Is the hysteroscopy procedure painful?

Generally, the level of discomfort during a hysteroscopy varies among individuals. Most people can tolerate it, while a few may experience significant discomfort. The specific details are as follows:

During hysteroscopy, the doctor inserts a thin hysteroscope through the vagina and cervix into the uterine cavity. During this process, cervical dilation may cause a pulling sensation or mild distension pain, similar to menstrual cramps. Once the scope enters the uterine cavity, if fluid is introduced to expand the cavity for better visualization, there may be a sensation of pressure or fullness in the lower abdomen. The degree of discomfort depends on the condition of the cervix, individual pain tolerance, and the gentleness of the procedure.

Women with a more relaxed cervix, such as those who have given birth vaginally, typically experience less discomfort, whereas those with a tight cervix, who are nulliparous, or who are sensitive to pain may feel more significant discomfort. Currently, most hospitals use local anesthesia or intravenous sedation, which can significantly reduce discomfort, with some patients experiencing only mild sensations.

If you are concerned about pain, it is recommended to communicate fully with your doctor before the procedure to choose an appropriate pain management method. Additionally, staying relaxed and cooperating with the medical team can further minimize discomfort. Mild abdominal pain or slight bleeding after the procedure are usually normal. However, if symptoms persist or worsen, prompt medical attention is advised.