E F Nigel Holland
Consultant Gynaecologist and Obstetrician
Menu Patient Leaflet 3 - Hysteroscopy: Outpatient - Back to List

What is a Hysteroscopy?

This is a procedure which allows us to look inside your womb using a very fine telescope called a Hysteroscope. This can be done whilst you are asleep or awake (as an outpatient).

If you are awake the hysteroscope is very gently passed through the cervix (neck of the womb) and into the womb. The inside of the womb can then be seen under direct vision through the telescope or, by attachment to a television screen. If necessary we may take a biopsy (a small sample of tissue) from the womb or remove any small polyps if you are comfortable. These will be sent for analysis. Sometime local anaesthetic is required (like the dentist but a different area).

You will be asked to remove your under clothes below your waist. A hospital gown is available if needed as we try to keep your dignity wherever possible. The procedure is performed on an examination couch and you will be asked to rest you legs on the knee supports. This is a similar position to having a smear test taken. We will very gently place an instrument, called a speculum, just inside the vagina. We will then be able to clean the surface of the cervix with an antiseptic solution. The Hysteroscope is then gently passed through the opening of the cervix and into the womb. Whilst this is happening you may feel a cramping sensation, not unlike a period pain. Throughout the procedure a nurse will be with you to reassure you and explain what is happening.

The whole procedure takes approximately 10 minutes. When the procedure is completed you will be offered a drink and allowed to rest until you feel ready to go home. If you have any pain or discomfort following the procedure please inform a member of staff and pain relief will be offered.

It is advisable that someone comes to take you home and that you rest at home for the remainder of the day. There may be some vaginal bleeding for the ten days following the procedure.

You are advised not to use tampons or to have sexual intercourse for 1-2 weeks.

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