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Did cervical stenosis prevent any of you from having a biopsy?
Cervical stenosis
Did cervical stenosis prevent any of you from having a biopsy? I’m 75, and two years ago I saw a gynecologist because I was spotting and had pelvic pain., my endometrial thickness is 5mm. My gynecologist did some testing but stopped after the internal and external ultrasounds telling me she couldn’t get enough tissue for a biopsy and to come back if the symptoms persisted. The symptoms persisted and the pelvic pain worsened. I found another gynecologist and she tried to do a biopsy in her office and in the hospital. Both attempts failed. She referred me on to an oncology gynecologist who also attempted a biopsy in the hospital. She said I have cervical stenosis and scheduled a hysterectomy which happened on 10/21. I’m waiting for the pathology results which are due around Thanksgiving.
I’m hoping to find someone with a similar experience. My oncology gynecologist feels that there is very little chance of cancer, which is great news. But what’s causing the symptoms? Could it be cancer?
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Failure to obtain an endometrial biopsy because of cervical stenosis is extremely common. It may be more common than success. There have been several threads discussing this.
There's no point worrying until you get your pathology results back. But it really shouldn't take anywhere near a month to get the results. IMO a week is more reasonable.
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2 ReactionsIt’s good to know how common it is. Thank you for your reply.
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1 Reactionwhat were the results? I am in a similar situation where I have endometrial thickening but no bleeding. Unable to get sample even after D and C due to cervical stenosis. Deciding on next steps...
@sle3364 Welcome to Mayo Clinic Connect. There has been a lot of discussion in our support group about this very topic.
What has been recommended by your gynecologist?
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1 ReactionThank you for asking....
Back story... I am 72 , no history of any bleeding or spotting at all, but for the last year or so, transvaginal U/Ss have shown endometrial thickness at about 10 mm. I was anxious so my gyn scheduled a biopsy- could not get a sample. I then decided to have a D and C and they still could not get a sample due to signifiant cervical stenosis. So,, next- best option- Just had an MRI and it shows my endometrium is only about 4 mm with one very small section at 6 mm. Everything else on MRI looks good. Both of my docs (the one following me for years and the one doing the D and C who is excellent) both said there was nothing on the MRI to raise any concerns and that I have absolutely nothing to worry about at this point and we can repeat the U/S and MRI in six months. Just curious about others in this situation.
Wishing good health to everyone!
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1 Reaction@sle3364 This is good news. It's great that your doctors followed up with imaging and will repeat in six months. As I mentioned above, others have had similar experiences as you because of cervical stenosis. However, my recollection is that these women were evaluated because they had symptoms such as post-menopausal spotting and bleeding.
Thanks for the quick response. I know that bleeding or bloating are usual starting points for having a biopsy. I was wondering if there was anyone who had the situation where endometrial thickening was discovered as an incidental finding when there were no other symptoms. If you can send any links to previous conversations, I would be grateful.