With the advances in medicine and equipment, outpatient hysteroscopy is more accessible and widely promoted in ambulatory gynaecology. It is best to contact a doctor if the incision is inflamed, oozing discharge, or bleeding, or if a person experiences abnormal bleeding after surgery. I had my hysteroscopy done on 05/11 and bled like that a couple days. 0000004215 00000 n Don't douche or have sex for 2 weeks after the procedure, or as advised by your healthcare provider. %PDF-1.4 % 0000004770 00000 n Yes, if your ultrasound detects any unusual matter, an operative hysteroscopy can be used to detect the cancer cells. Hematomas may also occur in the vagina vault, which is the expanded region at the internal end of the vaginal canal. Bleeding that follows a hysterectomy that is heavy like a period, lasts longer than six weeks, gets worse over time, or suddenly occurs could be a sign of a complication. If it says complex then that is more pronounced/advanced abnormal cell formation. Answered 2 months ago. 0000015089 00000 n A perforated bowel or bladder increases the likelihood of infection and a life threatening complication called sepsis. 0000003127 00000 n i have to wear a pad. 197 0 obj <>stream If there is bright red vaginal bleeding If you have a temperature over 100.4 F If you have severe nausea or vomiting If the pain is increasing If there is redness, swelling, or drainage at the incision site If you have difficulty urinating or pain with urination Bright red blood indicates an active bleed. Your provider may do hysteroscopy in his or her office or in an outpatient center. I've lost count of the number of hysteroscopies I've had, and only one of them has hurt more than a smear - and that was because of something else entirely. . oh iwas on 3 months of progeterone in italy it is called farlutal. 0000002944 00000 n But even then, the atypia may not be back for 10 years! anyone else have an experience to sharei still am bleeding a bit. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. He or she may take photographs or videos and take tissue samples (biopsies). These include: Infections, including sexually transmitted infections (STIs) can cause heavy bleeding. If someone experiences heavy, bright red bleeding, or if they need to change their sanitary pad more than once per hour, they should contact a doctor for advice. ?hearing about the precancerous cells freak me out !!!!!!!!! These include: Your provider may do a hysteroscopy an outpatient basis or during a hospital stay. Call your doctor to discuss any bleeding that occurs more than six weeks after your procedure. You cant have a hysteroscopy if you are pregnant. It can take 6 weeks to recover fully. three days later i have was is believed to be period. what EXACTLY are they trying to determine. Be sure to take only recommended medicines. The reason you are having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you are to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much will you have to pay for the test or procedure. Recovery. Furthermore, she regularly performs numerous procedures including hysteroscopy, colposcopy and the application of contraception. PLUS. Take a pain reliever for soreness as advised by your healthcare provider. We do not endorse non-Cleveland Clinic products or services. As I'm allergic or can't tolerate most pain meds ,my options are very limited so I'm continuing Turmeric capsules and my usual got water bottles,heat pads. I was concerned about the side effects and what if the bleeding is still pertinent causing me great pain. Your healthcare provider may have other reasons to do a hysteroscopy. Sometimes a coffee ground or yellowish discharge can happen for a few days from the liquid we use to stop the bleeding. So yes, you're in the right place and you've not done anything wrong. good luck to you !!!!!!!!!!!!!!!! If you don't mind me asking, how old are you? Side effects. i think maybe mine lining was thinned out from the biopsy ? Be sure to discuss any concerns with your healthcare provider before the procedure. do you have any idea why a biopsy is performed for a hyperplasia. After my lap/hyst, I had bleeding like a light period. Megace is also used at 400mg daily dose to treat early actual cancer instead of hysterectomy, so it must be effective. Speak with your provider to decide which options work best for your health and your goals for treatment. Current medications you're taking, including over-the-counter ones. 0000000016 00000 n so i guess my body is getting rid of what was in therei guess.it just starts to worry me when things go on for to long ! For further information, read our Privacy Policy. You can go back to normal activity and diet unless your healthcare provider tells you otherwise. 