It is necessary , it is effective , it is not very brutal (ask any woman who had uterine biopsy with no anesthetic about true "brutality"). Also, ask your doctor to send biopsy sample for Decipher test. That test analyses number of mutations in your cells and determines how aggressive the cancer is (if they find cancer to begin with, of course) , which will help you with treatment choices in the future. My husband had twilight anesthesia and felt nothing. He had no bleeding and no pain beyond the first day after biopsy.

Wishing you the best of luck with biopsy and clean results with no cancer found .