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Has anyone had a Hysteroscopy biopsy vs a D&C for uterine biopsy?
Has anyone had a hysteroscopy done instead of a D&C for uterine biopsy after postmenopausal bleeding?
I am 74 and had two episodes of slight spotting. My gynecologist did an exam and I had a transvaginal ultrasound, both were normal so my Dr didn't think a biopsy to check for cancer was needed, but said she'd do a biopsy if I wanted one. I don't want the in-office biopsy because I've had that done before and it was very painful. She suggested the MyoSure procedure which is a hysteroscopic procedure done under sedation and is less invasive than a D&C. But, the MyoSure brochure says it mainly. used to remove fibroids and polyps. Also, some research I've done said "The use of hysteroscopy in endometrial cancer is not established as there is concern that cancer cells could be spread into the peritoneal cavity." Other studies say it's as safe as a D&C.
I want to ask for a biopsy for reassurance that the spotting is not due to cancer, but I'm wondering if a D&C would be the better procedure. I'm going to ask my Dr but wanted to ask if anyone else had the MyoSure procedure done after abnormal spotting?
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Hi, I’m 63 (dcis breast cancer survivor/unilateral mastectomy) and had a hysteroscopy and D&C on 4/23 at hospital under anesthesia to evaluate bleeding. An endometrial polyp was removed as well as a portion of a submucosal fibroid and a biopsy of cervix. The polyp was cancerous and I’ve made an appointment with Gync/Onc for a hysterectomy which is needed for staging the cancer.
Following the procedure after discharge home, I was very uncomfortable from the pressure of the fluid as they inject a large amount of fluid in the uterus to enlarge it for the procedure. Tylenol helped the discomfort some. However, the fluid continued to drain intermittently for a couple days after, in my case.
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2 ReactionsUpdate: The results of my biopsies were negative for cancer. My Dr said the reason for my spotting is most likely due to vaginal atrophy and is recommending I start vaginal Estrogen cream,
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1 Reaction@daisy17. Bravo! This is very good news. Do you think you will use the vaginal estrogen cream?
I was prescribed estradiol for several years and I found it worked very well for me. It was recommended that I stop using it as a precaution after I was diagnosed and had a hysterectomy for endometrial cancer that was estrogen-positive (not at all an unusual, by the way). When I was using estradiol I carefully read the literature and talked with my gynecologist. Estradiol is considered a topical and barely any of the estrogen is absorbed into the bloodstream so I was told, and the literature confirmed, that it is safe for us to use. If you have doubts about using it then it's something to talk with your doctor about.
Anyway, congratulations again.
I will start using the cream. Three doctors have recommended it to me, two were gynecologists. I've had 3 episodes of spotting and each required a biopsy to rule out cancer. All biopsies were benign and indicated vaginal atrophy as the most likely cause. My Drs believe the estrogen cream will help reduce or stop the spotting from irritated tissues. Thanks for your information on your experience with the cream.
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1 Reaction@daisy17 Thank you for letting me know what you plan to do. I really hope that the cream will be helpful and you won't need any more biopsies considering what was found.