0000010808 00000 n Use a sanitary pad during this time and change it regularly. On your report it should say ' hyperplasia and . atypia'. This prospective study aimed to evaluate early and long-term results of Infrared coagulation therapy in hemorrhoids. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge. They may also pass small clots of blood from their vagina for several weeks after undergoing dilation and curettage procedure. hi erika---no you are not being redundant !!. She holds the regional lead position in London as the quality improvement lead at UCLPartners (Academic Health Science Network) and has successfully led improvement programmes in maternity such as PReCePT (Prevention of Cerebral Palsy in Preterm babies) and BSOTS (Birmingham Symptom specific Obstetrics Triage System) in London and Essex. 0000002812 00000 n The bleeding should stop within a few days, 5 max, and the same with the period cramps. 0000004188 00000 n There is a chance that a hysterectomy may cause injury to organs, nerves, or blood vessels, which may also cause bleeding. is mild adhesion of hysteroscopy serious? You can learn more about how we ensure our content is accurate and current by reading our. In this, a biopsy procedure is carried out where few cells from uterine wall lining or cervix are isolated. (maybe focal).something like that .---i desperately want a child so a hysterectomy is out of the questioni wonder what else can be done ???? The objective is generally to identify the cause of any menstrual irregularities. 154 0 obj <> endobj Overall assessment of their patients Left untreated, heavy periods can interfere with your life. 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. In most cases, the bleeding is normal and not a cause for concern. Some factors that increase the chances of hemorrhage include: Symptoms of hemorrhage after a hysterectomy include sudden or heavy vaginal bleeding. You may experience. i was on progesterones for 3 months for my hyperplasia. Causes include: Conditions that increase your risk of getting cancer, including endometrial hyperplasia, as well as cancers that affect your reproductive system, can cause heavy menstrual bleeding. Please consult the Gynaecologist who has done your Hysteroscopy and Polypectomy. Heavy menstrual bleeding can be serious if you lose so much blood that you show signs of anemia. Share these notes with your provider. Just worried if this on and off bleeding after hysteroscopy is normal or. Advertising on our site helps support our mission. This is because we use water to distend the cavity of the uterus so that we can visualise it and see clearly. The blood may appear red, pink, brown, or even rust-like. Both of these complications are rare but do cause vaginal bleeding. This can last for about 24 hours. i also did not bleed right away. Heavy menstrual bleeding (formerly known as menorrhagia) is a common disorder among people who menstruate. After the procedure, you may experience a certain amount of pain which is usually like menstrual cramps. It also looks at what a person can expect after the procedure, as well as when to see a doctor. Good Luck!!! Your uterine vessels or cervical and vaginal vessels may be the source of your hemorrhage. The fact you only had spotting on yours is a very good sign. As you recover from a hysterectomy, be patient and listen to your body, so you dont push yourself too hard. You'll likely need to wear sanitary pads during that time. A hysteroscopy is a procedure that allows a gynecologist to look inside your uterus with a hysteroscope (small tube with a light and camera). You may experience abnormal bleeding from the procedure because of a hemorrhage or a vaginal cuff tear. I was so taken aback by the agony of pain ,which somehow thought would be like a smear that I didn't think to ask what amount of after pain was expected. However, in certain circumstances, it is best to contact a doctor for evaluation. In addition, your plans to get pregnant will affect your treatment options. Hysteroscopy outcomes included endometrial biopsy (34%), discharged with no biopsy14(25%), further test and 19 Diet can be adjusted appropriately, first of all to protect the adequate intake of protein and vitamins, you can eat more tender chicken, grass eggs, lean pork, milk and beans products, as well as fresh fruits and fungi. (2014). We use the hysteroscopy procedure to look inside the uterus (also referred to as the womb) with a camera. MNT is the registered trade mark of Healthline Media. This could be: You can have a