I had no gyne symptoms whatsoever, but urologist recommended a vaginal and pelvic ultrasound and found that my endometrial lining was 14. Then, went on to do a PAP, which was positive. D&C was scheduled right away to do the various biopsies. The gyne recommended general sedation because it is painful and the procedure would be longer than a typical biopsy of the uterus. I did not have any significant pain afterwards except for some soreness in the abdomen and spotting for about 6 days.