Pain free hysteroscopy

Evaluating pain and pain assessment during hysteroscopy. Pain-free day surgery? Evaluating pain and pain assessment during hysteroscopy. Br J Anaesth. 2020 Dec;125 (6):e468-e470. doi: 10.1016/j.bja.2020.08.015. Epub 2020 Sep 15 To evaluate the incidence of pain during hysteroscopy, and the congruency of patient and clinician assessments of pain, we examined hysteroscopy outcomes. Between 2009 and 2017, data were recorded from 804 hysteroscopy patients (age 51.8 [standard deviation { sd } 12.2] yr) at the Royal Berkshire Hospital in Reading, UK Please find below the link to the campaign's ANONYMOUS survey. If you have had a painful hysteroscopy, please complete this survey. It will help to ensure future pain-free hysteroscopies. The more data collated, not only in the UK, the more info can be presented to MP Lyn Brown and the Health dept ShropshireJos 25. Posted 8 February, 2020. I had an horrendous outpatient hysteroscopy. Referred after pm bleeding, having started menopause aged 36. Researched online before and saw some women had experienced pain. I specifically asked the dr on more than one occasion if there was a chance of pain De Iaco et al. 2 state that 34.8% of patients who undergo anesthesia-free diagnostic hysteroscopy report severe pain. Carvalho et al 3 report moderate to severe pain [measured by Visual Analog Scale (VAS) score of 5 or more immediately after examination] in 68.4% of patients

Pain-free day surgery? Evaluating pain and pain assessment

Usually, after an office hysteroscopy you will recover within an hour. You may have mild pain, nausea or shoulder ache that will settle down on its own. Hysteroscopy when done right is a fairly safe procedure. However, if you have constant bleeding post the procedure you should visit your doctor It is normal to experience light bleeding for one to two days after surgical hysteroscopy. Mild cramping or pain is common after operative hysteroscopy, but usually diminishes within eight hours. If carbon dioxide gas was used, the resulting discomfort usually subsides within 24 hours A hysteroscopy is a procedure where a camera is passed through the cervix into the womb so the consultant can have a look at what is going on. Biopsies can be taken if necessary. More and more of these hysteroscopies are being done in outpatients without any pain relief or anaesthesia You can have a hysteroscopy for a range of reasons, such as excessive bleeding, recurrent miscarriage, infertility, pelvic pain or unusual bleeding. Sometimes you also have one to actually treat a condition such as removing a displaced IUD (or embedded as mine was), or removal of small polyps or fibroids. On one occasion I also had one to take. Hysteroscopy is most often done on an outpatient basis. Otherwise, you won't need any special care after a hysteroscopy. You may have cramping and vaginal bleeding for a day or two after the procedure. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge

  1. ed that menopause, speculum placement, and absence of previous vaginal delivery are factors associated with pain occurrence and intensity
  2. e the cervix and inside of the uterus
  3. utes or so relieves the painHello, 51 y/o female RN, 4 days s/p hysteroscopy under general anesthesia for what was... View answer. Hysteroscopy done
  4. You may be given general anesthesia to keep you asleep and free from pain. You may instead be given medicine to help you relax, and local or spinal anesthesia. With local or spinal anesthesia, you may still feel pressure or pushing, but you should not feel any pain. Your healthcare provider will gently insert a device into your vagina

Office hysteroscopy is considered a valuable addition to the outpatient diagnostic modalities in gynecology clinic. Several studies have shown that office hysteroscopy by the vaginoscopic approach is a well accepted tolerable procedure without the need of analgesia or pain medication with a limited failure rate of less than 4% (1), (2) pain they expected to perceive during the hysteroscopy (22). To avoid shoulder tip pain, at the end of hysteroscopy we invited patients to remain in the supine position for a few minutes while taking deep breaths, to absorb the gas from the abdominal cavity. Five minutes after the procedure, the patients were onc

