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Why is anesthetic not routinely used during a cervical biopsy?

By February 20, 2011 - 4:56pm
 
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I recently had a Colopscopy (sp?), during which the specialist decided a biopsy was necessary. I have had yearly pap and never a bit of pain...but I found the cervical biopsy an unpleasant experience. Why would a physician NOT provide local anesthetic, and allow for time to "freeze" the area to be sampled?

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EmpowHER Guest
Anonymous

Same here. I was told they needed to have an endometrial biopsy and was given zero warning of how painful it would be. I was given no anesthetic. I am so angry. Why do they not numb the area or at least warn you about the pain?! I was sick and traumatized, dizzy and faint and sweating. The Dr. then just quickly left and said "oh you can lie there if you are dizzy". Didn't ask me if I was okay. When I asked the Dr. why she didn't warn me- she would not respond. When I asked the nurse why no anesthetic or warning was given she said "well it only lasts ten seconds". I asked her if she had ever had the procedure done and she said no, and so I asked her not to diminish my painful experience please. The use a Pipelle, basically like a straw and push it into your sensitive soft parts for 10 seconds. Dr. did it 3 times. It was horrible so I can't believe they try to pass it off as not a big deal.

January 19, 2018 - 9:38am
EmpowHER Guest
Anonymous

I had a cervical biopsy today. A few clips from cervix and scrapping from interior of it.
Not a big deal.
Just my experience.

November 6, 2017 - 3:10pm
EmpowHER Guest
Anonymous

Yesterday I had an experience similar to what others have detailed here. I went to get a colposcopy and several biopsies and I was told NOTHING could be give for my anxiety or the pain. NOTHING. It is completely beyond me that when a tooth is drilled it is numbed but when a piece is taken from the cervix in a very invasive procedure that it is just to be endured. I found the entire procedure to be very distressing and traumatic. The physical pain was not a problem but the psychological distress was. The only way I managed to make it through the appointment was by completely dissociating. The nurse kept telling me repeatedly that "women go pick up their kids after this procedure" as if to tell me my concerns were not meaningful. I am really frustrated that in the year 2017 women still endure so much alienation when it comes to meeting health needs that are specific to being a woman. If anyone has any ideas on how to change this, please count me in.

November 4, 2017 - 6:03pm
EmpowHER Guest
Anonymous (reply to Anonymous)

I agree with you. I have had LEEP so its even more sensitive. I describe the experience as being assaulted with a pipe cleaner for 5 minutes.

November 19, 2017 - 11:05am
Guide (reply to Anonymous)

Hi,

I have been reading this thread for a while now and I have to say, I am quite horrified that any woman would have to go through this. Perhaps for some women, it's not as traumatic, but it seems that for many more, it certainly is!

As someone here mentioned, a tooth would not be drilled or pulled without some anesthetic!

Helena

November 19, 2017 - 11:24am
EmpowHER Guest
Anonymous

Yesterday I had an experience similar to what others have detailed here. I went to get a colposcopy and several biopsies and I was told NOTHING could be give for my anxiety or the pain. NOTHING. It is completely beyond me that when a tooth is drilled it is numbed but when a piece is taken from the cervix in a very invasive procedure that it is just to be endured. I found the entire procedure to be very distressing and traumatic. The physical pain was not a problem but the psychological distress was. The only way I managed to make it through the appointment was by completely dissociating. The nurse kept telling me repeatedly that "women go pick up their kids after this procedure" as if to tell me my concerns were not meaningful. I am really frustrated that in the year 2017 women still endure so much alienation when it comes to meeting health needs that are specific to being a woman. If anyone has any ideas on how to change this, please count me in.

November 4, 2017 - 6:01pm
EmpowHER Guest
Anonymous

There are many risks to general anesthetics....like, I might not wake up....think Michael Jackson! This is why it is not generally used for colposcopy. Colposcopy is LOOKING at the cervix, a biopsy MAY be done. Ask for an anti anxiety medication before the procedure if you are nervous about having a biopsy during colposcopy, and a paracervical block anesthetic can be used with much less risk than a general anesthetic.
This is different than a LEEP procedure which is a removal and diagnosis of abnormal tissue that has already been confirmed by biopsy. It is a small surgery and more worth the risk of a general anesthetic.

June 26, 2017 - 10:03pm
EmpowHER Guest
Anonymous

I just had two cervical biopsies, one very high up. I did not expect the excruciating pain and was not warned (if I was, I'm sure I would have been scared off which is maybe why they don't tell you). I consider myself pretty pain tolerant, I've had 2 c-sections and some really painful tooth issues. Nothing compared to this, and I felt violated as well as some of you have also noted. I screamed and almost threw up. If you have to get one, take the day off. I had to go back to work when all I wanted to do was crawl into bed in a fetal position and cry. Why they can't use a novocaine type numbing solution is beyond me.

June 26, 2017 - 7:35pm
EmpowHER Guest
Anonymous

I recently had one. Doctor wanted to do same day I went for pelvic ultrasound results (which was also painful), but I told her I need to prepare. She gave me pain meds to take an hour before procedure next day. I asked for local anesthesia because urologist did so for cystoscopy, but did not get one for pelvic ultrasound.

I would not have been able to do it without the local anesthesia and squeezing the nurses hand. It was excruciating! I was singing worship, praying, and breathing drep breaths.

She had to take 3 samples, the last was the worst. I survived, but literally shed tears when it was done. My doctor and nurse really helped by encouraging me, as if I was giving birth. The doctor took her time to make sure the anesthesia had kicked in.

June 16, 2017 - 1:18am
EmpowHER Guest
Anonymous

I had a colposcopy today with 2 punch biopsies. In the past I have had a bone marrow biopsy (think giant needle in your hip bone) and this was more traumatising. I was told nothing before the procedure and I bled ALOT - the doctor put in a tampon afterwards. I was in so much pain on the way home I cried in agony on the train. No local anaesthetic and was not told to take anything prior. I'm also on intravaginal antiobiotics because he was worried the biopsy sites might get infected. If testicles had to be biopsied without anaesthetic there would be protests in the streets!

November 24, 2016 - 5:16am
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