Endometrial Biopsy
I am appalled and angered that so many women go through this very painful procedure without being accurately informed of what to expect.
It hurts. A lot.
Yet most doctors tell their patients that they’ll feel a mild pain. Most medical references also associate the procedure with a mild pain. Oh, they’re completely wrong.
“I had an endometrial biopsy yesterday. I am still quite ill today. I had more pain with this procedure than I have ever had in my life…and I’ve had two children, two elective abortions, 14 eye surgeries, an extensive breast biopsy, esophageal biopsy, lung biopsy, bilateral skin biopsies from my legs, sinus surgery and biopsy, and 14 periocular injections of corticosteroids.” – from http://stirrup-queens.blogspot.com
Initially, I wasn’t going to share this information with the World Wide Web, but after reflecting more on my experience, I thought it might be a good idea to put it out there, even if it only helps one other woman.
I had a “surprise” endometrial biopsy the other day. It was a surprise because I did not know in advance of going to the doctor’s office that this procedure was going to be performed. I was under the impression that I was going in to get results from my cervical biopsy and get checked out to make sure I was healing properly. (Oh, and please don’t be worried about me – I’m fine, results were negative, all is well.) So the doctor says she needs to biopsy my uterus because endometrial (uterine) cells had shown up in my cervix. Which in some cases can be a problem. I don’t think it’s a problem in my case, because I have absolutely no other symptoms of any kind of uterus problem. But the doctor wanted to make sure.
So, for all you ladies out there, in case you ever need an endometrial biopsy done, I would advise that you
a.) find out why this procedure is necessary,
b.) reschedule a time to have it done instead of getting it done right then and there
c.) take painkillers beforehand.
The biopsy was a relatively quick experience, but definitely the most painful thing I’ve ever been through. And afterward I felt embarrassed that I was “making such a big deal out of it.” I felt that I should have asked the doctor for some time to do relaxation exercises. I felt that I was exaggerating, that the pain couldn’t really be that bad, and that I was just a big wuss.
And then I did some research.
Now, here is what most doctors will tell you about the procedure:
The instruments may feel cold. There may be some pain as the cervix is grasped. Some cramping may occur as the instruments enter the uterus and when the sample is collected.
And here is what a woman who has had an endometrial biopsy has to say:
The biopsy is an outpatient procedure that only takes 10-15 minutes to complete. Before the biopsy you should take something for the pain, since the procedure isn’t performed under sedation. My doctor gave me the option to take 2 Percosets an hour beforehand. Two or three tablets of Motrin is an option if you don’t want to (or can’t) take something stronger.
The first stage of the biopsy is very similar to a normal PAP smear.After you get comfortable in the stirrups, your doctor will insert a speculum. If your cervix isn’t at the right angle, your doctor will need to use a tenaculum to move it into position. This does hurt, because the tenaculum has pincers that grip your cervix and usually cause some bleeding. After that, your doctor will dilate your cervix and insert a Pipelle aspirator, which uses suction to collect the sample. You’ll feel cramping and then a pulling as the aspirator gathers its sample.
Now, not every woman has a terrible experience with this… especially if they are given pain meds beforehand, and we’re not talking 200mg of OTC ibuprofen – we’re talking valium or percocet. But apparently the considerable pain I experienced is actually quite common. According to several other women:
“They make it seem like it’s going to be as uncomfortable as having your eyebrows waxed, when as you described, my “whole body went into shock.” The kind of pain I experienced after was so deep inside my body, like nothing else I’d had before.”
“For me, the pain was searing and basically excruciating. The only “good” thing about this procedure is that it is kind of brief (though those few minutes do seem to last forever!). I was squeezing the nurse’s hand, grimacing in pain, and afterwards I was super woozy. Definitely felt like passing out just after it was over. Just had this procedure done this morning, and I’m still feeling a bit light-headed and sick to my stomach.”
My doctor was very sympathetic, and admitted that she had never had an endometrial biopsy herself, so she did not know what it felt like. But she also told me beforehand that it would feel like “bad menstrual cramps.” I was certainly not expecting the severe onslaught of intense pain that followed. Two days later, I am still cramping, but more than that I am upset that so many women go through this very painful procedure without being accurately informed of what to expect.
An interesting article: Endometrial Biopsy Pain Is Greater Than Physicians Realize
Sadly, that article is from 2000, but it seems that most doctors have not gotten the message. I will be discussing this with my own doctor, so that hopefully she will better inform other patients in the future, and give them some pain meds to take beforehand.
Not the most pleasant blog ever, but I do hope someone out there benefits from this.
*Update
We just want to thank everyone who has left a comment. We hope that this post, plus the experiences that everyone has shared in the comments section – continues to help inform women out there who are having to go through this procedure. Thank you.
80 Comments
Related, but not exactly the same, I went in for a colposcopy, many years ago, and did know in advance that I was having it and what it was, and researched as much as I could in the days pre-Interweb, but when I got to the office, ALL the staff assured me it was a painless procedure, so much so that when I recoiled in pain, and doubled over on my way out, they all said how they couldn’t believe it hurt me, and well, here’s some Advil because you’re such a big baby!
Oh my god, I went to work, because that was the plan, but I cried while driving there, the whole way, probably more because of the demeaning and inhumane experience, the total lack of compassion on the part of EVERY SINGLE PERSON at the doctor’s office, doctor included, and they were all women.
My experiences with doctors my whole life have made me detest them as a type of human being, and frankly, this keeps me from going to see doctors on a regular basis, yes it does.
(I’m glad you’re okay,and I’m sorry you had to endure that experience.)
RE: doctors….hmm…..isn’t their first rule “DO NO HARM”?
Seems something has gotten lost in translation for many of them.
