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Marilee J. Layman

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04:30 pm: The Gyn
Well, it turns out that when you're my age and size, and bleed for about a week when you've been post-menopausal for more than a decade, you get to have an endometrial biopsy. Someone will contact me to set that up, plus an earlier anesthesiology consult (anesthesia is what damaged my lungs and Versad doesn't work on me). It'll be at the Kaiser Falls Church outpatient surgery center, where I've had tophi and lipomas taken off my hand before, and they'll probably require me to have someone to drive me home.

When I got home, the Bank of America packet for the loan was on the stoop, and I've been sitting up for a bit, so I'm going to take a break and go fill things out and sign in the recliner.

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From:gerisullivan
Date:May 28th, 2009 09:38 pm (UTC)
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Ah, yup. I've had two endometrial biopsies. It sounds like yours might be done differently, as no anesthesia was involved in either of mine.

My first was after just one incident of spotting after 8 months without a period (as in, before I was finally through menopause. The second was to check after an ultrasound turned up a thicker-than-it-should-be measurement on the endometrial lining. The doctor found and removed a benign polyp during the second; that's probably what caused the anomalous reading.

My main advice is to take an over-the-counter (or prescription) pain reliever about an hour or so before the exam, presuming there's one that's safe for you. For me, an over-the-counter pain reliever helped take the edge off the discomfort of the procedure. I had some of the predicted cramping, but it wasn't as bad as the really bad menstrual cramps I used to get, and it was over a lot sooner.

Good luck!
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From:mjlayman
Date:May 28th, 2009 10:07 pm (UTC)
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Ah, thanks for the tips! I'd taken a letter in Tuesday to the gyn (hadn't seen any of the current ones at my Kaiser center) about the other things wrong with me, so when we talked about this, she'd already have the background. That led her to some alternative methods and we talked today and chose one that may require anesthesia, thus the anesthesiology consult.
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From:kate_schaefer
Date:May 28th, 2009 11:24 pm (UTC)
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What she said. I've just had my first ever uterine biopsy a few weeks ago, because I'd had a post-menopausal period, because the ultrasound came in borderline, because my sister has had colon cancer. I was nervous about it, because women who had had them said they'd hurt a lot, and they were women who had given birth, which I have not done. As it turned out, I took some ibuprofen before the procedure, had a local during the procedure (which the gyn said had about 50% track record in pain control), and was not much more uncomfortable overall than with the standard pap smear. I cramped for a few days afterward. My results were clean.

I need not have been so nervous about the pain, but one just doesn't know ahead of time when it's worth being a wimp and when it's not. I can be very, very brave when I have to. Or not, sometimes.

Good luck.
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From:mjlayman
Date:May 28th, 2009 11:35 pm (UTC)
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I'm definitely glad it wasn't as bad as you thought it might be. I might get a local, but I might get a regional block, too, so I need to talk about it to the anesthesiologist. I'm having a lot of other pain now, too, so I don't want to add too much.

Thanks!
From:(Anonymous)
Date:May 29th, 2009 04:31 pm (UTC)
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I had an endometrial ablation 3 years ago, as an outpatient, with anesthesia. The procedure didn't last lost, the wait for it did (6 hours). There was pain afterwards, I was given something (and I don't remember what) and lots of ice bags, but once I got home, I didn't use any medication. I am assuming a biopsy will be less invasive, but the advice you've already gotten is so correct. If your doctor allows you something beforehand, take it.
Good luck,
Doris
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From:mjlayman
Date:May 29th, 2009 05:42 pm (UTC)
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Thanks, Doris! I appreciate all the advice from people who've had it!
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From:janetmk
Date:May 29th, 2009 09:18 pm (UTC)
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If you need a ride to the appointment, I'll be glad to pick you up and take you and wait while you have the procedure. However, I'll be out of town from around 6/21 to 7/1 (and probably 7/24 to 7/30/ and have committments on 6/17 and 7/8.
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From:mjlayman
Date:May 29th, 2009 10:33 pm (UTC)
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Thanks, Janet! I'll make a note of those dates when I hear from the scheduler, probably early next week.
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From:firecat
Date:May 29th, 2009 09:22 pm (UTC)
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I had a endometrial biopsy without anesthesia and without any warning. It was very quick, but there were cramps afterward. I was able to drive home. I would take painkillers beforehand the next time, but if there were reasons not to, I would suck it up.

I had an endometrial ablation under general and recovery wasn't too bad.
[User Picture]
From:mjlayman
Date:May 29th, 2009 10:36 pm (UTC)
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Thanks! It makes me feel better to hear how well it went for so many others. Kaiser didn't let me drive home when I just had a gout tophi taken off a finger; I'm pretty sure they won't let me drive after the biopsy.
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