Hysteroscopy...painful? knocked out or local anesthetic?

I had a hysteroscopy a few years ago.  I probably took a few advil or some such, but that was it.  The gyn injected my cervix with local anesthetic.  Dilation was uncomfortable, but nowhere near as bad as an endometrial biopsy.  I watched the procedure on a TV screen.  After the dilation, everything was completely painless, including the removal of the polyp.  This procedure was all about the polyp, so no scraping, although I suppose if any unusual tissue had shown up (very good visual), he could have done it as well.  I had my husband there, holding my hand, which gave me something/someone to think about other than what was going on "down there."  I confess to feeling completely wiped out afterwards, but no pain or cramping at all.

I've had a couple of endometrial biopsies as well.  Now, please do ask your doc, but as I understand it, the biopsy involves  a number of very ouchy samples from pretty much the entire uterus, but, perhaps because they have direct visual during the hysteroscopy, they may be able to take fewer samples? 

i had a uterine biopsy that meant dilation. I asked for conscious. Very easy. Just didn't want to be awake for fast dilation. At least I know that part of me doesn't have cancer. :-)

I had a d & c one week ago today.  I am 64 and bled from Nov 11-Dec 11 and then it stopped.  With all of the holidays I didn't get the d & c until January 7!  She tried doing an endometrial biopsy in the office but it was too painful.  She had done one a couple of years ago and I could not believe the pain!

Anyway, they gave me a cocktail of drugs including versed, Propophal and a local to the cervix.  I was told I would be "out" but I might remember some things.  All I remember is, at one point saying "ouch" but not feeling terrible pain.  The after effects were wonderful.  In recovery the nurse asked if I was in pain and I said "I ain't feelin no pain!".  I was high as a kite and started singing "Don't worry, be happy" to the nurse and she was giggling and giggling at me.  When I go, that's the way I want to go, that's what I told her and I still look back at those moments fondly.  I went home and slept for most of the day and all that night and as someone who suffers from insominia, it was delightful!  I had very little bleeding at all and the cramping was like the mildest of period cramps and I never took so much as an Advil.  I went back to normal activities yesterday and today I notice bleeding.  Not a lot, but like a period and it's worrying as there was none of this for days.  Pathology is still on going with one test negative and the other in process.  I did have a polyp removed but they tell me that everything else "looked" normal.  Would like to hear that from pathology! 

Don't worry, you'll be happy.  I've never so much as smoked pot but with these drugs, I finally see the attraction!

Good luck!

Just wanted to add that Arrimidex can cause uterine bleeding.

So great that it's over and done with!   They never offered me the nighty-night option, but in my case, they were just going after a lonely polyp.  Anyway, I'm glad you had the anesthesia and no post-procedure pain, and must feel pretty appropriately victorious.  With the otherwise-welcome weekend upon us, I guess you'll have to wait an extra couple of days (note to self:  Schedule biopsy things on Mondays).

Waiting4mylocal, I had a D&C last August they called it a light general anesthesia. They didn't intubate as they would for a longer surgery and It was done as an outpatient. My Gyn tried to do a biopsy in the office and was unable to due to a large fibroid/polyp. If you have a D&C you really should have a hysteroscopy and that would be pretty uncomfortable in the doctor's office. Most of the OB/Gyn do this procedure routinely and know what they are doing. I went to chick-fil-A on the way home and was fine. You just can't lift anything over 10 pounds for a couple of weeks.