Hi. I just had a “surprise” endometrial biopsy performed two days ago and can echo the sentiments above. I had been told on the phone that my appointment would consist of a detailed history (this was the first time I had ever been to see a specialist) and interpretation of my ultrasound results, followed by an examination.
After the office visit, the doctor said he would need to do an exam and would also do an endometrial bioposy. He briefly explained the procedure and that I “might experience some cramping”. I had never heard of the procedure before and had no reason at that point to be nervous.
He had me undress from the waist down while he left the room. About five minute later, he returned with a cart full of instruments and a nurse. When I realized that the nurse would be staying in the room to hold my hand and help me to breathe, it started to dawn on me that this was going to be more of an ordeal than I was expecting.
I am 42 and have never given birth, so grasping, steadying and dilating the cervix was painful, but at a level that I could manage (it was like very string cramping, which I am used to). The nurse talked me through everything and made sure I was taking deep breaths. When we got to the bit where they actually take the sample, she gripped my hand tightly and said, “Okay, now take a REALLY deep breath and….”. She didn’t get a chance to finish because I yelled bloody murder and just about sent the doctor sailing across the room.
I was not prepared for the searing pain (NOT CRAMPING!) that seemed to come from up around my blly button. It felt like they were trying to PULL my umblicus through my cervix. I have never felt anything like it in my life. Thankfully, the most brutal pain is over in a few seconds, and you can start to relax a bit. In my case, I needed a few minutes to recover before he could continue the exam (he had yet to do a manual exam and a rectal exam. Geez.). I thought I was going to faint.
I am not a “pain wimp” at all. I suffered severe burns as a child and thought I knew what pain was. I had no idea. Clearly, not all women have this experience, but enough do that I think you should be offered some kind of sedation. I have a large fibroid and I don’t know whether that’s why I had the experience that I did, but I can’t be the only one out there for whom this procedure is a nightmare.
I have had relatively few medical procedures performed in my life and am now skeptical, even suspicious, of upcoming procedures that may be coming down the pipe. I think I’m probably headed for a D & C, a laparoscopy and a hysteroscopy and am getting all worked up about them already.
My gynecologist was, to his credit, very sympathetic and kind, as was the nurse. It took so long to get in to see a him after my first ultrasound that I believe he was just trying to be efficient and to get as many answers as he could in one appointment. Perhaps it was better, after all, not to have had an opportunity to research the biopsy procedure beforehand. If I’d known, it may have made it even worse!
I wanted to post my experience for the benefit of other women out there who have experienced severe pain from an endometrial biopsy, and may also feel embarrassed or wonder if they’re making a big deal about nothing. IT’S NOT NOTHING!!
Thanks for giving me a sounding board ……..
Pam.
Just wondering if anyone ever died from this procedure as it seems to cause quite a disruption in the abdomen. I am still in pain a week after procedure.
I had one done monday. It was awful. I would never want to go through that again. They did have to straighten my cervix. Here it is, 3 days later, the cramping is gone but I have not had any kind of hunger, my stomach has been upset, and I feel as if I am going to be sick. They never told me about that.
I had this procedure two weeks ago and my experience was not a good one. I was told I’d have a little cramping and to take some advil ahead of time. My Dr. was a woman who seemed surprised that “she hurt me”. There was Intense pain radiating to my navel. I had no bleeding or temperature afterwards and although I called the Dr. twice, she told me the pain I’m still having was within the normal range. The pain comes in waves and is sometimes in the lower pubic area and at other times above the naval. I suppose you could call this “cramping” , but it’s 15 days now and it’s not abating. How long does it take to heal? Has anyone out there had “cramps” that lasted this long after the biopsy?
I just had one done 2 weeks ago and was told I would be back to normal and could have normal intercourse with my fiance 10 days after and haven't been able to because the pain will not go away. Its gotten better than the first couple days after because I was in so much pain I couldn't go to work. What upsets me the most is I'm trying to get in shape for my wedding in September and I can't even do a good cardio workout with the pain. I pushed myself through walking 2 miles lastnight but I couldn't jog at all. I called my doctors office and she said some people do hurt after the 10 days and that if it gets worse at all to come in. Sucks.
I had mine 6 months before. My doctor didnt tell me abt pain killer before/ or I cudnt understand what she told. I had a very bad pain during the procedure and for 2 days. Then I got some urinary infection too. I m scared , I have to do it again , she says.
Why dont they give us a tranquilizer before this procedure.?
My experience was very simular. I went to see this Dr. for the first time and she wanted to do this and an exam. Let me say i have had MANY painful procedures in my life. ( have had 7 operations and many more tests) i feel i have a very high tolerance to pain. I walked around with a perforated appendix for a month and also broke a bone in my foot and didn’t get it casted for 6 weeks – whole different story. anyways you get the idea!
I was not told to take any pain medications or anything and the puling your belly button out your cervix is an apt way of describing it. I had this done thursday, it is now saturday and am still bleeding and in pain as well as all yesterday i had to take gravol for the sick/dizzy stomach.
All she told me was you might feel some pressure and maby a small cramp that’s it!
I’m sure she has never had this done before to her. After she said well you know that if we put in and iud it will hurt way more so maby you should think about getting the uterine cauterization instead of an iud!
Thanks for the chance to rant!
