doc would have preferred admitting me for full-sedation day surgery for a D&C, but I was determined to avoid that at all costs, so…

Had the endometrial biopsy done in-office yesterday afternoon. The night before, I’d been given medication to apply vaginally to soften the cervix, which seemed more important since I’ve never birthed babies. Within half an hour of inserting the medication, I began cramping, but it was tolerable with ibuprofen and I managed to sleep; a few hours afterward, I woke to use the bathroom to find I had a LOT of flow – good thing I’d had the foresight to use a heavy-duty pad!

Yesterday morning, I was very crampy and uncomfortable, but managed to go to work for half a day since the biopsy wasn’t scheduled until late afternoon.

I had two incredibly sensitive, caring female family physicians perform the procedure, my own doc as the familiar face for moral support and her associate who is the doc in the practice that specializes in reproductive procedures. I was given the choice of having them explain each step or just warn me when something uncomfortable was about to happen – I chose the latter. I used headphones with some comforting music and my spouse held my hand and offered reassurance. I also premedicated with 1000 mg of ibuprofen for pain and 3 Ativan for anxiety. All this is to say we had put together a plan that provided the best chance for my comfort and a successful outcome, success being defined as the cervix dilated adequately that adequate samples could be taken.

Getting positioned “just so” was high on the my docs’ agenda; the docs wanted to ensure the best possible “view” and since they felt strongly that would help, I was only to happy to oblige if it would make things go more smoothly so I readjusted my “butt” placement several times. My cervix was not easily visible nor well aligned, so that took some maneuvering (and a clamp – ouch!). They first took a PAP sample, cleansed the cervix, froze the cervix and then began the “probe”. Because I’d visualized what 3-5 millimeters – the size of the equipment was supposed to be, I’d convinced myself that was such a tiny amount of dilation that it couldn’t possible really hurt (physically hurt, as opposed to the triggering that incest survivors often have). I was wrong.

Apparently, when it comes to the cervix, even tiny amounts of dilation are painful. I had been told it would be a crampy feeling, like labour, and I guess that was sort of an appropriate description of the beginning, but it escalated to a very sharp pain, which I hadn’t anticipated. I maintained an inward focus, used deep breathing (square breathing, if you’ve heard of the technique), and the first few times – the freezing and the sounding probes were very uncomfortable but bearable; by the time the actual biopsy instrument was in use for collection, it was much more painful, it was hard work to breathe and my exhales were more of a low groan or a hiss; I was on the verge of telling them to stop the procedure, which they had promised to do if I requested it, when they told me it was “the last pass”.

How painful was it? As painful as when I’ve had past ovarian cysts burst, except that pain lasts a long time; in the case of the biopsy, there was uncomfortable cramping ever since inserting the meds to soften the cervix, but the actual whole procedure took only about 15 minutes, probably 12 minutes of that uncomfortable but not painful and 3 minutes, broken down into 20-30 second segments, painful enough to make me tear up and from the first one, try to dissociate with the further ones. Would I do it again? Well, the only alternative I was presented was day surgery for a D&C with biopsy, and though less painful, in my personal circumstances, it would have been harder emotionally, so yes, I would probably do the in-office biopsy again if I have to.

Now the next hard part: waiting 10 days for results.

545 GLZ { 01.23.14 at 8:58 am }

Getting this done early tomorrow morning for infertility diagnosis. Reading some of these comments had me PERTRIFIED about the pain! Plan on taking Vicodin (and my husband) before the procedure. Hoping all will be well!

546 bre { 01.24.14 at 3:40 pm }

I had this procedure 2 done and this is painful as heck, Yes i was told by the receptionist to take a pain pill but some have pain and other does not not the case with me this hurt like HE double L Hockey Sticks. I am still in pain as we speak. I almost passed out and the doctor asked If i was still breathing and I gasped barely. Not to mention I am still bleeding which I hate because now I feel like I’m having a period all over again. My back continues to hurt. This Biopsy is no joke. I complained to my coworker after the procedure and stated I may not come to work for the next few days. But I came anyway and I still feel horrible. Good luck to all–My experience was a disaster!

547 GLZ { 01.24.14 at 7:01 pm }

So—-had this done today, and I must agree with the posters that say it varies from person to person in regards to pain. The worst thing was waiting the 90 minutes to get the test done. My husband was with me, and my doctor was very kind and patient with me. The actual procedure felt a little like zings of pain that shot through my abdomen, but it was very quick. Had a Vicodin (like I noted) and two Advil so that may have helped. She did two passes, and it lasted a total of 3 minutes. I felt fine by the time we got back to the car, and after a short nap (we were both stressed and frazzled) we went for an early dinner. Hoping that everyone has a similar or easier experience!

