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I don't think there is always anasthesia involved. There is no way mine hurt like it did if I was given an anasthetic. My former OB did mine and I think he is kinda unaware of how sensitive an area he's dealing with. I'm not sure he even noticed how much pain I was in or the tears streaming down my face. He was a little rough with the internal u/s he did to diagnose my PCOS too. The nurse I had, who was SO nice, said that most women feel the most pain when the dye is being pushed through the catheter and I had three vials of dye run because it was all coming out one side and they couldn't tell if there was a blockage or if it was just because of gravity.
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