I had an endometrial biopsy several months ago due to some post-menopausal bleeding. First of all, it felt very hormonal to me, and I did not think all the intrusive testing was necessary, and feel like the doctor bullied and guilt-tripped me into having the biopsy in the first place, so I went into it angry and upset, since everything he told me about why it was necessary had more to do wiht his liability than my helath. I agree with the comments of other women – I feel like my doctor and his staff totally and completely lied to me about how painful and difficult this proceedure is. My doctor told me that the worst part would be the anxiety before. Very inaccurate information. He told me to take 4 advil before the proceedure. Very inadequate, again. I read on these blogs that other women got percosett and xanex and had no problems, and my blood boils that this was withheld from me. The worst part was the pain afterwards. I got no after care instructions other than to go out to dinner to celebrate that the test was over and to expect some spotting and maybe a lttle cramping. The biopsy was done late in the day. That night the burining and cramping kept me up all night, plus I was terrified that the pain that so exceeded what the doctor had told me meant that I did indeed have cancer or some horrible illness. The next day I did some heavy lifting (my dad’s wheelchair in and out of the car trunk) which produced a sensation like a team of tiny elves playing with bic lighters in my abdomen and throwing jagged concrete blocks around in there. I now read that doctors should tell their patients to take it easy the next day, but mine did not so I did not know any better. That pain did not subside for a couple weeks. On Dec 18 the receptionist called to say the results were in, but that these are results the doctor would need to go over in person, and due to the holidays he could not see me until Dec 27. I asked if she could just give me a hint if I did not have cancer, so I could know through Christmas that I was OK. She said, “Oh, no ma’am, these are results that the doctor needs to go over with you in person.” Right then and there I started freaking out, knowing i was facing a cancer diagnosis. Normally I love Christmas, but that year it was awful. Christmas Eve, after the midnight service, I totally melted down, still in pain from the biopsy, still buring and cramping, and sure my life would be changed forever in a couple days by the upcoming cancer diagnosis. When I got to the doctor’s office, he just said, “All your tests were nomal. I think you just have a little hormone imbalance.’ I was so furious I could barely sit there and finish a civil discussion with him, and he seemed to think I was totally insane for being upset. I think the biggest effect for me has been the emotional clean-up of how exploited and dehumanized I felt, and the break of trust not only with this doctor, but with the medical community in general. I feel much more vulnerable now, and have much more anxiety about my health and my interactions with health care providers. Although I had never had a panic attack before, I had one a few months later in the office of another physician when he mentioned the word ‘tests.’ I think that what doctores totally don’t get is that when they trick us into doing what the want us to do with lies and manipulative moves, we not only go through the physical pain of whatever proceedure, but it does not end there. There is an emotional aftermath that goes way beyond the physical pain. Ironically, this doctor was, among other things. supposed to be helping me with adrenal fatigue issues, and loved to talk about the need to reduce stress, but he ending up creating so much more stress in my life than I had before I met him. I feel that my association with him caused me more harm than good, due to the emotional impact of feeling that he exploited me and played me for a trusting fool. Of course he is no longer my doctor, in fact, I don’t have a gyn and probably never will again. If my primary care doc can’t handle it, I’ll put up with it, but I will never trust a gyn again!
Hi Elaine, I have to have this procedure done myself. I am pretty nervous as I've had an IUD inserted and found the pain to be excruciating when each doctor has told me that it would feel like a menstrual cramp. I can say that having the IUD in felt like the most intensely painful experience I've ever. It makes me want to slap anyone that says "oh it's just some mild cramps". I am concerned that this uterine biopsy will be the equivalent. Thank you for what you wrote. I believe I will request some numbing medication from my doctor prior to the procedure. I knowI don't want to go through that pain.
On a side note, I enjoyed reading your vivid description of the pain feeling "sensations like a team of tiny elves playing with bic lighters in my abdomen and throwing jagged concrete blocks around in there". I used the description after my Iud was inserted of the "feeling of a tiny thunderstorm with lightening bolts along with an earthquake"…not nearly as funny as yours. Thanks for that. Not sure if you will get my response but I am wondering how long it took you to heal.
Like Pam, I had a “surprise” biopsy two days ago, on April 15th. I referred myself to this doctor at Beth Israel Deaconess Hospital in Boston, MA because the docs in Western Massachusetts had no idea how to help me, let alone how to handle the problem of a perforated bladder as a result of a tubal ligation done laparoscopically (Make sure the doctor knows where all of your organs are before he/she goes in and if anyone says, “I have done this a million times” run as fast as you can.). Nice, huh? Anyways, the pain that I felt during the endometrial biopsy was closely related to the pain that I felt when the urine and toxins were leaking out of my bladder and into my abdominal cavity, only for a shorter period of time. Excruciating pain, although I did not ask God to take me like I did during the after effects of the perforation. That’s another story all together.
Anyways, this doctor reviewed all of my medical records, asked me and my significant other many questions, performed a pelvic exam checking for pain and then said that an endometrial biopsy was necessary. She told me that there would be some cramping (but did not mention that my face would contort). I had a baby a little less than 10 years ago with back labor and this hurt more than that. I tried the whole lamaze breathing and focusing throughout the entire procedure trying to relax. Oh and another thing, she said since I had a baby, my cervix should have opened up easier but of course, not with me. My partner could not feel his hands after I was through squeezing them. She took one sample, then told me that she really needed another one and that it would only take another 10 seconds. She did give me an ibuprofen 800 mg after the procedure.
Since the procedure everytime I sit to go to the bathroom, I feel a wave of pain/cramping come over me that lasts anywhere from approximately 15-20 minutes to a few hours. Now how is someone supposed to go to work with that? I called her, left a message with her nurse who emailed her as she was in surgery today, and surprise within 20 minutes I received a telephone call from her. Impressive. She told me that because my pelvic area is hypersensitive and that the other organs near the uterus are “angry”, I am getting more referred pain than usual. She told me that I should be fine within the next day or two and if not that she is on call this weekend. She also told me to take an oxycodone (generic percocet) at night. I have some left over from the surgery/hospital. Hopefully, this will subside and will not be a problem.
Besides the pain that I believe that all doctors should tell you up front how bad it is and not sugar coat it, I am impressed by the fact that this is one doctor that has sincerely tried to help me and did not throw up her arms and say that she does not know and does not know where to send me as did my PCP, my new OBGYN and new urologist.
