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Cancer: Uterine Message Board


Cancer: Uterine Board Index


Hello ladies,

Oh how I wish that it was that easy to have an ovarian biopsy. Unfortunately, that's not the way it works. An endometrial biopsy involves a very simple procedure that is done often in the doctor's office (mine was). The doctor opens the cervix and inserts a sort of "straw" into the uterus. Then he or she literally twirls the straw around in there and sucks out endometrial tissue from the uterus. The only thing that I found uncomfortable is when the doctor clamped my cervix in order to keep it open. This feels like a sharp needle but the procedure is very quick (maybe 5 minutes max) so it is not so bad. Also, in my case, my cervix was rather firm due to the fact that I have never given birth. If you are a mother, it is less uncomfortable as the cervix is more maleable. Once the sample is sucked out, the doctor cuts off the end of the straw, fixes it (ie. sprays it with something) and puts it into a container for pathology. My sample took about 3 weeks for the results but our system is notoriously slow over here. In my case, my lining was so thin that they got very few tissue cells (these were normal but there were not enough of them to make a definitive diagnosis). In your case, they will have no problem getting enough cells because your lining is thick. If a woman's lining is thick and she is spotting and irregular, the normal approach is to do a D & C in order to remove the excess thickness (a simple day procedure). With most women this works and they have no more problems (my own mother had this done).

BY THE WAY, TAKE A COUPLE OF ADVIL ONE HOUR BEFORE HAVING THE BIOPSY DONE AND YOU WILL HAVE NO CRAMPING. Doctor's often neglect to tell you this (mine did but I read about the procedure beforehand) and the woman may experience some cramping after the procedure. You may also experience spotting (which I did) and this is completely normal.

As for the ovary. The only way to biopsy a cyst or ovary, is to perform a laparoscopy, which is a minor surgery done under general anaesthesia. It is not as simple as an endometrial biopsy. The ovary cannot be reached from the uterus (it is outside and connected by the fallopian tubes).

I would still try to get a copy of the results so that you know what you are dealing with. It sounds like your uterine lining is thick, which will require a D & C if it does not resolve by itself. Also, there are cysts somewhere and the lack of a stalk simply means that the cyst is not attached by a stalk. You may have a cyst that is attached to the outside of the uterus which is directly attached .. sometimes these things hang from a stalk (ie. like a piece of fruit on a tree). You need to look at the report and find out how many cystic structures you are dealing with, their size and if they are simple or complex meaning if they filled with fluid only, solid or a little of both. Fluid filled structures are less of a concern, solid tumours or complex cysts, depending upon how they appear on an ultrasound, may require biopsies. Sometimes they are simple blood filled totally benign things and a lot of the time, even solid tumours end up being benign (but a biopsy is necessary to confirm this). Get a copy of that report so that you know. It is your body and you have a right to be an active participant in your own healthcare.

Your symptoms are not necessarily those of ovarian cancer .. they are also of ovarian cysts or if you have a cyst on your uterus that is pressing on your bladder, this would certainly explain your problem of having to urinate frequently. Your irregular periods etc.. are obviously due to your thickened lining. Although you should ensure that ovarian cancer is not an issue (ask your doctor about possibly having a CA-125 blood test done) you should also keep in mind that it is a very rare disease (approx one in eighty women I believe) and if you have ever been on oral contraceptives for five years or more, your risks are cut in half. Cysts are extremely common in women of our age group .. ovarian cancer is statistically more likely in post menopausal women (more so over age 60) and women with a family history of ovarian and / or breast cancer (or those with the BRCA1 and 2 gene). I certainly agree, however, that it is better to check it out and put your mind at ease. This is always better.