No anesthesia, no local. When the hysteroscope went through my cervix it felt like bad menstrual cramps for about 2 minutes. Once it was in my uterus the cramps stopped and I felt no pain at all while he was looking around in there. Then he removed the scope and inserted a tiny tube in my uterus to collect a biopsy Campaign Against Painful Hysteroscopy. January 26 at 2:16 AM ·. Good to read today about the pain-free new methods in development for detecting womb cancer. Also the need to include pre-menopausal suspected womb cancer in urgent referrals. Thank you Prof Emma Crosbie Complications of Hysteroscopic Surgery Michael S. Baggish Generally, hysteroscopy and hysteroscopic surgeries are safe procedures and are not associated with a high rate of complications. Propst et al. (2000) evaluated complications in 925 women and found that those who had operative hysteroscopic myomectomy and septum resection had greater odds for complications than did those wh Pain during hysteroscopy Recent research, published in the British Journal of Anaesthesia, shows that 17.6% of women rate their pain during hysteroscopy as greater than 7/10, and only 7.8% report no pain at all. Another study estimates the number of women reporting intense or intolerable pain to be much higher at around 25% Pain-free Hysteroscopy 4 Comments / Commentaries, Manuscripts / By rharrison13 It is unlikely to be controversial for me to suggest that pain is not merely a product of sensory stimulation (please excuse that rather clunky double-negative)

Painful Hysteroscopy - MegsMenopaus

The normal Hysteroscopy The uterine cavity has smooth walls and is free of fibroids, scar tissue, congenital malformation or polyps (fig.4). The right (fig.5) and left (fig.6) openings of the fallopian tubes are marked by white arrows. Fig. BACKGROUND AND PURPOSE: Evidence regarding prostaglandin use (e.g., misoprostol or dinoprostone) for pain relief in the setting of office hysteroscopy is conflicting Lack of consistency may be due to different dosing intervals Rund et al. (Journal of Minimally Invasive Gynecology, 2021) sought to determine the optimal timing of vaginal dinoprostone administration before office hysteroscopy i Baseline characteristics (Table 1) show that groups were balanced for features including age, parity, menopausal status, previous experience of outpatient hysteroscopy, anticipated pain and anxiety scores, and analgesic intake prior to the procedure.Before the procedure, the mean pain and anxiety scores anticipated by the patient during the procedure were 6.7 and 5.98, respectively, and there.

Painful hysteroscopy - Patient stories - Patient Safety

Pain management in outpatient hysteroscopy - ScienceDirec

  1. Pain in Diagnostic Hysteroscopy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government
  2. e which, if any, pain relief drug is effective at reducing the discomfort experienced with outpatient hysteroscopy.BackgroundHysteroscopy is a diagnostic test undertaken to identify the cause of abnormal uterine bleeding
  3. Chat Hysteroscopy/biopsy - making it pain-free. New; Womb (uterus) cancer forum requires membership for participation - click to join. News. Sarcoma Awareness.
  4. ation using the smaller diameter.
  5. BACKGROUND AND PURPOSE: Solano et al. (BOJG, 2021) compared inhaled nitrous oxide vs 1% lidocaine paracervical infiltration vs no analgesic for pain control during in-office hysteroscopy METHODS: Single-blind stratified randomized clinical trial Participants Women undergoing hysteroscopy Performed with 4.3 mm inner sheath, with working channel for semirigid 5 Fr. operating instruments.

Hysteroscopy is a very safe procedure. However, there is a small risk of problems. The uterus or cervix can be punctured by the hysteroscope, bleeding may occur, or excess fluid may build up in your system. In very rare cases, hysteroscopy can cause life-threatening problems. Adhesions: Scars that can make tissue surfaces stick together Pain After Laparoscopic / Robotic Hysterectomy. While the approaches and types of surgery are different, the pain is not. Both laparoscopic and robotic hysterectomies can cause scar tissue that can restrict fascia and decrease blood flow to muscles and nerves. This is especially true in the pelvic, stomach and lower back regions Maybe that's why you found it so painful katejo. I havent had hysteroscopy but I assume local injection is the same, although I wouldnt presume the procedure or level of pain is. I opted for twighlight sedation with colonoscopy . I wasnt told what you were perin about it not stopping pain but in my case it most certainly didnt Click on the article title to read more

Hysteroscopy for PCOS - Pain free procedures at Dr

  1. Hysteroscopy lets your doctor look inside your womb (uterus). This is done using an instrument called a hysteroscope. The hysteroscope is very slim (about 3 to 5 millimetres in diameter). It's carefully passed through the vagina and neck of the womb (cervix) and into your uterus. The hysteroscope has a video camera inside which sends pictures.
  2. 4days post hysteroscopy. experiencing cramping and bleeding only just now. is this normal? feels like a period but not due for 2wks. Answered by a verified doctor: It might/might not: but you should not take chances. The person who d..
  3. 20 Jan 2021 18:50 in response to skyeblue37. Hi their skyblue37 I had a endometrial biopsy on the 20/01/2021 the pain was excruciating I have never felt pain like it. no anaesthetic given i did take pain relief sn hour prior to having the procedure after the procedure I also had a marina coil fitted. Leaflet I had prior to procedure said the.
  4. I felt so safe and well looked after. Gas and air was readily available and I was encouraged to use it as much as I needed to. I also had lots of local anaesthetic which made the procedure uncomfortable at worst, and almost entirely pain free. So please ladies, don't be afraid of having a hysteroscopy. I know there are a lot of horror stories.

