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LaKrystal Warren
LaKrystal Warren,
Category: OB GYN
Satisfied Customers: 45
Experience:  Physician at Contemporary Women's Care
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I have had endometriosis 2 times in 3 years at age 60now

Customer Question

I have had endometriosis 2 times in 3 years at age 60now , i have had a DNC 3 years ago and it was clear of any issues and i want a hysterectomy she will do it but wants to do the DNC to make sure there is no cancer in there at all.... The tissue came out good on this swab also.. Is it necessary to do the DNC again seperate or can the DNC be done with the hysterectomy?
Submitted: 8 months ago.
Category: OB GYN
Expert:  LaKrystal Warren replied 8 months ago.
Typically before performing a hysterectomy for abnormal bleeding, we have to do some form of biopsy to determine if there are any precancerous or cancerous cells inside the uterus. The reason for this is that general OB/GYN's should not do hysterectomies for cancer, they should be sent to a specialist in GYN cancer (a GYN oncologist) to make sure that all abnormal tissues are removed. If you most recent D&C was over a year ago, it will need to be repeated prior to proceeding with surgery. If it was within a year, it most likely does not need to be repeated unless your symptoms have changed. A D&C can be performed in the operating room prior to performing a hysterectomy, however, the tissue sample has to be sent to the pathologist to read right away and if it shows anything abnormal, it is possible that the hysterectomy may not be able to be performed that day to make sure the right person performs the surgery To avoid unnecessary costs and exposure to anesthesia, we like to have all of the information prior to performing surgery. It is also possible to perform an in office endometrial biopsy that can give similar information. It is a quick procedure with mild bleeding and cramping after. Discuss with your doctor if this procedure can be performed in office prior to hysterectomy.