WOMENS-HEALTH Messages for September, 2000: Re: action to Endometrial Biopsy

Re: action to Endometrial Biopsy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 6 Sep 2000 22:16:37 -0500 (CDT)

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In reply to: Julie: "Reaction to Endometrial Biopsy"

At Wed, 6 Sep 2000, Julie wrote: >
>I recently had an endometrial biopsy and experienced a rather severe
>reaction. I had heavy cramping for an hour, became very clammy and
>sweaty, light pulse, etc. I was not able to leave the office until
>almost 2 hours had passed and I had returned to normal.
>
>I am very concerned abour my ability to undergo the HSG test, as well as
>any IVF procedures if we get to that point.
>
>Was my reaction uncommon and are there things I can do to minimize this
>reaction during further tests? This was my introduction to fertility
>tests and I'm worried about being able to undergo additional tests and
>treatments.
>
>T

T, What you describe is not uncommon when undergoing a test such as an endometrial biopsy. Some of it has to do with a "vaso-vagal" response. The anxiety of the process fueled by the sensations/pain associated causes a variety of things including feeling faint or actually fainting, becoming clammy, developing nausea/vomiting, etc. Two things: First, the HSG is usually not associated with quite as much discomfort as the endometrial biopsy. Second, there are a variety of "coping" techniques that can be utilized. One that works quite well is working on placing yourself someplace else mentally, like maybe on the beach on the French side of St. Maarten. With practice, I have seen this technique work quite well. Third, if it becomes a major problem, precluding some of these tests and procedures, there are medications available to help take the edge off and you can discuss this option with your physician... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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In reply to: Julie: "Reaction to Endometrial Biopsy"

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