Hysteroscopy

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I've been  referred for an urgent appointment  for a hysteroscopy with biopsy and I'm dreading it - I'm very scared.  The gynaecologist said the biopsy should be done the sooner the better, so she tried to take the biopsy a couple of days ago, after she did a smear, but she couldn't get through the cervix as it's so tightly closed. The pain was really awfuI and I bled a lot as I'm on Warfarin.  I intend taking co codamol an hour before, so I'm hoping that will help.  Does anyone have any other suggestions - or reassurance? I want to get it over with, do I'm really hoping I cope ok.

For a bit if background  I'm 59, my last period was 21 years ago when I was 38. I have significant thickening of the lining of the uterus (shown on transvaginal ultrasound and CT scan) and have had intermittent  watery/brown staining on my underwear for a while. I also have a 6.5cm cyst on my right ovary, which I believe is going to monitored. My investigations for malignancy were originally started bu another hospital consultant as I had large unprovoked blood clots on both lungs  which may be due to hidden malignancy. 

Thanks all x

  • Hi, you can ask for a localised numbing injection before you have the hysterscopy .

    I had mine tried twice but I had a large clot in the way so in the end I had mine done under general anaesthetic. I hope everything goes well for you .

  • Thanks .  I hadn't even thought to ask for a local anaesthetic myself,  even if it isn't offered.  I think I'll need to stop being quite so submissive and tell them if it's just too much.  

    I hope you're feeling well. x

  • Hi and welcome to our spot in the Online Community. I was unable to have my hysteroscopy done in the normal manner as I had a stenosed cervix and it was just too painful. I was advised to take a couple of paracetamol and hour before the procedure and they also used a local anaesthetic.  I ended up having it done via general anaesthetic (epidural) which you can request. There's been a lot of posts on here about hysteroscopies, some ladies have no problems and state easier than childbirth. I haven't had children and I was grateful my nurse practitioner didn't persist in her efforts.

    We've all been where you are, this is a scary time but you're not alone, we're here to offer assurance and answer any questions.

    It’s always helpful to others if you write a little something (or a lot) about yourself and your journey to date. You can enter it into your profile (click on your username and select “Profile”) It’s helpful to other members with a similar diagnosis who can then hopefully answer your questions. It also means that you don't have to keep repeating yourself. You can amend or update it at any time. If you’re not sure what to write, just click on my username.

    It’s always good to talk and the Macmillan Support Services provides lots of information, support, financial guidance or just a listening ear. It's free to call on 0808 808 00 00  8am to 8pm, 7 days a week. Have a look to see what is available by Clicking here .

    There is also an Ask an Expert section, but you should allow two working days for replies from our expert team.

    Sending you welcoming hugs, B xx 


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  • Hi Nonentity. Just to re-iterate what others have said: you can request for this to be done under anaesthetic. I have had 2 hysteroscopies: the first time they didn't attempt it in out-patients and just told me I would need to come in as a day-case to have general anaesthetic. So next time I needed one I was wise to it, and asked for it to be done under anaesthetic. Now it may be that you have other medical things going on that means they are reluctant to give you a "general" for this but I would hope the anaesthetist would have a few tricks up their sleeve in the way of sedation or pain relief for you. Wishing you all the best and I hope your diagnosis is something that's simple to fix. LR.

  • Thanks for your lovely welcoming response   I'll put together a synopsis of my story to-date - very good idea, thanks.  I've had 4 children - all delivered vaginally, one of which was a forceps delivery, and the pain was on a par with the nomal delivery, albeit short-lived in comparison!  I do think it's to do with my youngest child being 30,  me being 21 years postmenopausal and the cervic being so tightly closed.  The joys! Slight smile

    Thanks again xxx

  • Thanks . I do have some other issues  that may stop them giving me a general anaesthetic unless there is no other option, but maybe an epidural would be possible if I can't cope with the procedure. (I'm prone to chronic pulmonary oedema  - controlled by medication, sleep apnoea - I use a CPAP, device, Supraventricular Tachycardia - controlled with medication and I'm overweight.

    Takecare xx