Bleeding uterine biopsy

💙ok we need to review some GOOD BASICS all!

‼️perfect timing bc @drheatherirobundamd kicked it off with her fab fun REEL yesterday about showing people all our instruments which works well with my last week’s “what is a speculum” and now “Oy! How are you biopysing my uterus?!?”

💙this is a skinny plastic straw like device that we use to “sample” (ie biopsy) the endometrial lining (aka inside your uterus—where the period blood sits!)

⁉️you may need one done for: heavy/irregular bleeding either (very common Especially during Peri menopause where it’s likely just hormonal changes but malignancy (a.k.a. cancer) always has to be ruled out…OR if you have ANY post menopausal bleeding…OR we occasionally will use this if you have had a miscarriage and a small amount of tissue is still inside..

💙prior to some brilliant human creating this—GYN’s only option to sample the uterus was a “d&c” (dilation & curettage) which is typically done with mild sedation or full blown (SAFE!!) anesthesia and less often as a “quick” office procedure

😩BUT is this uncomfortable (aka painful) you ask? WELL it depends BUT the SHORT answer is “yes But for the MAJORITY of women it is tolerable”. The LONGER answer is: your doc will likely tell you to take an NSAID (ibuprofen/naproxen) an hour beforehand—PLEASE LISTEN AND DONT ASSUME TYLENOL (aka acetominophen) is the same—it doesn’t help with the contraction type/inflammatory type pain like NSAIDS and that can make a HUGE difference.

🗣I ride the fine line between being HONEST and NOT being “scary” so I tell my patients “you will hate me for 10-30 seconds but IF we work together we can get this done quickly and efficiently and effectively” and I show them the device bc it does NOT look onerous—is it then painful? UMMMM YES—I’ve had it—BUT is it 10000% tolerable and QUICK (also YES)
❓NOW as always we will have patients who cannot have it done in the office for various anatomical reasons OR bc it really IS too painful and this does NOT MEAN THEY/YOU are wimps—it means each of us has a different pain threshold based on our past trauma, our actual nerve ending response, our anatomy and PROBABLY 10k other reasons we don’t even know! No shame

[phoenixgate]

I just had a biopsy done and WOW 7/10 pain level. It’s been 3 hours and it still hurts quite a lot and there has been bleeding. I was warned but I thought, “I’m a tough chick, I can handle a few cells being scraped.”
No, no I cannot.
Get the anesthetics.

[SavageLyfe]

The way I felt violated & the pain 😭 It was done 3 days ago & still bleeding. & it’s the wknd… 😩

[t.t.]

They are performing Surgery inside your body without any pain relief! I had this done 40 yrs ago & it was painful. Had it done 3 years ago & was shocked that it's still the same, PAINFUL!

When I complained to the doctor that the procedure hasn't changed in 40 years she replied, " That's your fault! If woman complained they would do it differently" I agree! Women /men need to speak up and COMPLAIN to the doctor. The Hospital administrator.Tell them you will NOt use their Hospital if they continue with these painful tests. Mammograms

[christinegalullo]

You are not being honest taking medicine before does absolutely nothing. It's very painful. I took 800 mg ibuprofen plus I have perscription pain medicine I took an hour before and none of it helped. I felt every horrible minute. There is no reason why a woman should have to do something this painful without anesthesia. It's horrible procedure.

[MrsOverthetop]

The meds don’t work. I just had one done last week.. pain is what I felt. Then they called me today the ( Nurse practitioner ) and she said I have to repeat the biopsy and that she wants an MD to do it, not her. What the heck! This is crazy!

[sjordan]

In the UK it is now illegal to do office biopsies, OMG, the pain was unimaginable, don't ever tell anyone it doesn't hurt. Worst pain in my entire life!. And, I still needed a D&C, a biopsy can miss a lot, if it only removes a small price of tissue. I had Endometrial Cancer, after being misdiagnosed twice, told I had fibroids so nothing to worry about, the s*ds!

[saundreacoleman]

Greetings All,
I had one done two years ago and another one last week with a camera. Thankfully my results where fine both times. Yes it is a bit painful. I would suggest if it is unbearable pain have them stop the procedure and have it rescheduled in a hospital so you can receive some form of anesthesia.
We have to be advocates for ourselves, that is an option make sure you discuss that with your doctor or whoever will perform the procedure.
Please know you can make them stop!

[livingthedream]

This is incredibly painful. It’s disgusting that this is done without anesthesia.

[Carol-mqfe]

I took an 800 Motrin and a Xanax before my procedure. It still hurt like hell.
An otherwise healthy woman should have the option for general anesthesia, making it less painful in the moment, allowing the doctor to get plenty of sample tissue.
As it was, my doctor had to cut it short and “hope” it was enough.

[melissaadams]

I had it today and it hurt really bad. 😞 😢

[oblongfan]

nah im demanding to have a spinal block from my dr. cant do it without being numb waist down

[unlvgirl]

Just had this done a couple weeks ago. I was super nervous about the pain. I took 800 mg of ibuprofen before to hopefully help. In all honesty, it didn’t hurt at all. I felt some cramping on one side, but very little, if any pain. The next few days, I had some bleeding like a light period, and that’s it. No cramping after the procedure. If you are nervous about having this procedure, I hope your experience will be like mine was.

[jackysieras]

I had mine done today, i've read all the horrible reviews on youtube and how painful it is, i had been freaking out thinking no in hell i would've been able to have it done. Well let me tell you IT DID NOT HURT!! Everyone is different, i took ibuprofen 800mg 1 hour before the procedure and all i felt was just as a regular pap smear, there was pressure felt when the doctor did 3 suctions out but it was just that pressure and almost like a slight skin pull. I think if you think about pain and get tense yes i can see how it can hurt but beleive me to me it did not hurt, i've had painful cramps but i was surprise how this procedure was quick and done. I have had 3 normal deliveries so i think for women who've had children is less cramping.

[chelesykora]

Medical community gaslighting women. This is bs. I had one done today, wothout the doc twlling me to take something for pain. Holy hell! Actual torture. This procedure should not be done without anesthesia. Why put women through this? Seriously its not ok. I was crying, soaked in sweat and cursing. It felt like being violated and medieval torture style. Do not have this done without anesthesia. The "cramping" is not cramping. F'ing horrible.

[jessicadorlac]

Does this procedure only tell you if a tumor or cancer is in that one sampled spot though? That's what another doctor's video says. He recommends other ultra sound with fluid procedure instead.

[bonniespruin]

I have a friable vagina and had to be put out in hospital for the procedure. It was too painful in the doctor's office. It's a day after and still a lot of pain and still bleeding. My instructions are to rest at least a week. Is that normal? I didn't think it would still be this painful.

[KatrinaSanderson]

Found it to be very drying to my hair.

[goatlady]

This is horrible, they have me the d&c anyway.