Yes! Eighteen years ago I had two in-office D&Cs. They were incredibly painful even with Darvon and pain killers. I am not sure it was productive: I kept crawling up the exam table to get away from the doctor who was trying to obtain tissue samples. Fast forward to post menopausal bleeding last fall. The doc wanted to do an in-office D&C. I said “no-way” without knocking out me or the area. Dentists don’t drill on teeth without numbing the area!
So she did a hysteroscopy with a D&C in the hospital under sedation. Probably more expensive, but covered by insurance and very civilized - NO PAIN. Tissue samples showed Stage 1 endometrial cancer which was then removed with a robotic hysterectomy and determined to be Grade 3. Knock on wood - I had absolutely no problem with the surgery (walked 1/2 mile and attended a concert two days later) or the four VBT visits which followed. Go for the hysteroscopy with D&C over the D&C alone, especially if the D&C is to be done in the office setting.