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[Katejo]

My hysteroscopy with local anaesthetic was too painful for them to take a biopsy so I have to go back again even though it looked healthy and they found no polyps.
I thought i would have to have a GA but a consultant told me today that sedation is an option too. Has anyone had it done while sedated? Or is it almost as painful as a local anaesthetic?

[Perinowpost]

I know it's not quite the same thing Katejo but I was offered either/or for a colonoscopy. The nurse explained to me that the sedation wouldn't prevent the pain but would make me more relaxed. I was so nervous I asked for both, and they gave me both. Hope this helps x

[CrispyChick]

Me too, for colonoscopy I had sedation. It was horrific. I know we are all different..... But I felt everything and was just a bit out of it. It was 20 years ago and I am still horrified by it!!!

Had an endoscopy..... Had nothing because I couldn't face the sedation.

I know your procedure is different, hopefully someone will have experience of this......

[Kathleen]

Hello Katejo

I had a hysteroscopy without any pain relief and it was a bit grim. I'm pretty sure they took biopsies as well.

Before I had the procedure I noticed other women in the waiting room were swallowing tablets and later I realised why.  The appointment letter had not mentioned taking pain relief and there was no offer of sedation so I assume the other women had been there before and knew that it was wise to take some painkillers. The nurses told me that one patient had drunk a fair amount of rum during her procedure and she hadn't felt a thing!

I've also had two colonoscopies with sedation and both experiences were pain free.  They used a cannula to deliver liquid diazepam and it worked very well and I didn't feel any pain at all.

Hope this helps you in some way.

Take care.

K.

[Bobidy]

Sorry, I can't advise but I had a hystoscopy with nothing as I wasn't offered anything! I personally found it extremely painful. I wish I'd taken some painkillers first. It's a period like pain so I assume mefalonic acid would do the trick.

Annoyingly after mine the next consultant couldn't read the first ones notes so they said they needed to do another. Not sodding likely! I had an MRI instead but obviously they can't get biopsies with that. Mine was to see if an ablation was possible with my fibroid. It wasn't and I had a hysterectomy, different hospital and gynocologist. Best decision for me and I haven't looked back. Good luck x

[Taz2]

I've had an endoscopy with sedation and it was really good. The sedative contains a memory blocker so although conscious and able to follow instructions you remember nothing about it.

Taz x

[Wrensong]

Katejo, I've had 3 hysteroscopies - the first under GA (but only because they also did laparoscopy & D&C), 2nd with local and sedation.  Both of those were done in fertile years so that area was reasonably robust & access easier. 

The 3rd was 4 years postmeno with poorly managed VA & as it turns out an atrophied uterus - so there was nothing for them to sample on biopsy.  That was without any local or sedation, because the NHS had stopped offering any sort of pain relief or sedation for the procedure by then.  I took painkillers beforehand as advised, but felt no relief from them.  Like yours, it was shockingly painful & tbh felt barbaric, though over very quickly with few after effects.  The nursing staff were very kind & obviously felt bad it had to be done that way.

Of the 3, the least problematic by far was the 2nd with sedation & local - I'd wanted to avoid GA which makes me very sick for a long time afterwards.  The anaesthetist was standing by to put me under if need be (those were the days) but I felt no pain.  So if this combination is available for you, that might work well.

[Katejo]

I've had an endoscopy with sedation and it was really good. The sedative contains a memory blocker so although conscious and able to follow instructions you remember nothing about it.

Taz x

I had endoscopy without even a local numbing and only had minor discomfort . It was no comparison to the hysteroscopy at all. Having a check fir polyps and fibroids was ok with a local but not when they tried to do a biopsy. I suspect that bring sedated won't be any better than a local (with painkillers).

[Katejo]

Katejo, I've had 3 hysteroscopies - the first under GA (but only because they also did laparoscopy & D&C), 2nd with local and sedation.  Both of those were done in fertile years so that area was reasonably robust & access easier. 

The 3rd was 4 years postmeno with poorly managed VA & as it turns out an atrophied uterus - so there was nothing for them to sample on biopsy.  That was without any local or sedation, because the NHS had stopped offering any sort of pain relief or sedation for the procedure by then.  I took painkillers beforehand as advised, but felt no relief from them.  Like yours, it was shockingly painful & tbh felt barbaric, though over very quickly with few after effects.  The nursing staff were very kind & obviously felt bad it had to be done that way.