hysteroscopy at any point in your cycle, as long as youre not bleeding. With an operative hysteroscopy, your provider inserts a thin, lighted tube into your vagina that allows them to inspect your uterine cavity. It usually occurs when there is damage to the blood vessels, such as the uterine artery. Learn how we can help 6.3k views Reviewed >2 years ago Thank Dr. Miguel Cano agrees 8 thanks Top Health Benefits of Drinking Hibiscus Tea, 5 Things to Check for When Buying a Used Car. How To Select The Best Bridal Lehenga Choli For The Bride, Taking The Holistic Approach To Securing Healthy Skin, How to Get Bigger Lips Permanently Without Surgery, 3D Bioprinting Can Create Nose Cartilage for Surgery, What is Kodi Gel Polish | Properties of Gel Nail Polish, Fashion 2023: Essential Accessories Indoor & Outdoor, Choosing The Right Clothes for Your Body Shape. Tell your healthcare provider if you are sensitive to or are allergic to any medicines, iodine, latex, tape, or anesthesia. but not a period like bleed, but it is flowy -espacially in the morning and bright red !. Dress in clothes that give access to the area or that are easily removed. Heavy menstrual bleeding (formerly called menorrhagia) is when your periods are extremely heavy or prolonged. i am not bleeding like a regualer period but it is not spotting either. Just because heavy periods are common doesn't mean that you have to learn to live with the discomfort they cause. It is not medical advice. You can wear an absorbent pad or panty liner during your recovery to contain the bleeding. If hysteroscopy procedure is carried out for Dilation and curettage one may experience cramps and backache similar to menstrual cramps. It should be an informed decision after a conversation between you and your doctor. The hope is that both the atypia and hyperplasia go but just the atypia is a damn good thing! These procedures can be done abdominally, laparoscopically, vaginally, or through a combined approach. 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). because i had a lap done last year and everything was ok. so lets say it is something that happened around octoberish. You may be asked to sign a consent form that gives permission to do the procedure. My last biopsy was May with results on the 6th of this month with my Clomid started 8th of this month. Find the best specialist in Obstetrics & gynaecology in your location: Hysteroscopy: pain relief, postoperative bleeding and periods, Subscribe to our Newsletter to stay up to date on the latest news, TOP DOCTORS | 85 Tottenham Court Road, London, W1T 4TQ, While the patient is awake in an outpatient clinic with pain relief, local anaesthetic and sedation, Local anaesthetic (you remain conscious but the pain is reduced in the target area), Painkillers (that you can take during and after the procedure). You will empty your bladder before the procedure. Always maintain proper hygiene, and clean your part from front to back. Ten had mild bleeding under 200 mL, and 11 had profuse bleeding over 200 mL. Based on that with me, I would say that it sounds like your Progestins worked on both atypia and hyperplasia, I hope. Heavy menstrual bleeding interferes with your quality of life. I had a hysteroscopy and D&C and a biopsy was taken 11 days ago as a result of post menopausal bleeding. You will be under general, local or regional anesthesia while performing the procedure. Why do I Have a Double Chin When Im Skinny? How will I feel after hysteroscopy? MishaSM. thanks lissa for all your info !!!!!! What Are the Signs that Youre Overexerting Yourself After a Hysterectomy? Granulation tissue is scar tissue that forms at the top of the vagina when a person has a hysterectomy. I bled for 25 days each month followed by a week off and then bleeding again. Last medically reviewed on January 30, 2019, What side effects can you expect after a hysterectomy? treat abnormal bleeding, such as long menstrual periods, an extremely heavy menstrual flow, or bleeding in between periods or after menopause. An operative hysteroscopy can be used to remove . now i am really worried!!!!!!!. Furthermore, she regularly performs numerous procedures including hysteroscopy, colposcopy and the application of contraception. Having worked in London throughout her career, she is confident in caring for women from diverse ethnic backgrounds and understands their cultural needs and maternal choices. They will also remove a part of the vagina and nearby tissue. endstream endobj 196 0 obj <>/Filter/FlateDecode/Index[9 145]/Length 27/Size 154/Type/XRef/W[1 1 1]>>stream A hysteroscopyis a diagnostic and operative test thats performed usingendoscopyequipment (a long, flexible tube with a camera at the end) to directly visualise the endometrial cavity (the inside of the uterus). There are no nerves in your endometrial lining, so taking a sample of it shouldn't be painful. Bleeding after a hysteroscopy-and a biopsy?? Endometriosis is a painful condition in which uterine-like tissue grows outside the uterus. thanks, patrizia - that is pretty normal. Patriziasorry if I am being redundantbut I was told that "period-like flow" was normal after lap/hyst. 