In women undergoing diagnostic hysteroscopy in the operating room or the office setting, misoprostol has been studied at various dosages, most frequently 200-400 micrograms orally or vaginally, and has demonstrated a decrease in procedural times, improved ease of cervical entry, and decreased pain scores Hysteroscopy pain Download Here Free HealthCareMagic App to Ask a Doctor All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice Most women have bleeding after hysteroscopy, similar to a menstrual period, for 2 to 7 days. There might be some discomfort, similar to period pain or cramps. If you have fever, severe pain, unusual vaginal discharge or heavy bleeding, you should see a doctor

Operative hysteroscopy, on the other hand, is done to operate upon the problems detected in diagnostic hysteroscopy. This is done after a diagnostic one and thus takes additional time. What is the Step by Step Procedure of Hysteroscopy? Step1. To help you relax and be able to undergo the pain, the doctor prescribes you a sedative Pain evaluation in outpatients undergoing diagnostic anesthesia-free hysteroscopy in a teaching hospital: a cohort study. Journal of Minimally Invasive Gynecology. 2007; 14: 729-735. [11] de Freitas Fonseca M, Sessa FV, Resende JAD, Guerra CGS, Andrade CM, Crispi CP. Identifying predictors of unacceptable pain at office hysteroscopy

HysterSisters.com is a massive online community with over 475,000 members and over 5 million posts. Our community is filled with women who have been through the Hysterectomy experience providing both advice and support from our active members and moderators. HysterSisters.com is located at 111 Peter St, Toronto, Canada, M5V2H1 and is part of the VerticalScope network of websites Pain evaluation in outpatients undergoing diag- nostic anesthesia-free hysteroscopy in a teaching hospital: a cohort study. J Minim Invasive Gynecol. 2007;14:729-735. 4 A hassle-free procedure for Hysteroscopy. Minimally Invasive surgery with no pain, complications or side-effects. 300 + DOCTORS. 50 + DISEASES. 30 + CITIES. 9206-056-15

Hassan A, Wahba A, Haggag H. Tramadol versus Celecoxib for reducing pain associated with outpatient hysteroscopy: a randomized double-blind placebo-controlled trial. Hum Reprod 2016; 31:60. Hassan A, Haggag H. Role of oral tramadol 50 mg in reducing pain associated with outpatient hysteroscopy: A randomised double-blind placebo-controlled trial Hysteroscopy is used to check and diagnose the internal problems of the uterus. Read about the process, cost, and side-effects of the Hysteroscopy. Hysteroscopy is suggested in the case of unusual bleeding and pelvic pain. This carbon dioxide will help the uterus to expand and to give a blood or mucus free view of it to the doctor Studies report a wide range of pain scores when hysteroscopy and biopsy are performed sequentially. 8 Cicinelli et al 9 report moderate pain scores of 9.4 and 11.4 during hysteroscopy and biopsy, respectively, in a 20-cm analog scale, whereas Lau et al 10 and Teran-Alonso et al 11 report an average pain score of less than 5 I had a hysteroscopy and D&C 3 1/2 weeks ago. since then i have constant lower abdominal pain that feels like my insides are dropping out of me. it hurts and when I walk around, it's worse. my dr is aware and has me on my 2nd round of antibiotics with the 3rd antibiotic on its way next week due to infection inside my uterus (where several.

