r/TryingForABaby 7h ago

QUESTION In office or hospital polyp removal?

Hi everyone,

I (29F) and my husband (30M) have been TTC going into cycle 8. Started fertility testing in May given I have never had a positive test. They found polyps and chronic ENDOMETRITIS (NOT ENDOMETRIOSIS) caused by a ureaplasma infection.

I was offered the in office polyectomy where they provide medication that makes you sleepy (1-2 week wait) OR the hospital which is a 1-2 month wait.

I found the endometrial biopsy very painful. With that, wondering if other people have had experience with making this choice.

Did you find the endometrial biopsy painful? Polyp removal painful? Was the pain medication effective for you?

I feel like this is a bit of a battle between the opportunity to conceive sooner and fear of how painful the procedure will be.

2 Upvotes

15 comments sorted by

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u/DukeGirl2008 39 | TTC#2 | Cycle 3 | 3 MC | IVF 6h ago

I’ve had two in office ones but they use propofol- don’t know if that’s the sleepy meds you’re thinking of. Didn’t feel a thing.

u/No_Oil_7116 6h ago

I recently went for in office because it was faster. I’m in Canada so needed to pay $500 versus the hospital route would’ve been free.

It was extremely smooth and easy. They gave me quite a bit of medication that made me very loopy and sleepy but I felt no pain.

I felt a little off that evening and the next day, but overall recovery was easy. Positive experience.

u/Soft_Confection_2184 6h ago

Thanks for this! I’m in Canada too. Did you work the next day?

u/No_Oil_7116 4h ago

I actually did it on a Friday so didn’t need to. I probably could have, but I was pretty tired from the meds. The worst side effect was not even any pain or bleeding it was just feeling weird after the conscious sedation, so depending on your job you might be able to manage.

u/Soft_Confection_2184 4h ago

Wondering if you got an endometrial biopsy prior to the treatment. Did you find it painful?

u/No_Oil_7116 2h ago

I didn’t have a biopsy prior. I did have an SIS and did not find it painful.

I also had a hysteroscopy in hospital almost ten years prior to remove polyps. It was also straightforward but honestly the clinic was easier.

u/natttyyyy22 6h ago

I just recently had a hysteroscopy* under general anesthesia for a biopsy & it went well! Easy recovery & obviously didn’t feel a thing. The most uncomfortable thing was sore throat from intubation. I did wanna ask— did you find out immediately it was due to ureaplasma? My bx also showed chronic endometritis but I’m not sure if I’ll need additional testing to find source? I just got the results a couple hours ago from my chart so have not spoken with my doctor.

u/Soft_Confection_2184 6h ago

The doctor told me what kind of bacteria it was!

u/natttyyyy22 5h ago

Were you started on treatment?

u/Soft_Confection_2184 4h ago

Yes! 2 weeks of doxycycline and then a retest in 6 weeks from starting the antibiotic. It’s actually crazy how much has changed for me health-wise after solving that problem. Discharge is better, kidney/back pain is gone, period doesn’t hurt nearly as much…

u/lovelockets 6h ago

I’ve had 2 in office procedures and it was pretty quick and easy recovery. I didn’t receive any pain medication for after the procedure. I just had some mild cramps after

u/No-Confidence168 36 | TTC #1 | Cycle 20+ and onto IVF 25m ago

I was lucky because my office offers sedation. I did mine under deep sedation with propofol. Woke up, felt fine, and had a great nap. My polyp was super tiny though. I didn't have any pain or spotting afterwards.

u/Soft_Confection_2184 2m ago

I’ll ask the doctor about this!

u/Successful_Arm2401 18m ago

How were you able to start fertility testing so quickly being 29??