endo biopsy vs. diagnostic hysteroscopy

[Guest guest]

Hi,

Just a couple of comments on Endometrial biopsies comparing them to

Diagnostic Hysteroscopy. When a Dr. does an Endo Biopsy the amount of dilatation

of

the cervix is absolutely minimal. The amount of dilation used for a

Diagnostic Hysteroscopy is several centimeters. That is why some women

experience

cramping and lots of pain. Some women may hay have other conditions that

contribute

to the pain and cramping such as Cervical Stenosis. The amount of Dilation

for an operative Hysteroscopy is a full 10 centimeters. That's why it is

typically done in an OR. The Resctoscope used with the Hysteroscope in removing

Polyps, fibroids is rigid and requires the full 10 cms. Those who have delivered

babies know that dilating that much can be painful but some women breeze through

it, some don't.

Also, anything, polyp, fibroid, tissue that is removed from you in a

hospital is sent to Pathology and tested, examined, biopsied in the lab. A

Physician may have a reason for doing multiple diagnostic procedures prior to

doing

a resection but I would ask questions before I had all of them if I was

definitely having a D+C and hysteroscopy already. Although the risk may be small

any

time you do any instrumentation to a body cavity you do run the risk of

introducing pathogens.

Cheryl