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. Copyright 2023 fertilityfactor.com. It is normal to have some bleeding after a hysterectomy. Vaginal discharge for about two weeks after the procedure is also considered normal. You may have cramps and light vaginal bleeding for a few days to several weeks. I had a polypectomy d and c hysteroscopy nine days ago. Do you want to book the appointment in any case? var hostname = "11111@gmail.com"; This depends on what other procedures your provider will do at the same time. 0000130972 00000 n I was told that spotting after my endo. Cost. Last medically reviewed on April 23, 2020, A vaginal hysterectomy is the removal of the uterus through the vagina. I wanted to know more about the procedure and asked her everything about it. Healing the Heartache: Practical Tips for Coping with the Grief of Losing a Parent to Cancer. Sometimes, a hematoma resolves without intervention. In order for complications to be minimal it is worth adhering to some recommendations: 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. It is highly unusual to have hyperplasia before menopause and even rarer to have atypia cells too. If a person has undergone polyp or fibroid removal surgery through hysteroscopy. A normal non-hyperplasic womb won't develop cancer. 0000049510 00000 n Breakthrough bleeding should stop after 1 or 2 months. Talk with your provider about your health concerns and your goals for treatment. Youre more likely to experience hemorrhage if you had laparoscopic surgery. Vaginal bleeding and discharge You might bleed from your vagina for 7 to 10 days after having the hysteroscopy procedure. Your provider may dilate your cervix before inserting the hysteroscope. Hysteroscopy is a procedure that is carried out for determining and curing the cause of abnormal uterine bleeding in women. now i am such a nervous wreck !!!!!!!!!!! Anemia is a condition arising from having too little iron in your body. Discomfort, tenderness and cramps,particularly when experiencing gas or having a bowel movement. These include: Having a hematoma may increase the chances of infection. She explained to me regarding the bleeding that can occur after hysteroscopy. See opinions (28), By Dr Marina Fernando had bleeding first two days. What Are The Symptoms Of Uterine Fibroids, Is Bilateral Ventriculomegaly Cerebral Palsy? Just like any procedure, there is a small risk of introducing an infection using tools inside the body. It is perfectly normal. If there is a delay in diagnosing a bowel or bladder injury, a person may notice rectal bleeding or blood in their urine. Other reasons for bleeding after a hysterectomy include: During a total and radical hysterectomy, a surgeon will remove the uterus and the cervix. ! I had mine for hyperplasia with atypia so they did a full biopsy and I bled for 10 days which is fine. Rarely, nearby abdominal organs, such as the bowel or bladder, can sustain damage during the procedure. 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. | What To Eat When Craving Salt? Many non-invasive procedures are available that can help your provider diagnose what's causing your bleeding, such as: You may have other tests, depending on your age and how severe your symptoms are. Answer: Bath. It refers to bleeding lasting longer than seven days and involves more blood flow than is typical during menstruation. Anemia is a condition arising from having too little iron in your body. This procedure for large polyp removal is carried out in operation theater. I always emphasise the importance of a detailed discussion between the gynaecologist and the patient about pain relief before agreeing on the location of the procedure. Your vaginal cuff may tear for no reason at all or from having sex, moving your bowels, or coughing or sneezing. 