Thank you everyone for letting me vent. I will post again if the pain does not subside. I see her for a return visit in the beginning of May. I also have an appointment with a pelvic pain specialist at the Arnold Pain Management Center in Boston on that same day and if the pain hasn’t disappeared by then, maybe they can deal with that as well. Keep your fingers crossed!
I had my fourth endometrial biopsy last evening. I still feel woozy. I told the gyn doing it that I hated the test and would probably cry during it. (I did.) I think that women should be required to have a driver for this test. I tried driving home myself after one and nearly passed out while crossing a busy highway. I still have anxiety related to driving because of this incident, and it was a few years ago. Physicians definitely soft-pedal the pain and wooziness factors (my internist actually did faint after one, in the doctor’s waiting room). I guess it’s up to us patients to put the word out there.
Oh YES! my friend. You are right on the money! I had a "suprise" biopsy too. Twice!! The first one was horrible. The doctor had to take 2 samples. I went back in because i was still bleeding big clots and sure enough….another "suprise" biopsy. I tried the breathing exercises that you do in childbirth, thought I was making too big of a deal of it too, but they minimize the pain, because if they were honest, you wouldn't have it done!!!! During the second biopsy, my cervix kept moving making a biopsy harder, I almost passed out, went white as a sheet! It's been over a week and I am still cramping and bleeding. By the way, they aren't really "cramps" they are "piercing". Glad you put this up. Maybe by educating women, more doctors will offer pain meds prior!!!! Thanks
OMGosh — I thought I was the only person who felt this way after having this done. This was also a surprise for me, and like everyone else was told only mild cramping will occur, kinda like when you have them when your on your period. I had precancerous cells on my cervix many years ago so this whole examination thing doesn’t bother me, so I’m lying there and all of a sudden, I am overcomed by a cramp that does not stop and what feels like something pulling my insides out, She says count from 10-1, heck I get to 8 and I am only counting in my head becuase if I feel like I’m going to pass out if I try to do anything other than keep myself on the table. We finally get to 1 and even though it is over I still hurt, but because I feel like a big baby becuase the procedure shouldn’t hurt in her eyes. I try to act tough until I get out of her office and just want to cry. I them have to leave her office and go for a pelvic sonogram and blood work. I am thinking I am a human guinne pig at this point, I do not want to scare anyone who has the time prior to their appt to research this procedure, and this is a necessary procedure in many different situations but ladies if you are about to have this done, please take some pain killers before you go and if the dr. will give you something stronger ask for it, even if you have to look like a baby. We all lived through it and it only last a short amount of time but why hurt this much if you don’t have too.
Thank you to all the ladies who have posted. I am supposed to go in for my biopsy this Tuesday, and my Dr is saying the same “mild cramp” BS that everyone else seems to have gotten. I am so greateful to all of you who have posted, so that I can be more educated and prepared. I am terrified, but at least I will take a vicodin first.
I had this biopsy two days ago. It was so painful I had to tell the doctor to stop..I had two of these procedures before and they were not as bad as this time. I cannot even explain the pain. I felt like she was grabbing my insides with a pliers and pulling them out..giving birth was better than this..
OMG. I absolutely agree with you Liz. Horrible pain. I've had 3 of them. Each one the pain got worse and worse. Now I have to go in for my forth one in a couple weeks. I dread it. I told my Gyno the last one that she did , I would NEVER do one ever again. I walked out of her office saying NOPE! I compare the pain to labor pains. It does only last for the most 5 minutes the worst pain, but It is horrible. I can't forget that pain. I need another one because she found entrometrosis cells on my uterus, from my regular annual pap smear. She want's to make sure it's not cancer. She told me to take 3 advil's, 1/2hour before the precedure. She also is giving me 1 pill, that I have to take the night before, which she's say's it will open up my cervic more and probably won't be as painful. I dread this!!!!!!!!!!!!!! UGH
I had this procedure done today. In my opinion it was painful as well as disturbing. Why this procedure is so down-played is a mystery to me. It was very uncomfortable and found myself having to do breathing exercises to get through it. I broke out in a cold sweat during the procedure and felt like I was either going to pass out or throw up. I feel I have a pretty high tolerance for pain but this rated a “10+” for me. Plan on a day of rest after having this procedure done. I honestly feel drained physically and emotionally right now. If you must have this procedure done request pain medication (something stronger then Aleve or Tylenol) prior to the procedure.
I had this procedure done a few days ago, June 09, I was terrified to start out. But really tried to keep calm since I was told it was not a big deal, and some cramping will be involved. Good Lord, I felt like i was in a state of shock afterwards. And with only getting as far as trying to dialte my cervix, the Dr., wasnt able to get it to open, to get to the uterus. I cannot imagine having the uterus messed with ontop of the already very very painful attempt of the cervix ordeal. I also, was squeezing the nurses top, trying to make it thru this without passing out. I took 4 Advil before hand, and that did not help at all! So, now I have to have a D & C done outpatient, at a surgical center. This does not bother me, since i will be sleeping. But I will never go thru this again, unless I am knocked out! I also, cried afterwards, and felt like a big baby, doubting myself, and how much pain i could stand. I mean, would a male dr., want his scotum pried into without anything but advil? Hopefully, the D&C will go ok. I ahve that at the end of the month.
