Before the procedure
It is possible to have a hysteroscopy with or without a local anaesthetic (that numbs the area around the womb). This will be done in the outpatients department of a hospital.
The procedure can also be done under general anaesthetic (when you are asleep) as a day case operation. This may be recommended if your surgeon expects to do extensive treatment at the same time, or if you request it. You can discuss the best option for you with your surgeon.
A hysteroscopy should not hurt, as it is a similar sensation to having a smear test. However, if you are not having any anaesthetic, you may wish to take a painkiller, such as ibuprofen, beforehand.
The procedure
Your surgeon will use a speculum to gently open up your cervix, the entrance to your womb. The speculum is inserted into your vagina, similar to having a smear test. Next, the vagina and cervix are cleaned with an antiseptic solution. The surgeon will then insert the hysteroscope through your cervix into your womb.
As the womb is small, gas or fluid may be pumped inside to make it larger. This helps the surgeon see the lining of the womb, and any abnormalities, more clearly. The camera at the end of the hysteroscope sends pictures from the inside of your womb to a video screen.
If a biopsy or treatment, such as removal of polyps, is needed, other instruments will be passed into the womb.
A hysteroscopy usually takes between 10 and 30 minutes depending on what needs to be done.
