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Endometrial Biopsy vs D&C??? Endometrial Biopsy vs D&C???

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Unread 10-23-2005, 08:04 PM
Endometrial Biopsy vs D&C???


Haven't been back to site for awhile, still awaiting the results of my endometrial biopsy that was done two weeks ago.

Bit confused, what is the difference in first having an endometrial biopsy as opposed to a D&C - what's the difference? Aren't they both done for the same reason, to get cells from lining of uterus? How does doctor decide which one to do first?

I've had post-menopausal bleeding because of thickening of lining of uterus (same problem four years ago, was corrected with a D&C - polyp (benign) removed at that time).

Since having the biopsy done, there has not been any more bleeding nor cramping, the longest I've gone now without this problem.

Hopefully doctor will finally contact me this coming week, if not, I'll contact her and push for answers. But, "no news is GOOD news" as they say, can't be anything urgent, otherwise I'm sure I would have been contacted by now.

Any advise appreciated on explanation of the difference in two procedures - the biopsy was done in office, my D&C was done in hospital last time.

Thank you!

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Unread 10-23-2005, 11:05 PM
Endometrial Biopsy vs D&C???

Hi Angelbeliever,
It's good to see you. I will share what I know about this one. I have had both done. I had the heavy bleeding too and had the D&C done to try to stop the bleeding or at least slow it down. With that they scrape the excess endometrial lining out. I guess that in some women this will clear up the build up problem and stop the heavy bleeding.
With the endometrial biopsy they actually take a little piece of the endometrium. It is cut or clipped out(I'm not sure what the proper term is), but I know it is deeper than the scraping they do with the D&C.
I had two of the biopsies done because they were concerned about the possibility of endometrial cancer. That can be another reason for the heavy bleeding.
As I remember when I had my biopsies done it was a very short time until I knew the outcome. I can't remember exactly, but I don't remember waiting at all, so I couldn't have been very long. I hope you will just call your dr tomorrow and see if you have been forgotten. You have been very patient and I don't think it would be out of line for you to call and ask about it. I do think that you are probably right about the 'no news' thing. If it had been anything urgent you would have heard.
Are you doing better? It sounds as if you might be. Let us know what you find out.

's, Rita
Unread 10-24-2005, 05:01 PM
Endometrial Biopsy vs D&C???

Hi Angelbeliever - I can relate to some of your frustration. I'm 56 and still in perimenopause. I was advised to have hyst by 3 different doctors. Went to 4th dr who said he didn't think I needed it. Anyway I'm holding off for now.

I've had 6 transvaginal ultrasounds, 6 biopsies and 2 D&Cs over the past 18 months. The biopsy takes a sample of the uterine lining (mine were all done by suction) uncomfortable but not unbearable and all done in the doctor's office (by 3 different doctors). Each time I had the results in a week sometimes less. The 2 D&Cs (by two different doctors) were both done under general anesthesia in the hospital. The first time I had 8-10 polyps removed also which helped control the bleeding. The D&C also removes more tissue for pathology.

Post menopausal bleeding is always a concern. If you are not comfortable with the suggestions of your gyn why don't you get another opinion. Like I said I had 4 opinions and two were from oncologist/gyns. I would also suggest you consult an oncologist/gyn since they are the experts when it comes to female cancer and they do many more hysts then regular gyns.

If you want any more information you can P/M me anytime. Hope this helps a little and I agree with presciouspearl - give your doctor's office a call and ask for a copy of the results for your records.

Let us know how you make out.


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