I had an endometrial biopsy on Tuesday…its Friday and I am still cramping, my back hurts and I have a yellowish discharge. I called the Dr’s office and told them…but no call back. The Dr. was very good when she did it….it was a surprise by the way. She told me that the pain would be similar to beginning labor pains. She was close…but the pain in my rectum and in my abdomen was terrible. She told me that my uterus was enlarged and I have to have a vaginal and abdominal ultrasound next week. I just wish that they had told me how long the pain would last and if this discharge was normal….ughhhh
OMG I had this procedure today and it hurt like HELL!!!!! I am relieved that I am not the only one out there that felt sooooooooo hurt by this procedure! I think that it should be mandatory for all doctors to tell the truth about the pain involved with this. I see atrend here …this was a surprise biopsy to me as well, I am glad I didnt have tgime to research it, but wish I knew to get pain killers 1st. My doctor told me it would only be 10 sec worht of period like cramps MY FOOT! it was EXTREMLY painful like the others I dont want to scare any one bcus this could detect uterine cancer ect. it is just much more of an ordeal than doctors are willing to admit. Be informed and take pain med b4 if possible. Love to all that endure this procedure
Bridget
I've had 3 endometrial biopsies. The first one I didn't feel at all. I was surprised when the doc said she was finished. I had not taken any pain meds for it beforehand. The second and third biopsies hurt just a little. Some deep, scraping type of pain, but not bad and only about 30 seconds. No cramping while they were being done, but a little bit for 2-3 hours afterwards. I took 2 Advil and that made it hardly noticeable.I was very anxious before the first two, and after they were done, I felt I'd been over anxious for something that wasn't a big deal for me. That's how I usually am with medical and dental stuff, even getting my teeth cleaned – overanxious. I will say that all 3 times, the doctor and her staff (different doctor each time) were amazed that I hardly felt it, so I guess some other people have more pain. But just want you to know that not everyone has a painful, bad experience. You might do just fine. I agree that I would want to know I was going in for this test and not have it sprung on me, as it was twice. And I would like to take Advil beforehand just in case.
I have just finished my first endometrial biopsy. I compare it to the nerve conductivity test (wherein they attach electrodes to you, and repeatedly zap your arm, many times, over the course of one hour). Believe it or not, the ECT caused /less/ pain than the endometrial biopsy. However, the endometrial biopsy was much shorter in duration.
Nobody told me to take any pain meds beforehand.
The worst part is that as I exited the room, the gyn apologized again for torturing me. The other staff who were gathered there, one of them said: oh, so you had to do the endometrial biopsy? which dr confirmed, and THEY ALL LAUGHED like it was some sick joke.
Endometrial biopsy should be one of those tests that doctors cannot prescribe until after they have suffered through one themselves.
Thank you! Thank you! This let's me know that I am not the wuss that I felt like after I had my endometrial biopsy. I thought I had a pretty high tolerance for pain but during this procedure I absolutely lost it. I absolutely agree that super strong pain medication is needed before the procedure is done.
I also had this suprise procedure, just thought I was getting a saline ultra sound. The pain is like your worst cramps times a hundred million, no lie! Actually i ate an hour before , took two tylenol 20 mins prior to the appointment. My body I guess went into shock because right after I felt so hot, faint like..then I started to vomit…then my blood pressure started to drop…Vomited some more, all my undigested food came up!! The pain was unbearable, they had to hook me up to an IV, give me an injection to raise my blood pressure and give me oxygen!! I honestly thought i was going to die & I thought about my mom receiving a phone call saying her daughter died from a simple procedure!! Luckily the I.V. worked and my blood pressure was raised. But i was in so much pain, i was afraid to go to sleep fearing internal bleeding etc. The pain and soreness lasted 4 days….I pray I will never have to have that procedure again in life because I honestly dont think my body can handle that. And when the doc was getting the samples of the uterus lining(3 times) OMG the pain!! I should have been told before hand & not “suprised” when I got there..
I had one of these done in June 2009. I was told to take 2 Advil beforehand and it would be no big deal. THEY WERE WRONG! I took 5 Advil beofrehand because I had read on the internet about the procedure. My doctor does not use a tenaculum, thank God. But she did use an atraumatic clamp. This does not poke holes in the cervix like a tenaculum does. But it still hurt like hell. I hurt for 2 weeks afterward. I was told that I could not have sex for 2 to 3 weeks afterward. I tried at 2 weeks and I could still feel the exact place where she had clamped my cervix and it felt like the ligaments on either side of my uterus were stretched or something.
Continued:__Even at 3 weeks I had a little pain still. I know they clamp your cervix and actually pull it down until you can almost see it at the opening of the vagina and I cannot help but think that this injures it in some way. I am glad I am not the only one who feels this way.The receptionist laughed at me on the way out because I had hollered during the procedure. I even asked the doctor why they don't give you any painkillers and she said that is what the Advil was for and I told her she must be joking. I will have to think long and hard before I let them do another one and I will ask for pain killers and definitely not let them use a tenaculum.
I don't understand why they cannot put you out for this procedure… they say it is a quick procedure, but so is a D & C and they put you out for that! If I ever need to have one, they will definately put me out and do it as an out patient procedure… I will DEMAND it!
Ok, I have a D&C and biopsy two days ago due to post mentral bleeding. I spotted three days very light and my GYN said I should get a biopsy. She tried in her office but my musles kept pushing instrument out so she she we will have to do it in the hospital. There wasn’t a problem and all went well. I have hardly any pain afterwards but I stopped bleeding yesterday but late last night I began bleeding again and still bleeding. I did lift something heavy last night(hardheaded). I will wait and see what happens. I just pray all is well with my test results. I probably will call later on because this is killing me waiting. Can’t think of nothing else. I had fibroids about fifteen years ago and ultra sound showed calsified fibriods. Pap smear came back ok. Going nuts a sec at a time!!!
I had a endometrial biopsy two days ago. It was very painful. The pain lasted only a few minutes after the procedure and I went on my way. I did take 800 mg of ibuprofin right before. However, this morning I started having cramping that felt the same as the procedure. It has lasted all day and comes in sharp waves. The wierd thing is that I really didnt have any problem, other than during the very painful procedure, afterwards until now. Has anyone else had this experience. I do not have a temperature. Just doubled over in waves of pain.
