Doctors DO prescribe more than an Advil for a endometrial biopsy. I just had my biopsy in February. Ahead of time, I did my research on Reddit to learn about women's experiences and what pain management was used for their procedure. I also advocated for myself by requesting and having a pain-management phone call with the doctor's nurse. I told them I was terrified, emailed them a study that showed the most effective pain management strategies, and also told them I'd had very good results on a painful knee surgery with hydromorphone — and that I'd prefer hydromorphone to Norco, which was initially offered.

Ultimately, I was prescribed: an 800mg Motrin; 1-2 Valium (5mg each) and a hydromorphone (can't recall dosage). I took them all about 25-35 minutes before the biopsy. My gynecologist also used lidocaine (I believe it was sprayed and/or injected into my cervix - not sure). I also had a nurse holding my hand, and we talked about one of my favorite topics -- dogs -- during the procedure to distract me. I was pretty high due to the meds, honestly. The biopsy "pain" actually felt like a little twinge, like if someone pinched your tummy. Not at all painful or traumatic. I hope this helps!