By endometriosis biopsy I'm guessing you mean an endometrial biopsy, a test in which the doctor inserts a small device through the cervix into the uterine cavity in order to get a taster of the uterine lining tissue. An endometrial biopsy does not diagnose endometriosis. The only way to diagnose endometriosis for certain is to perform a laparoscopy, a surgical procedure in which the doctor inserts a telescope through a tiny slit in your belly button to view your pelvic organs directly. Severe pains and cramps around the time of your period can be because of endometriosis, a condition in which the uterine lining tissue gets outside the uterine cavity, lands in places in doesn't belong and causes pain.

Possibilities of severe cramps

Likelihood is adenomyosis, in which the uterine lining tissue penetrates into the wall of the uterus, again causing crampy pain; often bleeding is heavy with adenomyosis. A third likelihood is abnormal production of prostaglandins by your uterus, again causing cramps. Frequently, birth control pills plus a medication that inhibits prostaglandins are used to provide relief from severe cramps. This is often the first step and most of the time is very effective. If this conservative measure fails, then we will sometimes advocate a laparoscopy so we can look inside to see what is going on. During a laparoscopy, endometriosis can be diagnosed and treated, and nerves that go into the back of the uterus, transmitting pain signals, might be cut to provide relief.

Conclusion

As far as the headaches go, some women do experience migraine headaches connected to their menstrual cycles. These are from time to time difficult to treat and require a lot of communication between you and your doctor and often some trial and error in finding the best therapy for you. The most excellent person for you to see regarding your cramps is your gynecologist. This is amazing we deal with every day. Often medical therapy like birth control pills and a medicine like Anaprox will do the trick; from time to time a laparoscopy is needed. You will require it to discuss your options with your doctor.

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