All the best and come back and let us know how you are doing.
[QUOTE=estria;3628175]Hello ladies,

Oh how I wish that it was that easy to have an ovarian biopsy. Unfortunately, that's not the way it works. An endometrial biopsy involves a very simple procedure that is done often in the doctor's office (mine was). The doctor opens the cervix and inserts a sort of "straw" into the uterus. Then he or she literally twirls the straw around in there and sucks out endometrial tissue from the uterus. The only thing that I found uncomfortable is when the doctor clamped my cervix in order to keep it open. This feels like a sharp needle but the procedure is very quick (maybe 5 minutes max) so it is not so bad. Also, in my case, my cervix was rather firm due to the fact that I have never given birth. If you are a mother, it is less uncomfortable as the cervix is more maleable. Once the sample is sucked out, the doctor cuts off the end of the straw, fixes it (ie. sprays it with something) and puts it into a container for pathology. My sample took about 3 weeks for the results but our system is notoriously slow over here. In my case, my lining was so thin that they got very few tissue cells (these were normal but there were not enough of them to make a definitive diagnosis). In your case, they will have no problem getting enough cells because your lining is thick. If a woman's lining is thick and she is spotting and irregular, the normal approach is to do a D & C in order to remove the excess thickness (a simple day procedure). With most women this works and they have no more problems (my own mother had this done).

BY THE WAY, TAKE A COUPLE OF ADVIL ONE HOUR BEFORE HAVING THE BIOPSY DONE AND YOU WILL HAVE NO CRAMPING. Doctor's often neglect to tell you this (mine did but I read about the procedure beforehand) and the woman may experience some cramping after the procedure. You may also experience spotting (which I did) and this is completely normal.

As for the ovary. The only way to biopsy a cyst or ovary, is to perform a laparoscopy, which is a minor surgery done under general anaesthesia. It is not as simple as an endometrial biopsy. The ovary cannot be reached from the uterus (it is outside and connected by the fallopian tubes).

I would still try to get a copy of the results so that you know what you are dealing with. It sounds like your uterine lining is thick, which will require a D & C if it does not resolve by itself. Also, there are cysts somewhere and the lack of a stalk simply means that the cyst is not attached by a stalk. You may have a cyst that is attached to the outside of the uterus which is directly attached .. sometimes these things hang from a stalk (ie. like a piece of fruit on a tree). You need to look at the report and find out how many cystic structures you are dealing with, their size and if they are simple or complex meaning if they filled with fluid only, solid or a little of both. Fluid filled structures are less of a concern, solid tumours or complex cysts, depending upon how they appear on an ultrasound, may require biopsies. Sometimes they are simple blood filled totally benign things and a lot of the time, even solid tumours end up being benign (but a biopsy is necessary to confirm this). Get a copy of that report so that you know. It is your body and you have a right to be an active participant in your own healthcare.

Your symptoms are not necessarily those of ovarian cancer .. they are also of ovarian cysts or if you have a cyst on your uterus that is pressing on your bladder, this would certainly explain your problem of having to urinate frequently. Your irregular periods etc.. are obviously due to your thickened lining. Although you should ensure that ovarian cancer is not an issue (ask your doctor about possibly having a CA-125 blood test done) you should also keep in mind that it is a very rare disease (approx one in eighty women I believe) and if you have ever been on oral contraceptives for five years or more, your risks are cut in half. Cysts are extremely common in women of our age group .. ovarian cancer is statistically more likely in post menopausal women (more so over age 60) and women with a family history of ovarian and / or breast cancer (or those with the BRCA1 and 2 gene). I certainly agree, however, that it is better to check it out and put your mind at ease. This is always better.

All the best and come back and let us know how you are doing.[/QUOTE]

Are you referring to a colposcopy? I am not sure if I spelled that right, all I know is if they ever want to do another one of those they will have to knock me out I won't put myself thru that kind of agony, I believe my gyno told me now they do it as an outpatient procedure, Most likely by D&C but every doctor is different in how they do their procedures. I don't mean to scare anyone but Its the biopsy removal that hurts especially when they clamp down on it. I had the worst cramping ever. I couldn't stand up after the test they had to wheel me out I was crying the entire appointment and the doctor looked at me like I was a wimp. This coming from a male, I was twenty at the time I am now 35 so things are a little different with this test I hope.


Good luck with the procedure..hope its painfree.





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