How great is the pain?

The pain after uterine endoscopy is very individual and varies from patient to patient. Not only the procedure itself plays a role, but also the personal pain perception and pain tolerance of the patient. After a hysteroscopy, patients usually complain of pain that is similar to menstrual pain or slightly more intense than menstrual pain.

The pain also differs between patients after a diagnostic or therapeutic uterine endoscopy, since the latter involves significantly more tissue manipulation and irritation. As a rule, the symptoms, which last for a few days, can be controlled well with light painkillers. The doctor should be consulted as to which preparations are recommended. Some active substances, such as aspirin (acetylsalicylic acid), increase the tendency to bleed, which must be taken into account in a therapeutic uterine endoscopy due to the frequent post-bleeding. In general, persistent and severe pain requires consultation with the doctor to rule out possible complications.

Is uterine endoscopy possible as an outpatient procedure?

As this is one of the most common routine gynecological examinations, which can usually be performed very quickly, most diagnostic uterine endoscopies can nowadays be performed on an outpatient basis.Whether a uterus endoscopy should be performed as an inpatient or outpatient procedure depends on the underlying indication. In the case of therapeutic uterine endoscopies, an inpatient stay may be necessary, although most patients can leave the hospital the day after the procedure. However, minor polyp removals, for example, can also be performed on an outpatient basis, and after sufficiently long monitoring in the recovery room, the patient can go home the same day if she is in good general condition and has the consent of her doctor.

The disadvantage of outpatient treatment, however, is that any changes that may have been detected during a diagnostically planned endoscopy cannot always be removed in the same procedure. Thus, a second uterine endoscopy may become necessary. In all uterine endoscopies, it is important to discuss with the doctor any necessary rules of conduct to be observed for the time after the procedure and to be aware of any follow-up examinations that may be necessary. It is also important not to overdo it, especially during outpatient examinations. Patients who leave the hospital on the same day often forget to take care of themselves for a reasonable period of time.