PS Thanks for starting this post.
PSS My Gyn wants to do an ablation. Does anyone know anything about the side effects. I have read a few things online. I just have very heavy peroids but no pain. I do not want this procedure if I might have lasting pain afterwards.
I had my endometrial biopsy and my doctor said that it would be a little painful. It was the worst pain that I ever experienced in my life. I am so grateful to read the above blog because I felt like such a wuss. I actually screamed and moaned. I said to the doctor afterwards." A little pain my ass Dr. so and so. Thank you for the above info. I will never allow that to be done again without sedation. Lisa
Ok, so here you have it. A really positive experience for those such as myself. I had to have an endo biopsy and a hysterosono. Well being a nurse, caused me to know too much and seriously investigate what I did not know. VERY SORRY I DID THAT!! Anyway, I had 5 weeks between the inconclusive pap smear and the actual test. Not a good situation for a type A personality, Nonetheless I literally lost 5 weeks of my life on the emotional roller coaster I was riding. I could not function with this hanging over my head. I was convinced that I was not going to be able to tolerate the excruciating pain and the brutal after affects etc….. So I arranged to have a nice mild benzo (Ativan or Valium) to go with the Ibuprofen and god as my witness I was shocked when she said that both of the procedures were done. I am having some nuisance cramping tonite and some spotting but, I am actually giddy with relief how truly easy it was. Yes, it hurt for a short time but, nothing even close to the previous descriptions. I am sorry a lot of you had nightmares but I take it from me, it absolutely does not have to be that way.
I had an endometrial biopsy today about 10 hours ago. I must say it was *very* uncomfortable with some severe pain at the time. My wonderful doctor prepared me for the worst. She warned me well. I thought it was going to be worse than it actually was. I had my iPod with the Phantom of the Opera distracting me and did my Lamaze breathing (even though my youngest is 25). It helped me to tolerate the procedure. The worst pain was a shooting into my flank.
I am now having cramping and have taken Advil. I went to work right afterward and had a full day. The cramping began about 4 hours following the procedure.
Not a party but better to know if the cells are abnormal and take care of it.
I am so glad that I found this website. I just had this procedure done earlier today. I have never felt so violated before in my life. The doctor never warned me of the pain I could have. I had the worst pain I have ever had in my life. I have delivered two children and this biopsy pain was worse. I had a hard time not crying checking out of the office (making the follow up appointment). I was holding back the tears. On my drive home I cried and tried so hard not to cry because of people in cars looking at me. This procedure felt barbaric, like something they do in third world countries to women.
I cannot believe my doctor did not warn me more about it and suggested taking one advil beforehand. I needed something stronger than this!! I will not do this again unless they give me a local anesthetic. I really do not feel like going back to this dr again. I may have them send my records to my primary dr. The best description is that I feel violated.
I wish I had read this a few days ago before I went in for the "procedure". The doctor was not able to get all the way in to the uterus and when she saw me grimacing in such pain decided to stop with the remark, "I'm not into torture". The pain was excruciating and I was not told beforehand to take any pain meds so I was not prepared. Because it was not successful, I now have to go in for a D&C. At least I get to sleep for that.
I am 36 years old and went to my ob/gyn for my annual exam yesterday. I casually mentioned that my periods seem to be getting closer together by a few days–like 21-24 days instead of 28. No other problems at all and never have had any problems. After the exam, he says I need a pelvic ultrasound and endometrial biopsy. I thought that was a little overboard but I went ahead and scheduled. He completely downplayed the procedure. There was no mention of taking any pain pills nor did he mention a local anesthetic, although I am sure he would use one. I've since read several stories on the internet. I am angry that he downplayed the whole thing. I have discomfort during a PAP smear–nothing big–but I know myself and I just think I will be one of those that experiences a lot of pain with this. I have already been told before that my uterus is tilted. Doesn't it seem logical to do a pelvic US and then proceed only if there are problems?
I had this procedure done Tuesday, two days ago. I wish I had just said no. Mine was also for post-menopausal spotting. I believe it was not necessary. My ultrasound shows a small polyp in my uterus. The doctor said she had to do this biopsy before the D&C to remove the polyp. It was the worst experience of my life. The pain was like torture. I am not a wimp. I had twins, vaginally, with NO anesthesia or epidural and that was nothing like this. I screamed; she had to go in twice. Afterward I was nauseous, sweaty, shaking and crying. I feel absolutely traumatized. I cannot get this event out of my mind and am having trouble sleeping. Just remembering it makes me hurt and feel nauseous. I will NEVER submit to this procedure again unless they knock me out. Be warned!
I had this procedure done under general anaesthetic last Wednesday at the same time as I had a laparoscopy. During the laparascopy I had a small endometrioma removed from my left ovary, which has barely bothered me with only mild twinges. I was given a long acting anti-inflammatory during the surgery. When I woke up I was in the worst pain I have ever experienced in my life and I was given morphine, which still wasn't enough to completely take away the pain. I was crying and I couldn't stop breathing quickly and I could hear my pulse racing on the monitor. I took codiene and paracetamol for days and a week later I still need to take naproxen sodium for the pain. I have been bleeding non stop since the procedure a week ago.
Oh My Gosh!! I had my third endometrial biopsy yesterday, each one with a different doctor, and it was by far the most painful thing I have ever gone through in my life. The whole office had to hear me yelping. I don't understand why they don't sedate us when they do this procedure. The first one was done during my surgery for endometriosis and the second one was done by a very experienced physician who was able to do it very quickly. This last doctor was not experienced and it took her forever to finish the procedure. Moral of the story: Either demand sedation (and lots of it) or only do it with a very experienced doctor who can get it over with in less than one minute.