0000132376 00000 n Dr Marina Fernando is dedicated to providing personalised and safe obstetric and gynaecological care visit herprofileto discover how she can help you. The bleeding depends upon the type of procedure performed on an individual. It should get lighter with time. If you need a procedure, such as fibroid removal, your provider will insert tools through the hysteroscope. Heavy bleeding can occur due to intrauterine scarring. i am still bleeding . What to expect after a vaginal hysterectomy. Procedures that are more complex may be done in the operating room under local, regional, or general anesthesia. Please choose an alternative time. Then I started bleeding at 15DPO. So do hope it does!! However, it's also possible to overexert yourself. Most people experience light bleeding for several weeks after a hysterectomy. Just a quick update about my GP appointment this afternoon. Secondary hemorrhage. Dr Marina Fernando is a leadingconsultant obstetrician and gynaecologist in Londonwho has over 15 years of experience. They will then stitch together the top part of the vagina in the space left by the cervix and the upper vagina. Sometimes, however, a person may experience abnormal bleeding, such as: A person should contact a doctor right away if they experience abnormal bleeding. Family members with a history of heavy menstrual bleeding. 3 Best Ways To Stage Your House For A Quick Sale, Top Hidden Holiday Destinations of Portugal, Going to Nepal for the First Time? Signs of overexertion include increased pain, vaginal discharge or . Menstrual bleeding that's so heavy that it interferes with your daily life is never normal. I had procedure done Nov 16 for post menopausal bleed. You may notice occasional spotting or a pink discharge. Before you agree to the test or the procedure make sure you know: At Another Johns Hopkins Member Hospital: Masks are required inside all of our care facilities, COVID-19 testing locations on Maryland.gov, Diagnosis and Screening for Gynecologic Conditions, Prevent bleeding by destroying tissue using electric current, freezing, heat, or chemicals, Diagnose the cause of infertility or repeated miscarriages, Examine and remove uterine scarring, polyps, or fibroids, Find and remove displaced IUDs (intrauterine devices), Place small birth control inserts into the fallopian tubes, Removal of a small tissue sample (biopsy), Tearing of the uterus (rare) or damage to the cervix, Complications from fluid or gas used to expand the uterus. Bleeding is one common symptom after a hysterectomy. What Medicine Do You Take For Pleural Thickening And Adhesion? 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. Sounds like your Gynae was a bit shit, if you excuse my language. Learn more: Vaccines, Boosters & Additional Doses | Testing | Patient Care | Visitor Guidelines | Coronavirus. Just a quick question, did they insert a Mirena Coil during the hysteroscopy? Most people will experience some bleeding following the procedure. This type of bleeding should stop quickly. Sorry I didn't say before, I was doing 100 things at once and forgot my manners! This sample collected is sent to a laboratory for further diagnosis. 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. Why Am I Craving Salt? Her areas of specialist expertise include acute gynaecology, early pregnancy, postmenopausal complications, contraceptionandhigh-risk obstetrics. We are waiting for the D&C report. This time has just been booked by another user. If you're biopsy shows no change then try for a baby and request they simply monitor you by 6 monthly/yearly biopsies. Anytime the uterus is manipulated in this way there will be some bleeding and discharge. Symptoms of a blood clot in your leg, such as pain in your calf or redness/swelling in the leg In addition, some women experience excessive bleeding after a D&C hysteroscopy. gtag("js", new Date()); This type of bleeding is normal and is not usually a cause for concern. You may pass blood clots the size of a quarter or even larger. 0000001651 00000 n One month after surgery Pay attention to rest. During the dilatation of the cervix, its possible to make a hole in the uterus, which could harm the organs outside it. Its possible that you experience vaginal bleeding months or years after a hysterectomy. I bled for about two weekssort of a constant drippingyechhhh! Find more COVID-19 testing locations on Maryland.gov. how long ago was your last biopsy ???? Furthermore, she regularly performs numerous procedures including hysteroscopy, colposcopy and the application of contraception. Symptoms of a hematoma usually appear within around 24 hours after surgery. First visit: 0000003579 00000 n Day surgery laparoscopy, hysteroscopy, endometrial ablation. Especially if you've not had a coil implanted and it was biopsies only. If you choose to have a general anaesthetic in theatre, youll be unconscious during the procedure and someone will need to help you travel home. Learn more. Some