The normal way for them to do investigations is to do the TVA ultrasound and then to go on to do a hysteroscopy if they want a clearer idea of what’s going on and to take a biopsy if needed. My ultrasound showed a slightly thickened lining and a small polyp so a hysteroscopy was booked to check both out further.
Did they tell you how many cm? I suspect "inconclusive" means borderline between doing nothing and investigating further. I'd always take further investigation if offered.
My ulrasound showed a thickened lining and the next step is then a hysteroscopy. My clinic books 45 minute appointments that include getting your informed consent and discussing whether they remove any polyps at the time and your recovery time. I turned out to have a very large polyp and then they normally wait and remove it later under general anaesthetic. As I had a bad experience with my last general I didnt want that and was lucky to have a very experienced nurse practitioner who was willing to do it then and there.
My clinic inject local anaesthetic into the cervix and also offer gas and air. I also take paracetamol before I go. It's not a pleasant procedure but it doesnt take long and if you find it very painful they should stop and offer a later appointment under general anaesthetic. They will biopsy any polyps and mine had some cells with a potential to become cancerous - so they offer a mirena coil and repeat hysteroscopies, 2 in a year. If those are OK you are released from follow up.
Waiting for the biopsy results is stressful and unfortunately that is often 2 weeks, it can be longer. If you dont hear after 3 weeks phone them - mine were back and letter dictated but no-one thought to actually send it!
Most people- something like 9 in 10 - dont have cancer and some of those who do have it caught early when a hysterectomy removes it.
My odds were worse that average because of several risk factors. So I decided to resign myself to the idea of a hysterectomy. My consultant said that his nurses are back at work 2 weeks after keyhole surgery, most people reckon on 6 weeks. It doesnt actually look like I'll need the hysterectomy but being prepared to have one helped me deal with waiting for biopsy results. CA125 is a non-specific inflammatory marker so can be raised by other things than cancer. It's worrying but not conclusive.