The Visual analog scale was used to measure pain in office hysteroscopy cases while the Likert scale was used for patient satisfaction and cost was calculated in Turkish Lira. Results According to the histopathological examination, 65.9% of the cases (n=81) were diagnosed as polyp and 7.3% of the cases (n=9) were diagnosed as submucous leiomyoma What will happen during a hysteroscopy: You may be given general anesthesia to keep you asleep and free from pain. You may instead be given medicine to help you relax, and local or spinal anesthesia. With local or spinal anesthesia, you may still feel pressure or pushing, but you should not feel any pain The mean pain score was 4.7 +/- 2.5; 398 patients (34.8%) experienced severe pain. No risk factors for painful hysteroscopy were found, although abnormality of the cervical canal was associated with high pain scores. Acceptance of the procedure was high, 83.0% (950 women) The Visual Pain Scale (VPS) was used to evaluate pain levels with 0 represented pain-free, while 10 described the most severe pain (Ekin et al. 2009; Price et al. 1983). Patients were asked to mark the pain expressing point on the VPS immediately after VOH. The severity of pain is determined by the value of the point (cm) marked by the participan

Video: Hysteroscopy - procedure, test, tube, pain, complications

The gas distension medium may lead to post hysteroscopy pain because of the passage of CO2 through the tubes [7]. 8- Put a monitor for the patient to follow the examination. This makes her entertained with the beauty of the image, understands the exam and participates with the gynecologist for its accomplishment Office-based diagnostic hysteroscopy has been developed to provide the necessary clinical information with minimal intervention. A cornerstone of this approach is that the woman's experience of this sensitive examination is acceptable to her and preferably pain free. Currently there is quite a range of opinions on the optimal approach to this, and this issue of Fertility and Sterility. Hysteroscopy with or without Dilatation and Curettage (D&C) please feel free to contact our office by calling 260-222-7401. Before Your Surgery This surgery is performed through the vagina and there are no skin incisions. The procedure is minimally invasive, a given activity causes pain, refrain from that activity for a few days and try. Outpatient hysteroscopy technique has a very low cost and reduction in pain, has led to performing examination and even operations without anesthesia [1-4], justifying its generalized use in gynecological care [].It is very accurate for diagnosis of endometrial cancer, polyps, and miomas [].The use of mini-hysteroscopes (outer sheet diameter from 3 to 3.7 mm) avoiding cervical dilation.

Are you feeling stomach pain or tenderness after

Hysteroscopy is a procedure that allows your healthcare provider to see inside your uterus. Diagnostic hysteroscopy can help find the causes of problems in the uterus Abstract. Background: Various methods of evaluation of uterine cavity during infertility workup do exist, among which are Hysteroscopy and Hysterosalpingography. These procedures are considered invasive and associated with pain mitigating utilization. Objective: To determine pain perception following Hysteroscopy and Hysterosalpingography and patient preference based on pain grading

Anyone had a painful outpatient hysteroscopy

Hysteroscopy can be performed under local anesthetic and sedative, but it can also be done under general anesthetic if you prefer to be asleep or you are having a treatment during the procedure. Medication or tools called dilators are used to help open your cervix to allow the hysteroscope to be inserted. Then, a liquid solution or carbon dioxide gas is inserted through the hysteroscope into. If you experience any fever, severe pain in your abdomen or unusually heavy bleeding or discharge, call your doctor to make sure it is not something serious. Risks and Benefits. For some women, a hysteroscopy is not an option. Rest assured your physician will consult with a specialist to make certain it is the best course of action for your. Dr. Darrin Cunningham answered. 30 years experience Obstetrics and Gynecology. Not normal: this is not normal for a hysteroscopy. You should let your doctor know and have an exam. Bloating may be there for a day or 2, but most will resolve f Read More. 1 doctor agrees The level of pelvic pain was rated according to a 0-10 cm visual analogue scale (VAS: 0 = no pain, 1-3 mild pain, 4-7 moderate pain, 8-10 severe pain). Before performing office hysteroscopy, the patient's obstetric and gynaecological history was recorded, and both basal blood pressure and heart rate were measured In a dilation and curettage — sometimes spelled dilatation and curettage — your doctor uses small instruments or a medication to open (dilate) your cervix — the lower, narrow part of your uterus. Your doctor then uses a surgical instrument called a curette to remove uterine tissue. Curettes used in a D&C can be sharp or use suction

