Thank you for sharing your experience! I was told I needed an endometrial biopsy (based on a pelvic US) and that it was a "quick procedure" that could be done in the office with just Avdil ahead of time. Then I found the Reddit thread of womens' experiences. This included "so painful I...": screamed, threw up, passed out, punched a wall, punched the doctor. As someone who experienced SA when I was younger, I knew that this experience was a solid NOT HAPPENING.
I was also displeased that my PCM basically said "While we have you here for the procedure we can just put an IUD in too." Um excuse me? Not even a suggestion, but a let's just go ahead and do that. We're trying for kids so why would I want an IUD????
So I turned down the in-office procedure, insisted on getting an OB/GYN referral (which I had been trying to get for two years). Basically all my female coworkers gave me this advice: if you want a full workup for any cycle issues, you have to lie and tell the doc you've been trying to get pregnant. Otherwise they will just tell you to lose weight and reduce your stress, and will not initiate any diagnostics. My original ultrasound was the check for signs of PCOS, but they WILL NOT do hormonal blood work unless you tell them you're trying to get pregnant (heaven forbid you want the diagnosis to work towards improving your overall quality of life, right?)
So now I have the surgery date for the endometrial biopsy and hysteroscopy scheduled, and blood work all ordered and done.
Anyway that's my women's healthcare rant, sorry for making it about me for a minute.
I am glad that you stood your ground and got what you needed to be comfortable!