548 Amy { 01.28.14 at 8:29 pm }

I had this procedure done today and was so nervous walking in there after reading some of the experiences above. I have never had children or been pregnant. I took 800 mg of motrin about hour and half before. The procedure itself was a little uncomfortable – I did feel some strong cramping when she was doing the biopsy – but it didn’t last long. The procedure in total lasted less than 10 minutes, and most of that was her putting silver nitrate to stop bleeding from the tenaculum. The biopsy part itself was pretty quick. My doctor was very good, explaining what she was doing as she went and letting me know how much longer. I had told her how nervous I was and she was very good at helping me to relax and get through the procedure. Afterward, I did feel some cramping and had some bleeding, but nothing worse than a period. Will take some more motrin tonight. All in all, not an experience I would volunteer to do again, but it was not as bad as I was expecting. The anticipation was the worst part. Hope others have a similar experience.

549 Tressa { 01.30.14 at 5:13 pm }

would it be ok to take a few shots of rum before my procedure tomorrow? i dont have xantac (sp?) and im really kind of nervous

550 Vicki Lynn { 01.31.14 at 11:27 pm }

I had this done today without warning. The tenaculum used to dilate the cervix reminded me of childbirth (worse) and the pinching suction of the sample was a painful pressure. Not unbearable but definitely had me wincing and breathing! (I have a very high pain tolerance) Do have spotting, cramping, and just that yucky feeling. I just spent the day on the couch.

551 Barbara { 02.03.14 at 5:40 pm }

I just completed this procedure. I am 43, 1 previous vaginal birth 16 yrs ago.
On the phone, the nurse told me to take 600-800 mg of Iburofen before the biopsy.
After reading here on this board, I took 600 mg of Ibuprofen (3 tablets) at 7 pm the night before. My appointment was today at 10 am, so at 8 am I took another 4 tablets (800 mg), always on a full stomach. The container says to not take more than 6 tablets within 24 hours, so I was already 1 tablet beyond my limit. On the drive there, I was so nervous that it would hurt, I took another one 1 hr before the appointment (so I was 2 tablets, or 400 mg, beyond my limit for 24 hours). My doc later told me that I should generally never take more than 800 mg Ibuprofen.
My doc explained it all to me and had me undress from the waist down only. The procedure took only 10 minutes max and that included the time from when she started feeling my tummy. The first part was like a pap smear, nothing special. She did say (and I suggest you ask your doc to do this) that she would count down from 3, and at the end I should cough (when she pushes the “straw” through the cervix). There was NO pain! Well, it felt a bit like me being a bottle and someone trying to get the cork out…. there was a bit of pressure, but while she was in there, I wondered out loud if I shouldn’t be more afraid of dentists? She got the straw out within less than 10 seconds, and turned to the counter. I told her I still feel the pressure and she said that this is just the speculum, which she then promptly removed. I had no cramping, during or after, and just a tiny bit of spotting.
I had a Mirena set a while ago (its gone now) and that too was VERY EASY. I felt some pressure and before I could blink, it was done.
So, ladies…. don’t freak out reading this…. from what I can gather, psychologically people with the issues or negative feelings toward the biopsy will be more likely to write the review than someone who is a happy camper. I decided to write simply to be one of the voices in the minority (as it seems), to put you at ease.
I knew ahead I would get it, so that helped, and I wanted to be done with it asap, so I told myself to be calm about it. Joking with the nurse helped! Also, the coughing trick was great. In fact, during the 10 seconds she poked inside the uterus, I coughed several times and that greatly distracted me.
So it doesn’t always feel like a childbirth once over again, really not!

552 Maureen { 02.10.14 at 2:40 pm }

I just had my endometrial biopsy this morning (2.10.14) and had to come back to this page — the page that has had me living in fear and with serious anxiety over the past 2 weeks — to report my experience. I have to say, I’m almost angry at the people who made their experiences sounds so torturous. I worked myself up for nothing. NOTHING. The procedure was hardly any more uncomfortable than a regular pap smear, and it was certainly not painful. I took 4 Advil about an hour before the procedure. The procedure itself took maybe 2 minutes. I am 40, delivered 2 children by C-section only, and thought having an IUD put in a couple of years ago was very painful. This was NOTHING. So to anyone who comes here and, like me, is totally freaked out by all the dramatic stories, rest assured that those stories don’t represent all of us. You have to take everything you read on forums like this with a grain of salt… They tend to attract people with negative experiences. So I’m trying to inject some MUCH NEEDED balance to this page.

