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, which means faster recovery and minimal disruption to your routine.

What Is an Outpatient Hysteroscopy?

A hysteroscopy uses a thin, flexible tube with a light and camera at the end—called a hysteroscope—to look directly inside the womb. The procedure is performed through the vagina and cervix, so no cuts or incisions are required. It allows your gynaecologist to examine the uterus lining and sometimes treat certain conditions during the same appointment.

Why Might You Need One?

Your doctor 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 has several key advantages:

• Quick and minimally invasive: The entire procedure usually takes 10–30 minutes.

• No general anaesthetic needed: Most women don’t need sedation, so you can return home shortly afterwards.

• Diagnosis and treatment in one go: If polyps or small fibroids are found, they can often be removed immediately.

• Faster recovery: There’s no need for an overnight stay, and many women resume normal activities the same day.

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 clothing can help you feel more comfortable. Your doctor will explain what’s involved and ask for your consent before starting.

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 used to help insert the hysteroscope through the cervix into the womb. A small amount of sterile saline solution is used to gently open the womb, allowing the doctor to view the uterine lining clearly.

You might feel some cramping or discomfort, but this is usually mild and temporary. If the pain becomes too much, let the doctor know—it’s always okay to pause or stop the procedure.

After the Procedure

Most women feel well enough to go home shortly afterwards. Light bleeding or discharge is common and usually settles within a couple of days. Mild cramping can occur but is often easily managed with over-the-counter pain relief.

To reduce the risk of infection, it’s advised to avoid swimming, using tampons, or having sex for at least 48 hours.

Are There Any Risks?

Complications are rare, but as with any medical procedure, they can occur. These may include:

• Infection (look out for fever or unusual discharge)

• Heavy bleeding

• Perforation of the uterus (extremely rare)

If you experience severe pain, heavy bleeding, or signs of infection, contact your doctor or call NHS 111.

Follow-Up Care

You may be offered a follow-up appointment to discuss your results or plan any further treatment. Your healthcare team will guide you through the next steps based on your individual needs.

Final Thoughts

Outpatient hysteroscopy is a helpful and efficient way to investigate a range of gynaecological issues without the need for surgery or hospital admission. If you’ve been advised to have one, knowing what to expect can help ease any anxiety and allow you to feel more in control of your care.

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