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.

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.

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!!!

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.

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.

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!

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).

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.

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...

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.

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.

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!!!

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.

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...

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.

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.

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!!

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.

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.

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.

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.

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.

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.

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.

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!

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

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.

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.

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.

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

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!

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.

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.

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.

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.

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.

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!

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.

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.

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.

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

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. :)

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.

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

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

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!!

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.

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.

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

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...

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!

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.

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.

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!

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?

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?

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

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.

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.

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.

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.

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.

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.

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.

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.

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!

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!!!

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.

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.

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.

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.

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.

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?

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.

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!

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.

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.

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.

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*

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.

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!

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?

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

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.

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

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.

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!!! :)

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!

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!!!

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.

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!

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

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!

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.

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.

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!! :)

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!

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.

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!

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.

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. :(

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.... :)

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

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....

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

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!

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.

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.

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!

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!

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.

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.

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.

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.

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.

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 -

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.

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.

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.

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?

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??!!

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...

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.

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...

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.

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.

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...