Hysteroscopy
Outpatient Hysteroscopy: Discuss Pain Relief Before the Day
Pain relief should be part of the planning conversation for hysteroscopy. It should not depend on discovering during the procedure that you are struggling.
Pain relief should be part of the planning conversation for hysteroscopy. It should not depend on discovering during the procedure that you are struggling.
Understand what is proposed
Hysteroscopy uses a small camera to examine the uterine cavity. The appointment may involve looking only, taking a sample or treating a finding. Ask which of these is planned and which decisions may arise on the day.
RCOG explains that pain varies and can be severe for some people. Options may include pain medicines, local anaesthetic, inhaled pain relief or a procedure with anaesthesia or sedation in a different setting. Availability and suitability need discussion with the treating team.
Bring your previous experience into the plan
Tell the clinician about painful periods, difficult cervical screening, previous procedures or anything that makes an intimate examination distressing. You do not need to minimise that experience to appear cooperative.
Ask how you can signal that you want the procedure paused or stopped. Also ask what the alternative plan would be if outpatient hysteroscopy is not tolerable.
Confirm practical instructions
The preparation may differ depending on the setting and pain-relief plan. Obtain your own instructions about eating, medicines, travel home and whether someone should accompany you. Mention any possibility of pregnancy.
A useful final check is: “What exactly have I consented to today?” Consent for an examination should not be assumed to cover every possible treatment. Leave enough time to understand the proposed benefits, alternatives and important risks before making a decision.
Further reading and care
For an individual assessment with Dr. Aishwarya Parulekar Pai, contact the clinic and confirm the appointment location before travelling.
Related reading
Diagnostic Laparoscopy: Clarifying the Purpose Before Surgery
Before Gynaecological Surgery: A Practical Pre-Assessment Checklist