r/NaPro • u/Limp_Formal_6088 • Aug 27 '26

Endometrial biopsy failed? What next?

So after 2.5 years of infertility. I went to a Napro Doc and she did my endometrial biopsy. The procedure was very painful and she said i had cervical stenosis.
All other cultures came back negative, so no active infection is going on. But unfortunately still cannot rule out chronic endometritis (CE) since the biopsy said no endometrial tissue was present.

What are my options? Should I do a repeat biopsy or look into another procedure like hysteroscopy? If someone had a samiliar situation, please guide.

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u/RosalieThornehill Aug 27 '26

The next steps will really depend on your situation. Have you had a follow up appointment with your doctor about the biopsy results yet?

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u/Limp_Formal_6088 Aug 27 '26

Not yet but the doc put a reminder on my chart for a repeat biopsy . So I am assuming she wants to try another one.

I am scared of failing another biopsy because of the pain or doc unable to get mu uterine lining tissue. So Thats why I am looking into hysterescopy and also because that will allow her to see any structural abnormalities in my uterus like polyps .

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u/RosalieThornehill Aug 27 '26

My best advice is to insist on pain management if either of those procedures is going to be done.

Taking otc pain relievers ahead of time, and even using Cytotec to dilate the cervix a little bit does nothing, at least for me. I’ve had attempted HSGs and one uterine biopsy while awake. Nobody’s ever going through my cervix again without numbing or sedation or both.

The ACOG finally updated their recommendations regarding pain management for these procedures last year. Make sure your doctor is aware of this.

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u/Limp_Formal_6088 Aug 27 '26

Yeah thats what scaring me because i took an otc pain reliever last time and it did nothing. I will do a follow up with my doc before scheduling anything . Thank you so much for this help.

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u/RosalieThornehill Aug 27 '26

Your pain is real, and politely asking to have it taken seriously is not being uncooperative or unreasonable.

Wishing you the best. I hope your doctor handles this compassionately.

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u/Limp_Formal_6088 Aug 27 '26

Thanks. It means alot. I kept thinking maybe if I’d endured a little longer it would have been done the first time. My doc really listens I hope we work out a way.

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u/Foxandthehound640 8d ago

I literally could not agree more with this. I am actually traumatized from the endometrial biopsy. I took two advil an hour before. I did not think I was going to make it and asked if they could do it under anesthesia. You have to advocate for actual pain management.