An outpatient hysteroscopy is a safe, straightforward procedure used to look inside the womb (uterus) and identify potential issues. It’s typically recommended for women experiencing symptoms such as heavy periods, postmenopausal bleeding, or fertility concerns. Unlike more invasive procedures, outpatient hysteroscopy is done without the need for a hospital stay, meaning faster recovery and minimal disruption to your routine.

What Is an Outpatient Hysteroscopy?

A hysteroscopy uses a thin, rigid hysteroscope—equipped with a light and camera at the end—to examine the inside of the womb. The procedure is performed through the vagina and cervix, without the need for any cuts or incisions. It allows your consultant to closely assess the lining of the uterus and, when needed, treat certain conditions during the same appointment.

Why Might You Need One?

Your consultant may recommend an outpatient hysteroscopy if you’re experiencing:

• Heavy or irregular periods

• Bleeding after menopause

• Recurrent miscarriages

• Difficulty getting pregnant

• Suspected fibroids or polyps

• Retained tissue after a miscarriage

It’s a valuable diagnostic tool that helps clinicians understand the cause of these symptoms and, in some cases, provide immediate treatment.

What Are the Benefits?

Outpatient hysteroscopy offers several key advantages:

• Quick and minimally invasive: The procedure usually takes 10–20 minutes.

• No general anaesthetic required: Most patients do not need sedation and can go home shortly afterwards.

• Diagnosis and treatment in one go: Polyps or small fibroids can often be removed during the same procedure.

• Faster recovery: Most patients return to normal activities the same day, with minimal disruption.

Preparing for the Procedure

You may be advised to take a mild painkiller, such as paracetamol or ibuprofen, around an hour before your appointment. Wearing loose, comfortable clothing can also help you feel more at ease.
Before the hysteroscopy, you will have a 30 to 45-minute consultation with one of our consultants. They will review your medical history, explain the procedure, answer your questions, and obtain your consent.

What Happens During the Procedure?

You’ll lie on an examination couch with your legs supported. A speculum (similar to what’s used during a smear test) may be inserted gently to help guide the rigid hysteroscope through the cervix into the womb.
A small amount of sterile saline solution is used to slightly expand the womb for better visibility.

You might experience mild cramping or discomfort, similar to period pain. If the discomfort becomes too strong, let the consultant know—it’s always possible to pause or adjust the procedure to ensure your comfort.

The procedure typically takes between 10 and 20 minutes.

After the Procedure

Most patients feel well enough to go home shortly after the procedure.
Mild cramping and light bleeding or discharge are common and usually settle within a day or two.
You can manage any discomfort with over-the-counter pain relief.

To reduce the risk of infection, you should avoid:

• Swimming

• Using tampons

• Having sexual intercourse

for at least 48 hours after the procedure.

Are There Any Risks?

While outpatient hysteroscopy is a low-risk procedure, complications can occasionally occur, including:

• Infection (signs include fever, severe pain, or unusual discharge)

• Heavy or prolonged bleeding

• Uterine perforation (very rare)

If you experience severe symptoms after your procedure, contact your healthcare provider or call NHS 111 for advice.

Follow-Up Care

Your consultant may arrange a follow-up appointment to discuss the results or plan any necessary further treatment. You will be fully supported every step of the way to ensure the best outcomes for your health.

Final Thoughts

Outpatient hysteroscopy is an efficient and patient-friendly way to investigate a wide range of gynaecological issues without requiring surgery or hospital admission.
Understanding what to expect can help ease anxiety and allow you to feel empowered throughout your care journey.

🔗 Want to learn more?
Visit our Outpatient Hysteroscopy page for detailed information about the procedure, what to expect, and how to book a consultation.