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Resectoscope/hysteroscopy
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verojay1223 posted:
Hello:

I am going to have a large endometrial polyp that I will have removed (along with thickened uterine lining) soon. They are doing it via resectoscope/hysteroscopy. I had a hysto years ago, but it is hard to remember how I felt afterwards. Has anyone had these two procedures? If so, did it help and did the polyp come back? I had a uterine biopsy (OUCH is all I have to say about that!) and it came back normal. They also saw a pretty good sized ovarian cyst (i have had cysts/tumors on the ovaries before). I am going to specialist who can perform the resectoscope.

I am 41. Thank you!
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Jane Harrison Hohner, RN, RNP responded:
Dear verojay: I have not had a hysteroscope procedure, but after 30 endometrial biopies I would concur with your description. Alas, we never give women sufficient warning about the pain from an endometrial biopsy. I think many GYNs do understand the pain and try to improve the procedure with pre-biopsy ibuprofen, lidocaine gel, etc. I would urge you to contact the specialist's office and ask about their type of pain control during procedure. Sometimes the procedure can be done in day surgery (more expensive) if indicated.

As you likely know both endometrial polyps and the overly thickened lining of the uterus are linked to estrogen and/or decreased levels of progesterone. This situation arises in heavy set women and women who are ovulating infrequently (this increases as we move through our 40's).

Yes, polyps can re-occur (but not the specific polyp that was removed) if the conditions feeding polyp growth remain the same. The important thing is to make sure that any polyps do not contain abnormal cells (eg pre-cancerous cells). Most likely you will be advised to have periodic follow up to be sure that neither the thickened uterine lining, nor groups of polyps, have reappeared. ....Hope your pathology report from the procedure looks good (eg nothing worse than simple hyperplasia).

Yours,
Jane
 
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verojay1223 replied to Jane Harrison Hohner, RN, RNP's response:
Hello! They will be doing the resectoscope/hysteroscopy in the OR-due to the size of the polyp and rich blood supply. I have never been skinny-but I am about 10 lbs heavier than the last time I had the endomemtrial thickening-I was fairly normal weight then and having a lot of infertility issues. I am thinking I wasn't ovulating. It took 3 years to have my first child (after m/c) and then 1 1/2 years with the second. I have had dermoid tumors, cysts and multiple surgeries.

Yes, the biopsy was not fun-since I never gave birth (or ever dilated during pregnancy-had c-sections-emergency)-my cervix was sealed shut! it took forever to get through as I grabbed the table. I can't take ibuprofen due to allergies (compromised immune system and allergy-on top of all of this), so I was not having fun.

The path report from the biospy was "negative" according the message left by the office. So, now need to get this polyp out and clean it all up. I was bleeding horribly.

Thank you for your reply and all you do on the boards!


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