Of the 3, the least problematic by far was the 2nd with sedation & local - I'd wanted to avoid GA which makes me very sick for a long time afterwards.  The anaesthetist was standing by to put me under if need be (those were the days) but I felt no pain.  So if this combination is available for you, that might work well.

  I suspect that they won't find anything to biopsy. The nurse thought that a biopsy under GA wouldn't be necessary after they found no polyps or fibroids but a doctor later overruled her. I suspected this and another consultant confirmed my suspicions today. The annoying thing is the long wait to get the biopsy done. I don't even have a date for a pre op appointment yet. I have another appt. at the same hospital on Wednesday and I am going to chase it up.

[Wrensong]

Katejo, I don't think they need to see anything suspicious to biopsy - I think they just take a sample of the lining -  I'm thinking I remember your hysteroscopy is for postmeno bleeding as mine was?  Do chase them up when you go on Weds - a personal appearance often gets results a phone call seemingly can't.

[Katejo]

Katejo, I don't think they need to see anything suspicious to biopsy - I think they just take a sample of the lining -  I'm thinking I remember your hysteroscopy is for postmeno bleeding as mine was?  Do chase them up when you go on Weds - a personal appearance often gets results a phone call seemingly can't.

  Yes it is for post meno bleeding when using Conti patches. I still think that they will have trouble getting a sample fir biopsy as the layer is only 4.5 mm.

[Taz2]

I've had an endoscopy with sedation and it was really good. The sedative contains a memory blocker so although conscious and able to follow instructions you remember nothing about it.

Taz x

I had endoscopy without even a local numbing and only had minor discomfort . It was no comparison to the hysteroscopy at all. Having a check fir polyps and fibroids was ok with a local but not when they tried to do a biopsy. I suspect that bring sedated won't be any better than a local (with painkillers).

By sedation they usually mean you are totally unaware of what's happening. It's like a GA but with none of the GA risks. You don't feel or remember anything. I had it due to a failed second endoscopy. The first one I had with no sedation and no problems. I didn't mean that an endoscopy is anywhere near as painful as a hysteroscopy but merely used it to show my experiences of what 'sedation' meant in my case. It would be worth asking which drug they use?

Taz x

[Tc]

I've  had mirena fitting with no local injection as my gynae said it doesnt stop the pain. Maybe that's why you found it so painful katejo. I havent had hysteroscopy but I assume local injection is the same, although I wouldnt presume the procedure or level of pain is. 

I opted for twighlight sedation with colonoscopy . I wasnt told what you were perin about it not stopping pain but in my case it most certainly didnt. I wouldnt have it done again under sedation but of course it's a different procedure.

 Everyone is different with sedation. It takes a lot to affect me. . All the other colonoscopy patients were drowsy or sleeping after the twighlight but I felt as though I'd had nothing at all. 

Just a thought. Katejo but Im wondering if anyone   knows anything about phenegran in this respect.

 I say this as I was prescribed  50mg for sleep but I noticed on the info it can be prescribed in that dose undr docs supervision pre surgical procedures as a sort of pre med.  Not sure if or how it might be beneficial in this instance. Just throwing it out there.

I hope you get new appt sorted soon. And . Hope it all goes well.

Xx

[Perinowpost]

Hi Tc

Re the colonoscopy I don't know how much sedation they used it may vary depending where you have it done. I omitted to say the pain relief was gas and air. Like you Tc the sedation had worn off by the end of the procedure. It was a horrible experience, and one I won't be repeating.

I have had a hysteroscopy and that's nowhere near as bad (although uncomfortable), even so Katejo I would advocate for what you want to get you through the procedure x

[Paz23]

I had sedation for gynae procedure and I hated it. It didn't reduce the pain, I just felt drunk and confused. It depends how sensitive you are to pain. I have really high tolerance to pain generally but not in that area - I can't cope with anything down there. Having my second merina fitted was horrendous (the first was fine), so much so when this runs out I won't be having another. (PTSD doesn't help!) So I kind of guess it depends on your tolerance levels and your mental state when it comes to stuff like that.