Hi, thanks for all your comments. I had my appointment yesterday so here's an update for anyone that's interested along with some more questions.
I'm not sure I'm all that much further forward and I'm also slightly confused.
The Consultant thought my medical history and the description of the bleeding didn't lend itself to anything sinister and it was possibly my body having a 'last hurrah'.
However, the internal scan picked up a smallish area at the back, bottom area of my womb that looked like there was some thickening of the lining and she did the hysteroscopy to have a better look and the rule out a polyp. The camera was fuzzy so it was checked and cleaned, that made no difference and she thought the issue was the scope itself. This meant she didn't get as detailed a look as she would have liked so she went on to do a biopsy. But from what she could see there was nothing that cause her immediate concern.
The procedures themselves were a bit uncomfortable but not as bad as I'd feared. The Consultant was lovely and made it clear she would be led by me and we could stop at anytime and find another way to look at what was going on if need be. I was given a local anaesthetic gel as pain relief as part of the procedure and didn't have to ask for it.
This is where it gets a bit confusing. I will get the biopsy results back within 3 weeks. I asked her if she'd done the biopsy because she hadn't been able to get a proper look, rather than because she saw anything that concerned her or she felt was "sinister" which she confirmed was the case. She then went on to say once she has my results back she'll decide what to do next and it may be nothing further is needed.
However, she then went on to say she might get me back in for another hysteroscopy (and possible biopsy if needed), she'd use a bigger camera and I'd get a local anaesthetic injection. She also got up to date blood tests done to check my kidney function in case she wants to refer me for a CT scan or a MRI, apparently the contrast dye can be a risk if you have kidney issues and I'm on high blood pressure meds. She said if she needed to refer me she didn't want it held up due to a lack of up to date bloods.
I asked her about the need for a second biopsy and she explained that the area she biopsied might be okay but she'd still want to check out the thickened area that she didn't get a proper look at. So I don't understand why at first she said once she gets the results of yesterday's biopsy I might not need anything further, unless I misheard her - which is possible.
I'm working on the assumption that she's taking a belt and braces approach due to the crap equipment and again trying not to worry. Although there seemed to be a lot of info and prep for further procedures if I might not need to come back!
At the start of the consultation she suggested I think about getting the mirena coil fitted as a general 'womb health measure' to help keep the lining thin. I'm overweight and I know that that can cause extra estrogen which can cause the womb lining to thicken so in a way this kind of preventative measure makes sense. I was a bit taken aback when she asked me if I wanted it fitted while I was in the chair with my legs in stirrups between the hysteroscopy and the biopsy, having only had minutes to think about it. I declined and said I'd need to to think about it and find out a bit more. I've not had any hormonal contraceptives, other than for a short spell between DD1 and DD2 for the last 25+ years and I'm not keen to start now. Plus the only two other people I know that have had suffered really bad side effects and needed to have it removed.
I know a few of you have had the Mirena fitted for this and I wondered if anyone has had any side effects?
I'd also be interested to know if anyone else has had to go back again for round 2 because of crap equipment?