553 Maureen { 02.10.14 at 2:42 pm }

P.S. Very, very minimal cramping and no bleeding. Went right to work afterwards.

554 Twinmom { 02.13.14 at 12:02 pm }

I had this procedure done yesterday. I can’t speak for others….but knowledge is power…so here it goes! There is no way a human being should have to endure such a barbaric and painful procedure without a block/or being asleep. This was something I am still reliving in my memory. Insist on drugs and not otc simple ones. The pain was unimaginable and I NEVER want to experience anything like that again. I had some blockage that stopped the exam from being completed……and made it slightly longer in attempts. Some cutting was done….. I told my doctor to stop as I was slipping out of consciousness. I also told her she would have to put me under to attempt that again. She readily agreed and I have an appt. in two weeks. Your the best advocate you have…..speak up and say DRUGS!!!!!

555 PinkChick { 02.13.14 at 1:59 pm }

Have had this done twice in the last 3 months.
The first time I had no pre-warning that this was being done and no pain meds. The Dr. warned me it would be unpleasant. And it was. I would have described that first biopsy as highly uncomfortable with mild cramping afterwards that did not last long. There was some initial spotting, but nothing after a few hours.

However, the SECOND time I had this done (four days ago), I took some advil ahead of time and figured I knew what to expect. It was also the same Dr. The second time I would say that the actual test hurt somewhat more, but I honestly think that it was partly due to KNOWING what to expect this time that made me tense up and anticipate the pain. However… my recovery has been radically different this time. I’m still bleeding, and I’m getting stabby sharp pains in my uterus as well as occasional cramping. I took three extra strength naproxen this morning, and the pain is still sharp and coming through. I also have really bad lower back pain. It’s bizarre to me how the same procedure with the same Dr. can produce two very different reactions. The body is a mystery, that’s for sure!

556 jane doe { 02.13.14 at 2:48 pm }

i had this procedure done today. so scared but needed to rule out cancer. i am 40 and had 2 children via c-section. i took 800mg at 9:00am and another 800mg at 1:00pm, both times with a cup of coffee. right before the procedure i took .25 xanax. i can honestly say that i didn’t feel a thing. most of my pap smears have been more uncomfortable. while i did take cytosol, the gyno mentioned that my cervix was only slightly open. i had both the hysteroscopy and the biopsy. slight scraping (far less than a dental shot for example) when she did the biopsy with the brush but that’s it. it’s about 7 hours after the procedure and i am getting cramps but that’s it. very relieved that it’s done and now just to wait for the results :)

557 Amy Mom of 5 { 02.15.14 at 1:46 am }

I had the biopsy done today with no warning that it might be painful. It was just a little uncomfortable during the procedure, but it really hit me on my drive home. The cramping was similar to labor pains. I know some of the comments suggest that some women have a low pain tolerance which to me is insulting just because your body reacted differently doesn’t mean we have a low pain tolerance. I’ve birthed 2 children naturally so I definitely have a high pain tolerance. I had extreme cramping and bloating. Just be considerate to other’s experience and support one another. Women can be so harsh to one another.

558 eileen { 02.16.14 at 8:45 pm }

I had the biopsy done on Friday and it was no where near as bad as the first one years ago. I really think taking Motrin ahead of time and having a wonderful doctor who had me do some breathing exercises helped a lot. It does hurt, but not for long. The dull cramps have been pretty uncomfortable (3 days now) and I hope they are gone soon. The bleeding also ended today. I think I’d compare the pain to the sharp sudden stabbing pain you get when you stub your toe. It’s the pain but it’s also the shock but then it’s gone.

559 Paige { 02.20.14 at 2:22 pm }

I went to the doctor yesterday to check out post-menopausal bleeding. He did an ultrasound and decided to do an endometrial biopsy because the endometrial lining was thick. Since this was spur of the moment, I didn’t have anything for pain. He couldn’t get the cervix to dilate and when I said, “Jesus, that hurts!” he stopped. I thought I was going to pass out. I tried to go back to work but had to get my husband to come and get me. I bled and cramped all night. I’m going back in a couple of weeks after I bleed again so he can do another ultrasound when the lining is at its thinnest. My doctor has told me he’s not going to put me through trying another endometrial biopsy and that if my lining is still too thick, he’ll do a D and C. I hate being put to sleep, but I wish they had done that in the first place.

