I agree it’s horrific to expect women to undergo a biopsy without sedation. Just to say that my husband had a prostate biopsy, which involved 26 snips of the prostate, without sedation or painkillers. He also had several doctors try to insert larger and larger catheters when he couldn’t pee, without any pain relief. It was beyond excruciating. He was also made to wait 24 hours before they put in a supra pubic catheter and his bladder and body held on to five litres of water. It caused so much damage and unbearable pain. So this isn’t a male female issue, it’s a horrible procedure issue that the NHS pretends doesn’t hurt when it usually does. That’s just wrong. By the way I lost my husband from the prostate cancer and was generally grateful foe the treatment, but not all of it is good and not all medics are kind and caring.