Undergoing second hysteroscopy w D&C

In my case, I started bleeding after a normal period in October 2020. At times it was super light, other times I thought I was hemorrhaging. In June 2021 I finally got an appointment with an OBGYN and she said she could either do an ultrasound or do a hysteroscopy with D&C. I had had issues for years and had an ultrasound done about 5 years earlier and it hadn't shown anything so I went with D&C. It is how I was diagnosed with endometrial adenocarcinoma on August 3. Prior to all that I had been told that I had an abnormal Pap smear 2 times in a row but nobody ever said how it was abnormal or even thought it should be checked on. My first D&C, I had 2 polyps removed and then later, after diagnosis, I had many small polyps all over the lining that were removed.

I would say the D&C with hysteroscopy will show more than an ultrasound. An endometrial biopsy may not be enough for a proper diagnosis either.

Welcome to the board. It sounds like your doctor is being very proactive. Only 1 in 10 polyps biopsied is cancerous. And there are risk factors for endometrial cancer. Do you have those? No children, obesity, diabetes, early menarche, late menopause. There may be more I'm just trying to remember them. Do you have those? And when you say endometrial cells in the pap, are they irregular cells? Have you had a pelvic u/s? And the other thing you can do is seek a second opinion. All options for you at this point. And remember the women like you don't usually stay on the board. They drift away. Hopefully that is your story too 😀

My situation was not exactly the same as yours but I had my first D&C/hysteroscopy because of vaginal bleeding that started about a year after menopause. Only a benign polyp was found and the bleeding stopped after the polyp was removed during the D&C.

Interim pap smears were all normal. However, nine years later I had vaginal bleeding again. Had a second D&C/hysteroscopy. This time I wasn't as lucky, as it was cancer.

But as Forherself said, most polyps are not cancer and removing them during a D&C can resolve the bleeding problem as it did in my first case.  You should have time enough to decide about a hysterectomy after the D&C if the D&C doesn't show cancer, but does identify other issues.

My "benign fibroid" "100% not cancer" per hysteroscopy was in fact a very bad cancer. She "chopped it up" with a "neat little machine she had". If I had to do over again, I would go straight to a gynecological oncologist. I have come to view many regular gynecologists as barbershop surgeon hacks. Treat things like cancer until confirmed otherwise. How big is your endometrial stripe, which number you get from an ultrasound.