560 DEB { 02.22.14 at 9:05 am }

I had my 3rd endometrial biopsy yesterday. I’m 54 and have had heavy bleeding and clotting for past 2 1/2 weeks after missing two periods. I was so happy thinking that menopause had arrived after years of problems. When I went to the gyne yesterday I wasn’t prepared for the biopsy. Before my exam I had a transvaginal u/s which showed that my uterus is thick again. So, he tells me that we really need to do the biopsy. The last time I had one of these it was two years ago and I told him then it was the last time I was going through that. I have had 3 c-sections and a small cervix with scarring on my uterus. Everytime I have one of these I go home embarrased that I wasn’t able to keep myself from begging the doctor to stop before the test was over. Everyone is correct, it doesnt’ last long, but it’s intense while it lasts. After apologizing yesterday for my involutary begging, the nurse told me that I did great, most women swear some using quite vulgar words. I would tell everyone to take 800 mg of Ibuprofen about an hour before the test, expect a little cramping and some spotting after the test and just rest when your done and don’t be embarrased if something inappropriate involuntarily flies out of your mouth during the procedure.

561 GinaCook { 02.24.14 at 7:16 pm }

I’m almost angry at the unnecessary, frightful theatrics on this subject! I had my biopsy done this morning, yes it’s painful but not nearly the horror story that’s depicted on this page! It’s very doable, lasts mere seconds and is no more than painful period cramps. I had NO sedation whatsoever, not even Advil until I got home; popped 4 of them and was fine in an hour. I didn’t pass out, didn’t vomit, didn’t cry, scream or fly off the table. Oh, the drama of these mamas is ridiculous! Anyone about to have it done, don’t be scared, you can do this!

562 Debbie { 02.25.14 at 8:54 pm }

I am 50 yrs old I had a biopsy years ago and it was a horrible experience done by a male doctor. When my new doctor, female, said I needed one, I did everything I could to be knocked out it to get out of it period because of my experience. My dr ordered a Valium and also Misoprostol to be inserted vaginally the night before to dilate my cervix. I only had slight cramps from that medicine during last night. I took my Valium and a pain pill one hour before my biopsy today and was still quite scared when I got there. When the dr came in, I started crying because of my past experience and from reading all of the posts on here. We talked a few minutes. Then I said ok I’m ready. She talked me through it. I felt nothing but a slight cramp and she was done. I literally cried from the release and relief I felt when she was done. I was embarrassed and apologized for crying but she was so sympathetic and did not discard my fear that I had. My advice? Have your dr order a Valium and take a pain pill before. TALK to your dr. Ask him or her to talk you through it. Don’t read all of these horror stories and above all, relax as best you can. If I can do it, you can.

563 Mommaover40 { 02.28.14 at 7:33 pm }

I am 46, had my first (and only) child 2 years ago. I had an EB today, and took 200 mg Ibuprofen an hour beforehand. Felt like barely more than a Pap for me, but it seems the variety of experiences does depend on if/when you have had children, your age, and who knows how many other factors. I have a retro flexed (tilted) uterus, maybe this made things easier for me? For me, having my cervix checked digitally while hoping to deliver naturally while pregnant/preeclamptic was painful. Having the right doctor helps too- don’t get this done until you locate a Gyn. who is sensitive to your needs! I was a little tireder afterwards (although chasing an almost 2 year old will make you tired) than I expected but went back to work a half day and am now resting. A little bleeding/spotting and mild cramping during the 12 hours post procedure. May take a second Ibuprofen to be on the safe side. Best to you all!

564 Anonymous { 03.07.14 at 10:47 pm }

I had this done today it was the worst pain of my life i had my gallbladder taken out 3 years ago the pain was worst than that i was having pelvic pain before the procedure so it made it worst i cried all the way threw it she had to stop because she felt she was going to traumatize me. I took 3 advils it didnt help. I had it done because ive been having heavy periods for 7 years her answer after my biopsy was “your body is use to bleeding idk why you bleed so much the pain will go away” i wanted answers she knows the pain doesnt go away so now im in worst pain and i have trouble walking

565 yve { 03.19.14 at 7:19 pm }

i just had my endometrial biopsy done yesterday.i am 49 and have been having some abnormal bleeding. After finding out i needed to have this procedure done i immediately went on this website to find out more and to hear other womens comments on it. I.. was really filled with a lot of anxiety when i read so many stories of how awful it was for some women.,but there were also women who said it was really no big deal…my experience was not that bad at all, it is uncomfortable , but not unbearable i did take 2 aleve a few hours before the procedure and it is over relatively quick.when they take the sample you will say ow ow ow but its pretty quick and then its over. i never had any other ill feelings. i am very grateful that it was relatively ,easy .today i can feel a slight pain where the took the samples from but its not enough to take pain relievers…so i just wanted to share my experience.and to say the anxiety i felt for the two weeks prior to the test was much worse than the test itself.