1. All NHS hysteroscopists have advanced training in pain medicine. 2. All hysteroscopy patients receive full written information before the procedure, listing the risks and benefits and explaining that local anaesthetic may be painful and ineffective against the severe pain of cervical dilation, womb distension and biopsy. 3 Pelvic pain a) SOCRATES b) Menstrual pain often radiates to sacral area of the back & down the thighs Hysteroscopy + D&C <2> Irregular menses 1. Hormonal profile a) FSH, LH b) Oestrogen, progesterone Shoulder tip pain - due to free fluid in peritoneum causing diaphragmatic irritation 5. Cullen's sign = periumbilical ecchymoses = Intra. book online best veneriologist in qatar & compare between best clinics in qatar according to location, insurance & also read people reviews | book online best veneriologist in qatar & compare between best clinics in qatar according to location, insurance & also read people reviews |

My Experience of having a Hysteroscopy on the NH

While the hysteroscopy EMB procedure is pain-free, the patient may experience cramps while procedures are being performed. During the Hysteroscopy EMB procedure: Your cervix will be dilated to allow a hysteroscope to be inserted. (A hysteroscope is a thin, lighted telescopic device that transmits an image of your uterus onto a screen. Pain Management. The office hysteroscopy analgesia regimens commonly described in the literature include a single agent or a combination of multiple agents, including a topical anesthetic, a nonsteroidal antiinflammatory drug, acetaminophen, a benzodiazepine, an opiate, and an intracervical or paracervical block, or both

Hysteroscopy Johns Hopkins Medicin

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Most women don't have any problems after having a hysteroscopy. However, if you develop any of the following symptoms, contact the clinic immediately. Long-lasting, heavy bleeding. Vaginal discharge that is dark or smells unpleasant. Severe pain or pain that lasts for more than 48 hours. A high temperature. related pages. Laparoscopic. Read Evaluating the level of pain during office hysteroscopy according to menopausal status, parity, and size of instrument, Archives of Gynecology and Obstetrics on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips

The incidence of such pain varies from 35%-83% across patient populations, ranging from mild to severe, and in some cases, the pain has been reported to last even longer than 72 hours post-operatively (though this is less common).1 Moreover, in nearly 70% of cases studied, patients experienced the worst pain not immediately post-operatively. BACKGROUND: Hysteroscopy is increasingly performed in an outpatient setting. The primary reason for failure is pain. There is no consensus upon the routine use of analgesia during hysteroscopy. OBJECTIVES: The aim of the study was to compare the effectiveness of different types of pharmacological.

I'm with the PP. I have no pain tolerance and almost passed out the first time I had an IUD placed, but I was surprised that my hysteroscopy was no big deal. I had an endometrial biopsy at the same time, which was a pinch. I am wondering if other folks had scarring, polyps or other tissue removed which is why it was so terrible Pain is the most common cause of failure of outpatient hysteroscopy. A systematic review and meta-analysis showed that local anaesthetics were effective in reducing pain associated with hysteroscopy but there was insufficient evidence to support the use of oral analgesics, opioids and non-steroidal anti-inflammatory drugs, to reduce hysteroscopy-associated pain and further studies were. I had a hysteroscopy yesterday, it was the 2nd one I've had in just over 2 years. I am also a massive wuss where pain is concerned but this really did not give me anything more than slight discomfort, like a period pain. I had a mirena coil removed at the same time and that was actually worse than the hysteroscopy

Pain evaluation in outpatients undergoing diagnostic

NovaSure Endometrial Ablation with Post-Op Bleeding - YouTube

Hysteroscopy: Procedure, Uses & Recover

Operative hysteroscopy in a hospital setting has revolutionized surgical treatment of benign uterine disorders. It is minimally invasive, cost- and time-effective, and may spare patients major surgical interventions. Operative hysteroscopy in a day-case hospital setting is regarded as a safe and well-tolerated procedure with low complication rates Definition. Diagnostic Hysteroscopy - Hysteroscopy is a procedure that uses a telescopic instrument called a hysteroscope. In this procedure, the doctor dilates the cervix and then inserts the hysteroscope into the uterus for viewing the inside of the uterus, the lining of the uterus and the fallopian tubes. The modern hysteroscopes are so tiny. Hysteroscopy allows your doctor to examine the inside of your uterus. Endometrial biopsy. Your doctor might use a suction catheter inside the uterus to collect a specimen for lab testing. Uterine polyps may be confirmed by an endometrial biopsy, but the biopsy could also miss the polyp. Most uterine polyps are noncancerous (benign) Moreover, non-pharmacological strategies for pain relief during in-office hysteroscopy may represent a safe and new approach to avoid discomfort : the use of warmed saline solution as distension medium , listening to light music during the examination , the administration of transcutaneous electrical nerve stimulation (TENS) showed reduced pain. Outpatient hysteroscopy technique has a very low cost and reduction in pain, has led to performing examination and even operations without anesthesia [ 1 - 4 ], justifying its generalized use in gynecological care [ 5 ]. It is very accurate for

