Ob-Gyn questions? Ask a gynecologist online.
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.