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Women's health

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Experiences of outpatient hysteroscopy and whether to have it without anaesthetic

62 replies

Sillybillypoopoomummy · 03/09/2026 20:14

Please can I ask advice about outpatient hysteroscopy. I have obviously heard horror stories but can't judge how realistic they are? I have had a hysterosalpingogram about 18 years ago - this was something that lots of people said could be painful and I was lucky and it was not at all. Hysteroscopy is chunkier tools to get through the cervix though and there is the potential option of biopsy - all without any pain relief (other than the kind suggestion to take a paracetamol in advance...). I do not want a GA unnecessarily but I feel the literature about this is very mixed with the NHS on oneside and everyone who has experienced it on the other, but am aware that those who had no problems don't feel the need to write about it!
Please can I ask for opinions of hysteroscopies from those who found it fine and those who didn't. I have an appointment suddenly in a week so don't have long to decide.

OP posts:
TheBroonOneAndTheWhiteOne · 03/09/2026 22:42

GA all the way.

DramaAlpaca · 03/09/2026 22:41

Mine is a positive story. I had a hysteroscopy, cervical polyp removal, biopsy and Mirena coil insertion two years ago with just a couple of paracetamol beforehand. I can honestly say I didn't find it in any way painful. It was fine and I drove myself home afterwards. I've had three vaginal births and my (male) gynaecologist reckoned I'd be fine. He said he'd have recommended a GA if he thought I'd need it, but given my obstetric history he didn't think I would. The trouble is, you just can't really predict how it's going to be. I strongly believe all women should have the option of having this procedure under GA.

doodleygirl · 03/09/2026 22:40

I’ve had two, first one was so painful, absolutely blindsided me. Had to have another a few years later and had a GA, so much better!

EnglishRain · 03/09/2026 22:39

I had one with no biopsy aged 29 and it was fine.

I had one aged 33 under GA but the hospital only do it under GA there, that was also fine and I came round very quickly. Mild pain from biopsy but period cramps really.

ShowOfHands · 03/09/2026 22:35

I had one and biopsies at the same time. For me, no worse than a smear and I then drove myself back to work.

There is no way of knowing though and for some women, they're agony.

Hghardy · 03/09/2026 22:32

I had some cervical polyps removed a few years ago. I had to ask them to stop half way through as it was quite painful they apologised and gave me a local anaesthetic. Earlier this year I had and internal womb scan, a hysteroscopy and womb biopsy it was uncomfortable but over very quickly without any pain relief. I was never given the option for a general anaesthetic.

MilesHuntsWig · 03/09/2026 22:27

My mum had one, it was incredibly painful and they wouldn’t listen to her. I’d ask for GA unless there’s a medical reason meaning this isn’t a suitable option for you.

Phonicfail · 03/09/2026 22:22

I had one & was terrified! I had the option of ga but decided to try without and see how it went. I was absolutely fine - a little uncomfortable but not bad at all. It’s a tough one as experiences of this procedure seem to vary a lot. I had a hysterosalpingagram years ago & that was a lot worse

Unescorted · 03/09/2026 22:18

To add to the age angle I am 56.

Unescorted · 03/09/2026 22:17

I have had 2 in the last year - full works scan, camera and biopsy. Both without general anesthetic. It is not comfortable but tolerable. I was offered (and took) gas and air for the second one.

I was offered general anesthetic but chose to not have it & don't regret that decision.

For both the pain level was about the same as a marina coil / bad period pains.

thenightsky · 03/09/2026 22:15

Mixed message from me I'm afraid.

I had one in my 40s, including a biopsy and not a single bit of pain. I skipped out of there, straight back to work.

I had one last year in my early 60s and it was fucking agony! I couldn't stand up without nearly blacking out afterwards.

Nurse told me afterwards they get worse the older you are as your cervix gets less soft and flexible. I've vowed if I ever need another I will refuse unless it comes with a GA.

AttilaTheMeerkat · 03/09/2026 22:08

Having had polyps related to fibroids removed from my uterus under GA there is no way I would have these removed without general anaesthetic.

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