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

Posted by daisy17 @daisy17, Apr 21, 2025

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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Had D&C as day-surgery, in the morning out in afternoon

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I have an in office biopsy done the most painful uncomfortable feeling but test was normal not sure about hysteroscopy I was afraid of that

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Profile picture for janette242 @janette242

I have an in office biopsy done the most painful uncomfortable feeling but test was normal not sure about hysteroscopy I was afraid of that

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@janette242 I am so sorry you experienced that painful procedure. I've had the same thing done and each time was terrible. The first time, I was told it would be "mildly uncomfortable", which was a complete understatement. We need to make our doctors aware of our pain and that these biopsies must be done with some kind of pain relief.

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Profile picture for daisy17 @daisy17

@janette242 I am so sorry you experienced that painful procedure. I've had the same thing done and each time was terrible. The first time, I was told it would be "mildly uncomfortable", which was a complete understatement. We need to make our doctors aware of our pain and that these biopsies must be done with some kind of pain relief.

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@daisy17 totally agree

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