I had my endometrial biopsy today and wanted to relay my experience. I found out over a week ago that I had endometrial cells outside my uterus so I needed to have this biopsy. I have a really low tolerance for pain and after reading everything on the web, I nearly had a meltdown. I called the Dr’s office and told them to please prescribe something for me. They prescribed 2 valium. One for the night before and one for the day of and also told me to take 800 MG of Motrin. I did not sleep at all last night and still walked into the Dr’s office crying today. My Dr. was so wonderful. She sprayed a numbing spray on my cervix and told me that if it was still too painful that she would reschedule my biopsy and put me out. The procedure ended up being slightly more uncomfortable than a pap and was over very quickly. My husband was also there holding my hand but after the procedure was done I wanted to cry for what I had put him through this last week getting myself so worked up. I’m sure the procedure would have been more painful w/out the valium, motrin and numbing spray, so I would suggest being prepared.
Hi Wendy. I've had 3 edometrial biopsies. Last one was 5 years ago, before I was going thru menopause to find out why I was bleeding. I now have to go again. I DREAD IT! My doc told me to take 3 advils 1/2 hour before, and gave me a pill to take the night before so it opens up my cervis, to give me a good biopsy. I'm so scared cause she said that I have endometrial cells that she found thru my yearly pap smear. She contacted me 3 weeks after my pap smear and it don't have the biospy for another month, but i do have to take a vaginal ultrasound on Friday, 2 days. I'm wondering how everything worked out for you. My last period was 5 years ago and I feel fine.
If anyone out there has had a biopsy without much pain please post your comments as well.This procedure could save your life so please try not to put theses ladies off. Yes I have had it done also an iud put in place .I had a three week old baby and a 22 month old to look after and I coped.
Hi Diane, I'm wondering if you found the uterine biopsy to be more or less painful that iud insertion? I've had 4 iud's over the last 15 years and each time was extremely painful but I go through it because I have to. I am hoping a bit that the biopsy is less painful than the iud. Any respons would be greatly appreciated!!
I can appreciate your concern that women will avoid this procedure. What I am hearing from the ladies here is to be prepared and to ask your doctor for appropriate pain relief. I had this done today and I was utterly appalled at the lack of preparation anyone gave me verbally or in regard to pain relief. It was no less than barbaric what was done to me and there is frankly no excuse for it. I won't avoid it in the future, but I will be far more demanding as a patient.
I had an entrometrial biopsy yesterday. I was told the pain would be like a strong menstrual cramp. WRONG!!!! It was the most excruciating pain I have ever felt. Once the pain started I tried to do breathing exercises but couldn't even manage that much. I felt woozy for some time afterward. Until I was reading up on this today I thought I was wimp. No one told me to take any pain meds or anything. I think they should have at least told me to take Advil, if not percocet and Valium. They should also tell you to have someone drive you home. I just found out from reading on the internet today that you shouldn't do anything strenuous the day after–no one told me. I went out digging in the garden–now the cramping is starting again.
I had my endometrial biopsy done today. Last night I read through all these horror stories and had myself so worked up over it I considered cancelling it but decided my health was more important so I went through with it. I am guessing that ALOT of it has to do with the way your body handles pain and your doctor. I have a wonderful doctor! He took the time to explain everything to me on my regular visit on Monday and advised me to take a couple Ibuprofin about an hour before the procedure.Today My Doctor was very gentle explained everything he was doing what it was going to feel like and he was right on the money everytime. He used a numbing spray which he said might burn a little but I didn't really feel anything then felt a small pinch when he went through the cervix but still not a whole lot of pain. I had some cramping whenever he put the tubing n the uterus to get the samples but they went away when he pulled the tubing out. Had some faint cramping and a little bit of lightheadedness (Blame that on not eating before the procedure) for about an hour afterward and that was it.
I just wanted to add that I just had one and thankfully I did not have the painful experience most people are describing. I did feel severe cramping briefly during the procedure as warned, and afterwards went to work and took 2 tylenol which handled the little cramping that remained but by that afternoon I was completely fine.
I had one yesterday. It hurt a lot. I was very frazzled afterwards and wanted to cry, that feeling lasted all evening. I also hollared and moaned and felt like a big wuss. Should have known something was up when they led me way back to the room where nobody can hear you yell. I was fortunate that my Dr. was experienced and the procedure didn't last long. I refuse to have one again without sedation.
Well, I had my first and only endometrial biopsy done 3 hours ago. It was recommended due to post menopausal bleeding. I do not like going to the doctor for any reasons, but I go because I know I have to and I want to live a good, long, healthy life! I am 51 and have not had a period in 10 years and was very concerned when I had light bleeding 2 days ago. I called the gyne and they said I should come in asap for my over-due annual exam and that the doctor would probably do an endo-biopsy also to find out why the bleeding is happening. So…I drag myself in there today and we do the regular annual exam. Then doc says to nurse get the pipette and cervical dilator & I said what are you doing…the endo biopsy? He said yes, just relax and breathe, it will not take long and you may feel some cramping. I’m like okay…I can handle that. He said I am dilating the cervix now…it felt like a good internal PINCH-not too bad. Then he said now I am going to go in again and do the biopsy of the uterine lining. I felt another good PINCH and then the cramping started. It was moderate cramping, like a menstrual period cramping, lasting about 5 minutes. I was told to stay lying down, even though I thought “that wasnt so bad”. Then I sat up and we chatted more about future test results and my inquiries into a future blood test for ovarian cancer, just to be completely safe. The nurse stayed in the room with me chatting for about another 10 minutes, I now think she was making sure I was ok after the procedure. I walked to the check out & then to my car. It was then that I started praying to the good Lord above to ease my pain from the labor pains that were beginning. My half hour drive home was filled with true pain identical to the drive to the hospital when I was in full labor with my second child! The cramps circled my abdomen and back. Breathing was a true effort, driving was horrific. I thanked God when I reached my home. I immediately took 2 tylenol, got a cup of hot tea and sat down for 2 hours. The cramping has gone away completely! I hope it does not come back! I am having light bleeding again. Now I will pray that there is no cancer! Thanks to all that posted here, it helps to know other women have gone through the same thing. I highly recommend taking pain killers before the procedure. It is not pleasant. And maybe have someone drive you home!
