Women’s & Children’s Division
Information Prior to Your Procedure
Patient Information Leaflet
Information prior to procedure
Your first visit
You have been referred to the Outpatient
Hysteroscopy Clinic by your doctor because of your
symptoms. The purpose of the clinic is to identify
the cause of your problem and/or with a possibility
of obtaining a biopsy (if necessary) in just one visit.
You may be asked to have an ultrasound scan
before attending the clinic. This will be performed in
a different department within the hospital. You will
be seen and examined by a doctor. The procedure
will include a vaginal examination. You may then
be advised to have a hysteroscopy (camera in the
womb). If an abnormality is found, you may be
offered a treatment at the same time, i.e. removal of
a polyp/fibroid under local anaesthesia. What is a hysteroscopy?
A hysteroscopy is an investigation where a small
telescope is passed through your cervix to examine
the cavity of your womb. It is important that there is no risk of pregnancy
when the procedure is carried out. Please use
contraception from your last period to the
How long does it take?
Although the procedure only takes ten minutes,
please allow up to one hour for the appointment.
This will allow you time to discuss any questions
you may have and have a drink following the
procedure. What are the benefits of the procedure?
A hysteroscopy is a reliable diagnostic procedure
used to identify abnormalities inside the womb. It
can be carried out without a general anaesthetic
which avoids the need to stay in hospital. Why do I need a hysteroscopy?
Your symptoms suggest you may have a
gynaecological problem but the exact cause has not
been found so far. A hysteroscopy will help to find
out if you have one of the following conditions:
• Fibroids – A fibroid is an overgrowth of the
muscle of the womb.
• Polyps – A polyp is a small skin tag.
It is common not to find any abnormality which is
reassuring. Other treatments can then be
considered and will be offered.
Are there any alternatives to the procedure?
It may be appropriate to try and find the cause of
your symptoms using a scan and by performing a
biopsy using a small plastic tube placed through the
cervix (neck of the womb). Sometimes this is not
possible. It is important to realise that a scan and
biopsy cannot identify all conditions and a
hysteroscopy may still be commended even if your
results are normal. Your doctor can discuss the
options with you. What are the risks or complications of this
• A small amount of bleeding and pelvic
discomfort is normal after the procedure.
• There is a very small risk that the
instruments used could puncture the wall of
the womb. However, because this procedure
is viewed on a television monitor as it is
performed and the doctor can see exactly
what is happening, this risk is very small.
• There is a small risk of infection which may
cause an unpleasant smelling vaginal
discharge or persistent bleeding. Infection is
rare and is easily treated with antibiotics.
What to expect
• You will be given a gown to wear for the
procedure and asked to remove your clothing
below the waist.
• Your legs will rest on two knee supports
during the procedure.
• A vaginal examination is carried out prior to
the hysteroscopy and then the camera will be
gently passed through the vagina and cervix
and into the uterine cavity. Saline (salt water
solution) is passed down the telescope and
you will feel some fluid in the vagina.
• A biopsy may be taken and small polyps in
the uterus may also be removed if
You can eat and drink as normal and take any
prescribed medications prior to your procedure.
Will the procedure be painful?
It is recommended that you take your usual pain
relief one hour before your procedure but do not
take more than the recommended dose. The
procedure may be uncomfortable and you may
experience some cramp/period type pain.
However, this does not last long.
After the hysteroscopy, the findings will be
explained on the day and any questions you have,
will be answered. We have a room for you to rest in
and will provide you with a drink after the
procedure. It is normal to experience bleeding for
up to 3 days after the procedure and you may
experience a dull period pain for approximately 24
hours. It is recommended that you:
• Use sanitary pads rather than tampons for
• Refrain from sexual intercourse until the
• Have someone to escort you home, although
it is not essential
• Do not return to work on the day of the
procedure but you may resume your normal
activities the following day.
Who to contact?
If you wish to re-arrange your appointment, contact:
Booking co-ordinator on 01926 495321 ext. 4776
Advice or queries about the procedure:
Hysteroscopy clinic on 01926 495321 ext. 4527
At South Warwickshire NHS Foundation Trust we are
fully committed to quality and diversity, both as an
employer and as a service provider. We have a policy
statement in our Equality Strategy that clearly outlines
our commitment to equality for service users, patients
• You and your family have the right to be treated fairly
and be routinely involved in decisions about your
treatment and care. You can expect to be treated
with dignity and respect. You will not be
discriminated against on any grounds including age,
disability, gender reassignment, marriage and civil
partnership, pregnancy and maternity, race, religion
or belief, sex or sexual orientation
• You have a responsibility to treat other service users,
patients and or staff with dignity and respect
Our information for patients can also be made available
in other languages, Braille, audio tape, disc or in large
We offer a Patient Advice Liaison Service (PALS). This
is a confidential service for families to help with any
questions or concerns about local health services.
You can contact the service by the direct telephone line
on 01926 600054, by email: email@example.com
calling in person to the PALS office which is located in
the Lakin Road entrance to the hospital. Catalogue Numbe
r: SWH 00901
2.0 Publication Date
: November 2017 Review Date
: November 2022 Author
: Colposcopy Unit Manager