566 Big baby { 03.20.14 at 1:47 am }

I had this done Friday. I was so nervous from reading all the post that by the time the doctor came in I started crying. One hour before I took 4 Advil. It was not bad at all. I felt a few really bad cramps but breathing exercises helped. Some spotting after but now my period has started and it’s worse than ever.

567 ANONYMOUS { 03.26.14 at 7:56 pm }

My doctor is a female and she was very sweet and told me it was uncomfortable and I would have cramping and “boy did I” I can’t compare it to labor or child birth because I have never had a child but it is painful, it feels like bad cramps and there is pinching the only good thing I can say is it is over quick, the prep time is what takes the longest. My doctor told me to breath deep and to keep breathing deep until she is finished, I did but I couldnt tell it helped all that much, she did deaden my cervix but the needle was as painful as the procedure so I wouldn’t fool with that again. During the procedure I bled alot and was giving a thin maxi pad to wear after, shortly though my bleeding became just some spotting and I am still spotting a tiny bit today ( the procedure was 2 days ago), I did take 2 ibuprofen after the procedure as well and I didn’t have much cramping that evening at all. Overall it wasn’t the funnest thing to have done but it was necessary. SO if you are going to have this done DON’T freak out, just take some pain meds before you go, bring a maxi pad and try to relax- yeah right! but seriously it isnt that horrible, again I have had it done twice and I survived. :)

568 Kesha { 04.01.14 at 12:41 am }

I had my endometrial biopsy done 4 days ago and it was the most painful experience for me. I took 2 narco before it was done and I still felt a lot of pain. During the procedure I felt lots of very painful cramps and sharp pain. It was over very quick but still had cramping after for a couple days. My concern is the bleeding, I bleed during, after, and 4 days later still bleeding like a heavy period. My periods are normally light so this heavy stuff is starting to worry me. Will be calling my doc tomorrow . I recommend that you have your doc explain everything to you and take some strong meds! Also have someone there with you and take the day off work. I don’t like pain but can tolerate most pain without meds. I hope this helps !

569 Dee { 04.02.14 at 11:42 pm }

Had this test done today. When they ask what is your pain level on a scale of 1 to 10, with the 1 being the least amount of pain and 10 being the worst amount of pain? Try a 20, that is the amount of pain I had from this test! I was screaming because the pain was so bad and even asked him take that thing out of me! Of course he didn’t and for that I am grateful, but like anything your instinct kicks in and you try and move away from what’s hurting you and you will tell anyone to stop what they are doing if it is severely hurting you. Yes, it was that bad. I took Motrin 800 before this test. Didn’t help a damn bit. I hope never again…:(

570 Dee { 04.02.14 at 11:54 pm }

To Gina Cook, just because your’s was a breeze not all women who have it done have no pain. Everyone is different. Different reactions to pain and different thresholds. To even suggest that it is all drama is just plain wrong! I for one would never want to scare anyone into not having the test but feel a woman should be informed of what the pain can be like whether good or bad.

571 Anonymous { 04.07.14 at 1:16 pm }

I have had TWO of these savage and primitive procedures, done by male doctors. I cannot imagine a man being asked to give an invasive biopsy without anaesthesia. The second time, I screamed in the office. I am not a screamer. I was crying for half an hour afterwards and so was the doctor, who was profusely apologetic. Now, I have a new gyn, a female, and she is trying to convince me to do this. We can see an abnormally thick uterine wall and I have a history of endometriosis and cysts, which were previously dealt with 20 years ago by laparoscopy (another female gyn). While doc-shopping without insurance (yay Obamacare!), a male gyn suggested that he could take the biopsy while I was under anaesthesia for minimally-invasive surgery. I had no money so could not get treatment. Bottom line: this procedure is medically necessary and can save lives, but it is ALWAYS framed as a convenience for the doctor and as an unnecessary risk for anaesthesia unless one is a sexual abuse survivor. Excuse me, but this qualifies as a form of sexual abuse in itself to me. I have never heard anyone say that anaesthesia compromises the biopsy sample itself. I strenuously object to this kind of torture as a form of “convenience” for doctors who overbook their schedules. I would like to hear from some medical professionals who can explain why any patient should not be drugged to the gills for this procedure.

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