okay now that i am scared out of my mind. I have one tomorrow. Not a surprise on thank goodness. But didn't know about the pain or to take painkillers before hand until i read this… Thanks girls. Now for the kicker, I have no car but live about 2 miles from the hospital where they are doing the biopsy. I get to walk there and back. I wil let you know how that goes. LOL
Well, after all the worrying about pain, getting a vicoden to take before the procedure, and walking two miles to the doctor’s office, I saw a different doctor who deemed the test unnecessary. She told me the test would not stop my irregular periods and that without any family history or self history of cancer or any other related problems the possibility of cancer was next to null. She opted to put me on progestrogen for a few months and then I will go back for another ultrasound to see if it worked. So, take care everyone, glad I dodged the bullet.
I just had a "surprise" today and it was excruciating. I went to the GYN due to weekly bleeding after sex, after douchingese, and anticipated a PAP smear, as these can be signs of Cervical CA. I fortunately took 2 Excedrin for a headache while driving in, but it didn't touch the pain from the procedure. "You'll feel a pinch,"… okay this wasn't too bad; "now you'll feel me insert a straw,"… which felt more like a garden hose! I levitated off the exam table. "Are you doing okay?" "Who me, NO, I'm in agony." Except I really didn't know what agony was until "now you'll feel about 20 seconds of cramping." Again, levitating off the table in agony. I have had 14 neuro/orthopedic surgeries(including a Cervical Fusion for a broken neck from an accident; had a perforated appendix and walked around for 2 weeks (after being sent home from the ER, misdiagnosed as Angina???) Laproscopic Appendectomy 6 months later. I thought I knew all about pain and know I have a very strong pain threshold. Add to all this, I am a nurse. I assure you, I assess my patients for pain all the time, and never let the pain get ahead of their analgesic. Oh, and finally, I had no one in the exam room with me to crush their fingers, I mean hold my hand! I felt very faint, was ashen, and had a woman ask me in the elevator if I was alright, and did I need help? Thank you to this woman for your compassion. I, too drove home (25 tortuous miles) alone, with severe cramps, feeling like alternating between vomiting and passing out. I pulled over into a shopping plaza, called a friend crying, called my husband, (who was at a dialysis session,) hysterically crying. He is ironically a GYN from a third world nation, and said "WHAT? That should be done under sedation." Apparently there is more compassion where there is the least amount of medical care available.
I never thought I'd be having this surprise procedure, a uterine biopsy, and am sure it was a man who dreamed it up! However for all you ladies who have a female GYN, they should sign up to have one done, before performing one on a patient. Since the Male GYN's obviously have no uterus to biopsy, I suggest a 3 fingered prostate exam, performed by Edward Scissorhands, without lubricant.
Oh and by the way I love my GYN, and will continue to recommend him to friends. I will also be sure to let him know the amount of pain I am experiencing. He is compassionate, just apparently clueless as to the amount of pain during and after the biopsy. I came home with no pain meds, and Motrin's not touching the pain. Now I get to enjoy Thanksgiving in pain, worrying about the results, or as my grandmother would say "borrowing trouble which may not be."
Thank God for the internet and finding this site. I seriously thought I was becoming a wimp.
Thanks ladies for all your information. I am scheduled to have an Endometrial Biopsy tomorrow. So I will have a driver, pain killers and Valium. All thanks to your advice.
Hello….I am too a victim…..Im 40 and have been having very heavy irregular bleeding and went for a surgical consult on Monday with my Dr.'s partner. I went under the assunmption that we were going to talk about my surgery of Hysteroscpy, D&C, Endometrial ablation AND BIOPSY. My orig dr told me that the biopsy could be done in the office if i take motrin (HA) before hand but he actually asked me how I was with pain and honestly i am a wuss….he then said since ive had no children, i probably wouldn't tolerate it well and they can just do it during surgery. Well when I went to the consult on Monday to a his female partner she convinced me to have it done then and there because if I had it done as the 1st procedure in surgery, i would be under 45min – 1hr longer to get the results before they could do the ablation since an ablation should not be done if cancer is shown in the biopsy………i agreed and sat in the room undressed from the waist down waiting for her to come back for what seemed like forever….to be continued
….i was shaking so bad before i even had my feet in the stirrups……..THE HORRIBLE PAIN WAS INDESCRIBABLE!!!! She actually stopped at one point because of my body's reaction…..she asked if she should stop but I just yelled out to 'FINISH IT'……..now it is wed and my pains are finally subsiding……but MOnday & Tuesday were bad….and I too had to drive 45 min home…on the phone crying like a baby to my mother…….I got the results today as I scheduled my surgery for next friday……..it showed I have uterine polyps….I also had a transvaginal ultrasound last month that showed 2 fibroids……I am VERY nervous about my surgery and the pain ill feel afterward……the nurse said the pain will be like bad menstral cramps……all i know is i better get some pain meds..percocets or vicodins or something after surgery…….why does anyone HAVE to experiance pain when there are things out there to help???????????? I don't get it….Say a prayer for me – Alaura xo
Just a note…..Guess I was not crazy after my biopsy…..thought I was……No warnings….no meds…..Pain Yes….did know enough to just take it easy….it is now two days later….still do not feel right….read alot on internet….can relate with many other women….thanks ….I really need to know that I am not alone…