Pain in leg after hysteroscopy - Doctor answers on

I am due to have a hysteroscopy and, needless to say, I am not exactly looking forward to this procedure. The letter sent from my local nhs hospital talks of 'pain and discomfort'. Localised pain killer injection into the cervix. I am assured that 'the procedure can be stopped at any time' Hysteroscopy does not apply to free procedures that are carried out in the state budget medical organizations. It costs a lot of money, but unlike other surgical interventions, complications after it occur very rarely. And pain in the lower abdomen is a clear sign of a developing process of inflammation. Blood discharge after removal of a.

Hysteroscopy - What You Need to Kno

During a hysteroscopy, your doctor inserts a hysteroscope -- a thin tube with light on the end -- into your vagina. They'll be able to see into your cervix and inside your uterus. If they find. According to the Cochrane database publication, anesthesia with paracervical block can decrease pain during the procedure and 30 minutes afterwards , while the French guidelines do not recommend the use of analgesics or anesthesia to conduct outpatient hysteroscopy; in England, analgesics are administered by 62.5% of physicians Hysteroscopy is a procedure that allows the doctor to examine the inside of the uterus to check for problems that may affect female fertility. It is done using a thin tube outfitted with a light and camera. This telescope-like tube is called a hysteroscope. It is passed into the uterus through the cervix and vagina; [

Factors affecting pain experienced during office hysteroscop

Hysteroscopy is an out-patient procedure that is usually done in a hospital but can also be done in the office. The actual procedure (diagnostic) usually takes 2-5 minutes. No anesthesia at all is needed for most cases of diagnostic hysteroscopy if a microhysteroscope (scope diameter less than 5mm) is used Different types of medications are available to treat pain after hysterectomy. They include over-the-counter pain medications, such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs such as Advil and Motrin), as well as prescription-strength NSAIDs and prescription opioid painkillers like codeine and morphine. Opioids tend to be especially effective on pain, but they. Hysteroscopy procedures have traditionally been considered low-pain or 'pain free' procedures, but recent research evidence suggests that they may actually be associated with significant pain during the procedure for a large proportion of patients You may also be a candidate for a hysteroscopy if you have unexplained pelvic pain, cramping, uterine bleeding, or other symptoms. Furthermore, you may be a candidate for a hysteroscopy if you experience symptoms in your menopausal years, when your period has ended for good. What you can expect during an in-office hysterectom

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Download full Ambulatory Hysteroscopy Book or read online anytime anywhere, Available in PDF, ePub and Kindle. Click Get Books and find your favorite books in the online library. Create free account to access unlimited books, fast download and ads free! We cannot guarantee that Ambulatory Hysteroscopy book is in the library Hysteroscopy. A hysteroscopy is a procedure that uses a small camera to look inside the uterus, or womb. It is used to diagnose or treat problems with the uterus. Knowing more about what happens during a hysteroscopy means that you can be better prepared Hysteroscopy is a procedure that your doctor may recommend to examine the inside of your uterus. This is a minimally invasive surgery that can be done on an outpatient basis. A hysteroscope is a thin telescope-like device with a light. Your doctor will insert the hysteroscope into your uterus to be able to see inside of it Ovarian vein thrombosis is not well understood, and there is no consensus regarding treatment. It can present with subtle symptoms and is not usually high on the list of differentials. Traditionally, most cases are linked to pregnancy and postpartum state, but our case adds to the growing list of non-puerperal patients diagnosed with ovarian vein thrombosis after an outpatient procedure Introduction. Ambulatory hysteroscopy is a safe, feasible, and accurate procedure for diagnosing intrauterine pathology.1 Provision of outpatient based diagnostic and operative services is gaining prominence as a standard of care,2 but the experience of pain can be a deterrent for patients offered outpatient diagnostic hysteroscopy. Individual studies examining the effect of local anaesthetics. A hysteroscopy is the least invasive surgical option for the removal of fibroids or polyps because it does not require making abdominal incisions. This results in much less pain and a quicker recovery than a laparoscopy or an open abdominal surgery. In most cases, you can be back to your routine the next day. Hysteroscopy recover