Has anyone had a Hysteroscopy biopsy vs a D&C for uterine biopsy?

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.

Update: 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,

@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.

@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.

I’m 73 and have a fluid filled cyst and a fibroid in my uterus lining which is enlarged to 9mm.
A D&C has been ordered by my doctor. I’m very nervous and feel this is not necessary because I have no pelvic pain, no bleeding or spotting. I’m worried that the procedure itself is more harmful than the fluid.
PUBMED recommendation is a biopsy at 11mm thickness. So I’m trying to talk myself out of this procedure.. Should I get a second opinion from another doctor?

@reb2026 There's so many factors that can impact the decision your doctor makes regarding what procedure is best. Have you asked your doctor to explain the reasoning behind their decision for the D&C? If you think a biopsy is best, I would recommend being sedated. My doctor attempted to do a uterine biopsy in the office and said it would be "mildly uncomfortable". It was extremely painful and the doctor had to stop the procedure because he couldn't perform the biopsy because my uterus was tipped or something and he could tell I was in a lot of pain.

If you are unsure about what your doctor recommends, I would get a second opinion. I've had a couple D&C's and they are a bother, but not painful. They allow your doctor to view the inside of your uterus and see if there is anything unusual.

Thank you for your response. My doctor is most concerned with the fluid filled cyst. She says it’s abnormal to have fluid in my lining. I’m wondering why an OBGYN would be qualified to do a D&C ? I’m thinking maybe a specialist should be doing it? Am I wrong? I don’t know how to research her qualifications..

A good friend of mine had a d&c, hysteroscopy, and biopsy all done at the same time under sedation. It’s definitely possible and if they are already going in there why not ask them for it!

Definitely ask for sedation, whatever procedures are decided upon.