people may be allergic towards the substance inserted into the uterus through hysteroscope ex- fluid or CO2 gas. how long does the pre-hysteroscopy examination work? and i still have it today (wedsnday) what is considered normal ? If he didn't tell you that you had atypia then, then you can't have it now (cos of progestins). Generally, vaginal bleeding after hysterectomy should be light. As a fail-safe, we (doctors) tell women that if their bleeding is unusual for them after a hysteroscopy, seek medical attention. The prevalence and impacts heavy menstrual bleeding on anemia, fatigue and quality of life in women of reproductive age. 0000014033 00000 n It is only he who knows if he faced any problems during the procedure and if any complications could have occurred. We've got answers to all your questions. i have no cramping. My gynecologist suggested me not to worry because hysteroscopy is a useful and safe procedure and involves minimally invasive technique. But talking with your healthcare provider to get diagnosed and treated can help you manage your bleeding so that it doesn't interfere with your quality of life. window.dataLayer = window.dataLayer || []; The doctor may also advise not to douche for at least two weeks after a hysteroscopy. Last reviewed by a Cleveland Clinic medical professional on 11/11/2021. She may experience bleeding for one or two days after the procedure and may not require any special attention. Heavy menstrual bleeding can be serious if you lose so much blood that you show signs of anemia. Increased bleeding 8 days after hysteroscopy and d/c. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6500811/), Visitation, mask requirements and COVID-19 information. If you're still cramping, I'd call your GP tomorrow morning and ask for an on the day appointment. After that she had light bleeding on that day which stopped after 10-11 hours. Or it may have been done to diagnose or treat fertility problems. First-line treatment options for a hemorrhage after your procedure include vaginal packing, vault suturing, and blood transfusion. Has anyone else had prolonged pain after hysteroscopy ? The bleeding will fade in color and become lighter in flow as time passes. 0000048811 00000 n In this article, we look at. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. 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). It's very difficult to get aG appointment at short notice unless it's an emergency and I don't want to feel foolish and go if it isn't . Read the form carefully and ask questions if something is not clear. Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Patients always ask me about pain relief. Your doctor will recommend a procedure that addresses the cause of the tear. While it. Some people have to stay in the hospital longer, however. i am such a worry wart. When stable, you will be discharged to your home. was it a flow or just spotting ? H\K0FZ,?+e @}?qUtLHN7k'~'ujf6^PM[O3R I&_OKxW/?$66~lz9p?Ie,UOjZ]J}->xUDYL7:TeR-w*5=]qHkhmwhm"rfn,!hoU5 5jj4*,Vg FMICMKM`I0H ,y. Takeaway. Light spotting and staining is expected for up to ten days after surgery. Description of the problem: What happened to the bleeding10 days after hysteroscopic surgery Supplementary explanation: What happened to the bleeding 10 days after hysteroscopic surgery Answer: Your phenomenon is considered normal postoperative recovery Answer: Don't worry. I hope your results will show no atypia. i worry so much ! What Medicine Does Alzheimer's Disease Take? Leave your home without having to pack extra bags of pads or clothing changes. Heavy period bleeding is common, affecting anywhere from 27% to 54% of people who menstruate. In a study of 1,613 women who underwent a hysterectomy, 21 experienced a secondary hemorrhage. Other health problems can also arise if you don't get help. Hi PATRIZIA. 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. A hysterectomy will usually cause some degree of internal and external scarring. Hysteroscopy and D and C Post-operative instructions Hysteroscopy Procedure A hysteroscopy is a common procedure that allows the doctor to visualize the uterine canal and uterus with an endoscope. Excessive bleeding would include: Bright red vaginal bleeding that soaks through one more pads in an hour Clots larger than the size of a quarter Also, treatment depends on your response to certain medicines and your preferences. If you have a hysteroscopy in an outpatient clinic, you might choose to have: If you have local anaesthetic and/or painkillers, you dont need anyone to come with you to the clinic, or take you home.

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