WOMENS-HEALTH Messages for December, 2000: Re: very painful cervical biopsy

Re: very painful cervical biopsy

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Wed, 6 Dec 2000 19:03:56 -0600 (CST)

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In reply to: Rebecca: "very painful cervical biopsy"

At Wed, 6 Dec 2000, Rebecca wrote: >
>Two years ago, I had a biopsy on my cervix followed by laser coning of
>my cervix. These procedures were very simple and painless then. Six
>months ago, I found a new doctor closer to my new home and she needed to
>do another biopsy due to my frequent abnormal pap smears over the last
>year. She was trying to do something that I still do not understand.
>After she clipped me twice for the normal biopsy as I remembered it from
>two years ago, she told me that she needed to scrap the inside of my
>cervix. Well my cervix was not open so she was trying to open it. I
>was screaming, shaking and sweating while she was trying to open it. I
>kept making her stop because the pain was unbearable. After the third
>time, I told her there was no way I go through with it anymore. She
>told me to rescedule to come back the day before my next period and
>hopefully my cervix would be open. I was very traumatized by this
>procedure and I was terrified to go back so I called my previous doctor
>and asked them to get my lab results and take me back. They were very
>understanding and sympathetic to the pain that I had endured. When I go
>to him to go over my biopsy results in two weeks, I plan to ask him what
>in the world she was trying to do and why she didn't numb me to do it.
>However, I am tormented by this and I have been looking all over the
>internet for a similar procedure and I have found nothing. Has anyone
>ever heard of a procedure where they go inside the cervix to scrape it?
>This was by far the worst pain I have ever endured in my life and I even
>had my son by NATURAL CHILDBIRTH!!!!!!!

What you had was an endocervical curettage attempt. When there is an abnormal pap smear, it is necessary to obtain cells from the lining of the cervix. Occasionally, following a cone of the cervix, the cervical opening becomes small or "stenotic". This makes getting the curettage difficult. It is likely that this caused the pain. Often, when this is the case, examining during or shortly before or after a period, the cervical opening will be more evident and amenable to curettage. To complete your cervical exam, you really need this curettage. It should not be pressed to cause you soooo much pain though to achieve it... 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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