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patrizia - that is pretty normal. I had my hysteroscopy done on 05/11 and bled like that a couple days. NO big deal...but if it persists for more than a week or so or if the bleeding gets heavy I would certainly call the doc. What you are telling me sounds right on track

thanks angelkitty. i think maybe mine lining was thinned out from the biopsy ...? or can the hysteroscopy exam also bring on some bleeding ? i am not bleeding like a regualer period but it is not spotting either. it just worries me because it is so bright red , enough to have a pad on.--(but a pad that does not have to be changed often) i just seem to worry about everything because i dont even knew what is considered normal anymore. !

Patrizia - I had a hysteroscopy and a biopsy of a polyp in April. I bled for about two weeks...sort of a constant dripping...yechhhh! The information I received prior to surgery was it is normal to bleed up to 3 weeks, but if it is heavy...filling a pad every 30 minutes...call emergency. I think it also depends what time in your cycle you went in for surgery...if it is the beginning of a cycle...you shouldn't bleed as much I believe. For me, I had it 2 weeks into my cycle. Hope this helps.

thanks...!!!!! anyone else have an experience to share...i still am bleeding a bit. hopefully it will go away soon. i worry so much !

Hi PATRIZIA. I think it depends on what you have the biopsy for. I had mine for hyperplasia with atypia so they did a full biopsy and I bled for 10 days which is fine. If you had a part biopsy (or sample biopsy as opposed to full) then I would say that a weeks worth of bleeding would be too long. My Dr told me that the only reason they worry about blood heaviness in loss after biopsy is that occasionally an artery is cut but that would result in running down your leg kind of bleeding. hope this makes sense!

thanks LISSA---i had the biopsy done for hyperplasia. i am still bleeding . but not a period like bleed, but it is flowy -espacially in the morning and bright red !. do you have any idea why a biopsy is performed for a hyperplasia. what EXACTLY are they trying to determine. PLUS. i did not bleed riht after the biopsy. i started to bleed the night after. ---so you bleed for about a week ? was it a flow or just spotting ?

Patrizia...sorry if I am being redundant...but I was told that "period-like flow" was normal after lap/hyst. I was told that spotting after my endo. biopsy was also normal. After my endo biopsy, I spotted for about 3 days. After my lap/hyst, I had bleeding like a light period. Granted, I was cd one day of surgery...But my RE still told me that if I had "period like flow", it was normal. The cycle after my surgery though was very heavy...I think my body was compensating due to the fact that my last cycle was so light. Hope that helps!

hi erika---no you are not being redundant !!. i am still spotting with at times it looks like it will never stop. i have to wear a pad. i kinda call it heavy spotting. but it is better since the begging days. my cycle which was 10 day before the biopsy-hysteroscopy only lasted for 2 and a half days, it was so short. so i guess my body is getting rid of what was in there...i guess....it just starts to worry me when things go on for to long !

Hi Patrizia, I spotting for a day or so then had full bleeding for a week after on both biopsies. I think biopsies also detect hormonal problems but I don't know much about this. My biopsy was done originally for excessive bleeding throughout the month and high risk cancer factor. Mine found hyperplasia with atypia (with atypical/abnormal cells) but no cancer. I was put on Megace (high progestins) for three months and biopsied a month later and the hyperplasia is still there but the atypia has gone. I am 28 and am ttc on Clomid for next 12 months. It is highly unusual to have hyperplasia before menopause and even rarer to have atypia cells too. The good news is that the megace works if needed! I hope your results will show no atypia. Didn't mean to scare you with this post, just the only experience of hyperplasia that I have :-)

sorry forgot basics! Hyperplasia is when the lining of the womb becomes too thick by excessive oestrogen (from certain drugs, hormonal causes, annovulation etc). This in itself can be treated with Megace (progestins). A normal non-hyperplasic womb won't develop cancer. A Womb with Hyperplasia has a low risk of progression to endometrial/womb cancer. A Womb with Hyperplasia AND atypia has 29% risk of progression to cancer. But as I said earlier, Megace got rid of my atypia so if you have got atypia then megace should work for you too!

thanks lissa for all your info !!!!!! i was on progesterones for 3 months for my hyperplasia. i am not sure if it was atypia ( my re didnt say anything) so i had another full biopsy done now. but the first one i had was in january with a removal of a poyp. but i dont think i bleed as much--or maybe it wasnt a full biopsy just a sample..???..... i guess months vary. i did kinda stop bleeding now it is just a bit of spotting here and there. today is 1 week. i also did not bleed right away. i atarted to bleed after 2 days. my last af which was only 10 days before the biospy was scanty and only last like barely 3 days. do i guss my ling was really thick.---but for the past day or so it is more like spotting. (for a pantyliner) i wish it would just go COMPLETELY away. ---i guess this is all normal ??????hearing about the precancerous cells freak me out !!!!!!!!! good luck to you !!!!!!!!!!!!!!!!

Hi patrizia, if you had atypia cells then you're dr would definately have told you as it would have been written right next to hyperplasia on your lab results form. So don't worry. If he didn't tell you that you had atypia then, then you can't have it now (cos of progestins). Good Luck!!!

no---LISSA---i just went back to read my report from back in january and i do have the atypia cells !!!!!! now i am such a nervous wreck !!!!!!!!!!! i wonder what happens if the atypia still shows in this biopsy ??? now i am really worried!!!!!!!. now that i do remember my re did say something about the atypia cells but i never payed to much attention but now after doing some research it seems serious !!!!!!!!

