Is anesthesia required for hysteroscopy?

Jan 24, 2025 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Whether anesthesia is required for hysteroscopy mainly depends on the type of examination. Painful hysteroscopy is usually performed without anesthesia and is suitable for patients with good pain tolerance. In contrast, painless hysteroscopy requires anesthesia, which can be administered in various ways, including local medication and injection. This approach is suitable for patients with low pain tolerance.

Generally, whether hysteroscopy requires anesthesia mainly depends on the type of examination. If it is a painful hysteroscopy, anesthesia is usually not needed, whereas a painless hysteroscopy typically requires anesthesia. Detailed explanation is as follows:

A painful hysteroscopy does not require anesthesia, but there may be some pain during the procedure, which some patients might find intolerable. Therefore, this method is suitable for patients with good pain tolerance. During the examination, patients can also request the doctor to perform the procedure gently to reduce discomfort caused by cervical dilation.

In contrast, a painless hysteroscopy usually requires anesthesia, which can be administered through local medication insertion or injection. Once the local area is numb, the procedure can be performed without causing any discomfort to the patient. This allows better cooperation with the doctor and reduces psychological stress, making it suitable for patients with low pain tolerance.

Therefore, the decision to use anesthesia should be based on one's own pain tolerance. Additionally, patients should remain for observation for half an hour after the examination before leaving the clinic to ensure safety.

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