Hysteroscopy For Fitting Mierena

[PunkyPeanutButterCup]

Hi all, saw my NHS Gyne the other day. He has booked me in to see him in July to have a Hysteroscopy, in order to fit the Mirena Coil. From my previous and only lap and internal ultrasounds he can see that my uterus is retroverted.

Quite nervous about having the mini procedure done and I normally find speculums and internals painful. I have explained all this to Gyne, he's reassured me that we can stop at any time.

Just wondering if any of you have had Mirena fitted successfully this way?

How painful/uncomfortable is the procedure?

Also if there's any advice/anything that might be beneficial for me to know when it comes to having this done?

Many thanks, Fay 😊 x

[Tree_Tops]

I'm having a hysteroscopy next month, but I've been advised to take painkillers (co-codamol and ibuprofen), and I've been offered gas and air (Entonox). There's also local anesthetic available, so if you find the procedure uncomfortable or painful, do let your gynae know. Unless there's someone who's already experienced this and responds to this post, I'll let you know my experience if you want

[PunkyPeanutButterCup in reply to Tree_Tops]

Hey, thanks for responding. If you're happy to let me know how you get on with your hysteroscopy that would be great! I've been advised to take co codomal and mefenamic acid beforehand aswell. He spoke to me about a local anesthetic gel he can use but that was it, I'll speak to him about other anesthesia options beforehand

[CathyEarnshaw]

It’s not a procedure I’ve had done, but if you’re in the UK it’d be worth checking out the Campaign Against Painful Hysteroscopy as they have lots of advice about your options for pain management and anaesthesia. Not to worry you, but because it’s good to be informed - 1 in 3 women experience severe pain during a hysteroscopy. You have a right to have this procedure under local or general anaesthetic if you want, though it’s common for NHS hospitals not to tell patients this, as it’s much cheaper to do without anaesthesia or pain relief. You’re definitely doing the right thing researching this procedure in advance so that you can make informed choice about what’s right for you and your body.

[PunkyPeanutButterCup in reply to CathyEarnshaw]

Thank you so much for responding and all the information I'm going to look into the resources you've provided above, it's best to be as well informed as I can be.

[Jadey29 in reply to PunkyPeanutButterCup]

I would most definitely look into what CathyEarnshaw has said above.

I recently had a hysteroscopy, endometrial biopsy and mirena coil fitted at same time to help with endo. I was not given the option for any anaesthetic (local or general) or told this was even possible. It was extremely painful for me to the point I was crying. I have also had a lot of pain since the procedure which I’m aware can be normal and can take a while for things to settle down.

Everyone is different and we all have different pain thresholds etc. I have a friend who had the same procedure and states she only felt a little mild discomfort and was fine x

[PunkyPeanutButterCup in reply to Jadey29]

Thanks for responding and for the advice I'm definitely going to look into everything that's been said and the anesthetic side of things. I'd definitely rather have it done with some sort of anesthetic as I find the speculums and internals painful enough as it is.

[Jadey29 in reply to PunkyPeanutButterCup]

I forgot to mention I also have a retroverted uterus. I am usually ok with speculums, internal examinations etc but really struggled with this. I did express concerns prior to the procedure about pain and was told I ‘had to at least try’!! But as I said anaesthetic was not offered or discussed. I wish I knew there were options x

[JOSANDY40]

I have a uterus retroverted. Sorry mine didn't go well and a aborted. Since then many hystocope I very had all I had to be done under a proper Day Surgery. Even with anthestics I was pretty unwell for 2days.

[Starfish123]

I’ve had two hysterscopes the first one under a GA where the mirena coil was fitted. I had other tests and biopsies at the same time so it was uncomfortable for a few days after and mirena made me feel sick for a couple of weeks, but it was ok after.

The second hysterscope was done without anaesthetic and was not pleasant, I don’t want to worry you the actual hysterscope was fine it was the biopsies that were taken were so painful I was screaming and no the consultant didn’t stop. I passed out after the last biopsy, I’d gone alone thinking I wouldn’t be having the hysterscope as the literature I’d be given said if you faint during periods they’d rebook for a GA but it wasn’t offered and I was pushed to have it done. Never again will I have a procedure like that without proper pain relief.

[PunkyPeanutButterCup in reply to Starfish123]

Thanks for responding and sharing your experiences with me. I don't think any biopsies are being taken, think it's just the Mirena being fitted to my knowledge so hopefully won't be too painful 😐 I'm going to look into anesthetic, ask what options are available beforehand and say that I want some form before having it done. Cos the general conesntious is not to have it done without.

[Cocoacupid]

hun I have had to have coil both times at hospital as was far to painful in normal gp my advise is to take pain killers before and after as I had really bad cramping pain. Whilst you have it done in hospital it was far less painful and was so quick after the failed attempt at my gp that went terribly wrong and put me in so much pain . In hospital instead of getting you to put your hands under your bottom they. Put your legs in stirips . I used to have a retroflexed uterus but then when my endo was diagonosed last year as everything had stuck together my uterus was then only mildly tilted due to a frozen pelvis. Now I don’t know how it is as had surgery a week ago to free everything up. Mind you when I go for my three monthly appointment I will ask about them renewing coil as I have had it nearly five years and the pain is so much more intense than when I first had it put in. So just to reassure you make sure you take paracetamol and ibuprofen or if your already on naproxen or what ever pain relief you have before and after. This is because the cramping and bleeding come after procedure for me I think it was half an hour to an hour later. For me in my experience I was told it takes at least six months for the coil to settle after insertion. So during the first six months for me I had breakthrough spotting and bleeding. But bleeding for me was not heavy like it was before insertion. After this time apart from two years ago and last January when I bleed heavy clots on two occasions and period for nine days I had relief from extremely heavy bleeding. The pain though I still had but not the flo this was my experience but everyone has it different experiences. With the coil they give you a dairy to fill out that you just show your nurse when they check the strings or show you how to feel the strings this is to circle when you bleed or have breakthrough bleeding they then also give you a reminder card to tell you how long and what type of coil they have used . As there are well for me at the time two different coils the Kylee which last two years and the mirena that is like five years but for me I think they should have changed it after a couple or three years as the hormones am pretty sure have run out now. Before inserting the coil I think they ask you if you want to start a family or think you could be pregnant which is the protocol and they test your urine and if say you only wanted relief for a shorter period then wanted to ttc then I think that goes to type of coil they use put in. I really hope all goes well for you . I have anxiety so I was able to ask gp for some Valium I can’t remember the other name now as my brain still a bit mush from the anesthic this was to help me feel more relaxed . Take care xxxxx