If you don't mind me asking, how old are you? (I am 27) Do you want any/any more children? The Atypia is the worrying thing but it depends what severity too. On your report it should say '... hyperplasia and .... atypia'. If the words are simple, focal, mild then it means its atypia but not excessive atypia. If it says complex then that is more pronounced/advanced abnormal cell formation. Mine was focal. I went on three months of Megace 40mg daily and the repeat biopsy showed the atypia was gone. The hope is that both the atypia and hyperplasia go but just the atypia is a damn good thing! On websites a hysterectomy is recommended for hyperplasia with atypia due to its risks of turning into cancer (10% simple/focal/mild atypia, 29% complex atypia). Hysterectomy is not necessary tho. The reason they do it is because normally hyperplasia is not usual until after the menopause, and hyperplasia with atypia is even rarer before menopause. So most ppl would have a hysterectomy as they don't need to not have one because they can't have any more children anyway after menopause. Megace is a good drug. If it doesn't work first time round they can up the dosage and retry. Megace is also used at 400mg daily dose to treat early actual cancer instead of hysterectomy, so it must be effective. The reason that they haven't upped my megace to clear it completely is because I desperately want another child and all this biopsying and megaceing has delayed me by a year. I'm on my Clomid now and hopefully that'll work quickly. The atypia will eventually come back for me because of my age but the megace will hopefully work its magic at that stage again. When exactly do you get your results? Are you UK?

hi lissa---thanks for responding. i am 31 ttc for over 2 years with no children yet.. the thing that really bums me out is i belive i deveoped the hyperplasia after doing injections. because i had a lap done last year and everything was ok. so lets say it is something that happened around octoberish. i live in italyso i will try my best to translate what it said....something like simple hyperplasia with atypia folliicolis???(maybe focal)....something like that .---i desperately want a child so a hysterectomy is out of the question...i wonder what else can be done ???? oh iwas on 3 months of progeterone in italy it is called farlutal. who knews if it worked because i spotted here and there with it. how long ago was your last biopsy ????

firstly the lap couldn't have detected hyperplasia as a lap can't see inside the womb so they couldn't possibly have found it then. Hyperplasia takes a while to build up and as excessive oestrogen (or too low progesterone causing same effect) causes it it naturally has the knock-on effect of infertility due to lack of ovulation as progesterone is vital to a menstrual cycle and pregnancy. You can have periods and not ovulate so it can seem like you've always bled every month whereas this has not always been after ovulation. That Dr's report says you have the 10% risk type same as me. I don't know farlutal. My best suggestion would be that if the farlutal didn't work on the atypia then mention MEGESTROL ACETATE (real name for Megace) as it has been proven quite effective. I was told that with my progestins that I wouldn't bleed at all. I bled for 25 days each month followed by a week off and then bleeding again. Three months of nightmare! The fact you only had spotting on yours is a very good sign. I was bleeding so much because my hyperplasia was still there apparently. Based on that with me, I would say that it sounds like your Progestins worked on both atypia and hyperplasia, I hope. My last biopsy was May with results on the 6th of this month with my Clomid started 8th of this month. Hysterectomy really is not something to allow them to do if they try to push for it because I don't think that 10% risk of developing cancer is worth losing your ability to have children when you have a 90% chance you won't get cancer. Even if the Hyperplasia with Atypia changed into Complex form (which can't happen on Progestins) I still think that 29% risk of cancer is still not worth a hysterectomy when there's a 71% chance you won't get it. Even with actual cancer they don't have to do a hysterectomy, they can treat with high dose progestins (usually stage 1 or 2 cancer). Its also worth noting that Endometrial cancer is an extremely slow developing cancer. Its also worth noting that you are unlikely to get cancer without knowing it if you've had enough symptoms of Hyperplasia with Atypia for them to have investigated and found it in the first place. The way I look at it is that I'd notice if the bleeding got worse so I'd know the atypia was back, would go back on megace etc etc. What I'm trying to say is that the Web and the Dr's can scare you into feeling that a hysterectomy is necessary, it truly isn't unless you develop actual cancer and the progestins don't work on it. I'm so secure in all my research into this that I am going on Clomid for 12 months (if it takes that long to get pg) knowing that the Clomid will accelerate the atypia coming back because Clomid is Oestrogen based. But even then, the atypia may not be back for 10 years! If you're biopsy shows no change then try for a baby and request they simply monitor you by 6 monthly/yearly biopsies. A successful pregnancy would help shrink any existing hyperplasia due to the progesterone produced in pregnancy. Its also worth noting that I wouldn't have had the hysterectomy unless they had found cancer and progestins hadn't cured it, despite the fact that my risk of cancer is higher as my mother had it at 29yrs old and had the hysterectomy. So if my Dr's are letting me keep my baby making organs, they should let you keep yours!!! :-) Sorry if I don't make much sense, these boxes are so tiny I can't read through what I've written to check it makes any sense at all until after I post it! So do hope it does!!